Podcast
Questions and Answers
What is a defining characteristic of workers’ compensation benefits compared to group health coverage?
What is a defining characteristic of workers’ compensation benefits compared to group health coverage?
- They include arbitrary limits on treatment covered.
- They are always greater than health insurance benefits.
- They have no arbitrary limits on frequency, duration, or extent of services. (correct)
- They cover only temporary injuries.
Which of the following injuries is covered by workers’ compensation under the no fault rule?
Which of the following injuries is covered by workers’ compensation under the no fault rule?
- An injury resulting from employer misconduct.
- An injury caused by a workplace accident. (correct)
- A self-inflicted injury.
- An intentional act of harm by an employee.
What occurs to benefits for injuries resulting from the serious and willful misconduct of the injured employee?
What occurs to benefits for injuries resulting from the serious and willful misconduct of the injured employee?
- Benefits are reduced by half. (correct)
- Benefits are increased by half.
- Benefits are completely revoked.
- Benefits remain unchanged.
In which situation is the employee's compensation increased by half?
In which situation is the employee's compensation increased by half?
What is necessary for penalties related to serious and willful misconduct to be imposed?
What is necessary for penalties related to serious and willful misconduct to be imposed?
Which aspect of the workers’ compensation system has seen evolution due to rising costs?
Which aspect of the workers’ compensation system has seen evolution due to rising costs?
What were some of the issues addressed by measures enacted in 1989 and 1993 regarding workers’ compensation?
What were some of the issues addressed by measures enacted in 1989 and 1993 regarding workers’ compensation?
Which of the following is NOT a factor considered under the Labor Code for penalties relating to serious and willful misconduct?
Which of the following is NOT a factor considered under the Labor Code for penalties relating to serious and willful misconduct?
What was a significant barrier for injured workers pursuing civil tort actions before the establishment of workers' compensation systems?
What was a significant barrier for injured workers pursuing civil tort actions before the establishment of workers' compensation systems?
Which act required most employers in California to secure workers' compensation coverage?
Which act required most employers in California to secure workers' compensation coverage?
What major event prompted California to pass its first workers' compensation act in 1911?
What major event prompted California to pass its first workers' compensation act in 1911?
What did the Workers’ Compensation Insurance and Safety Act of 1917 emphasize regarding permanent disability assessment?
What did the Workers’ Compensation Insurance and Safety Act of 1917 emphasize regarding permanent disability assessment?
What change was made in 1951 regarding the assessment of permanent disability in California's workers' compensation system?
What change was made in 1951 regarding the assessment of permanent disability in California's workers' compensation system?
What significant coverage expansion has occurred over the years in California's workers' compensation system?
What significant coverage expansion has occurred over the years in California's workers' compensation system?
Before the development of workers' compensation systems, why was proving employer negligence challenging for workers?
Before the development of workers' compensation systems, why was proving employer negligence challenging for workers?
Which of the following statements correctly describes a feature of the ‘No Fault’ rule in workers' compensation systems?
Which of the following statements correctly describes a feature of the ‘No Fault’ rule in workers' compensation systems?
What is one key aspect of the workers’ compensation system for employees?
What is one key aspect of the workers’ compensation system for employees?
What is meant by the 'No Fault' aspect of the workers' compensation system?
What is meant by the 'No Fault' aspect of the workers' compensation system?
What does the Exclusive Remedy component of the workers' compensation system entail?
What does the Exclusive Remedy component of the workers' compensation system entail?
Which of the following benefits is assured through the workers’ compensation system?
Which of the following benefits is assured through the workers’ compensation system?
What trade-off does the historic compromise in workers' compensation represent?
What trade-off does the historic compromise in workers' compensation represent?
Which group of employees is excluded from California's workers’ compensation system?
Which group of employees is excluded from California's workers’ compensation system?
Why might a civil action take longer to resolve compared to a workers' compensation claim?
Why might a civil action take longer to resolve compared to a workers' compensation claim?
What is a potential additional recovery available to employees under certain circumstances?
What is a potential additional recovery available to employees under certain circumstances?
Flashcards
No-Fault System
No-Fault System
A legal system where injured workers receive compensation regardless of fault, shifting the burden of proof from the employee to the employer.
Historic Compromise
Historic Compromise
A historical agreement in California, where employers agreed to provide worker's compensation in exchange for immunity from lawsuits.
Evolution of Workers' Compensation
Evolution of Workers' Compensation
The process of changing and improving the worker's compensation system in California.
Civil Tort Action
Civil Tort Action
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Triangle Shirtwaist Factory Fire
Triangle Shirtwaist Factory Fire
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California's First Workers' Compensation Act
California's First Workers' Compensation Act
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Boynton Act
Boynton Act
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Diminished Ability to Compete
Diminished Ability to Compete
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Workers' Compensation System
Workers' Compensation System
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No Fault
No Fault
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Exclusive Remedy
Exclusive Remedy
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Assured and Fixed Benefits
Assured and Fixed Benefits
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Employer Liability
Employer Liability
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State Variation
State Variation
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Exemptions to Workers' Compensation
Exemptions to Workers' Compensation
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Workers' Compensation Coverage: Unlimited
Workers' Compensation Coverage: Unlimited
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Workers' Compensation: No Fault
Workers' Compensation: No Fault
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Intentional Injuries: No Coverage
Intentional Injuries: No Coverage
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Reduced Benefits: Employee Misconduct
Reduced Benefits: Employee Misconduct
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Increased Benefits: Employer Misconduct
Increased Benefits: Employer Misconduct
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Proving misconduct: Not Easy
Proving misconduct: Not Easy
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WCAB: Deciding on Benefits
WCAB: Deciding on Benefits
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Workers' Compensation Evolution
Workers' Compensation Evolution
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Study Notes
California Workers' Compensation System
- Workers' compensation systems were established in the early 20th century.
- Prior to this, injured workers had to sue employers, often failing to prove negligence or facing employer defenses.
- The Triangle Shirtwaist Factory fire in 1911 led to California passing its first workers' compensation act.
- The Boynton Act (1913) initially allowed employers to opt for workers' compensation.
- The 1917 Workers' Compensation Insurance and Safety Act revised the previous act, noting consideration of the injured employee's reduced ability to compete in the job market.
- Laws subsequently broadened required coverage to include more employees, like farm workers, domestic workers, and prison inmates.
Historic Compromise
- The workers' compensation system trades the right to sue for compensation in court for guaranteed prompt compensation.
- Employees trade potential high court awards for definite, faster benefits.
- The compromise has three components: no-fault system, exclusive remedy, and assured and fixed benefit.
No-Fault System
- Employers are responsible for paying benefits regardless of fault in work-related injuries.
- This protects employers from potentially large lawsuits.
- Exceptions exist for self-inflicted injuries, serious/willful employee misconduct, employer misconduct, and injuries to minors.
Exclusive Remedy
- Injured workers are unable to sue their employers for further damages beyond workers' compensation, unless the employer is uninsured.
- This excludes responsibility for any other parties (third parties) involved in the work-related injury.
Assured and Fixed Benefit
- Workers' compensation systems have defined, payable benefits.
- Workers' compensation awards tend to be lower than those achievable through a court process.
Evolution of California's Workers' Compensation System
- Attempts to control costs have driven evolution.
- Measures have addressed medical evaluations, physician-related fees, medical provider networks, and utilization reviews.
- Recent measures involve medical treatment utilization schedules, permanent disability ratings, resolving medical disputes, and updates to medical fee schedules.
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