Virginia Workers' Compensation Quiz

In Virginia Workers' Compensation, this is the method of exchanging data electronically between the Commission and those submitting claim reports.

A document self-insured employers, insurance carriers, claim administrators or their legal counsel use to request a change in benefits or other relief from the Commission.

A person or entity who controls the work activities of employees.

Every person, including aliens and minors, working under a contract, written or implied, for an employer.

In Virginia Workers' Compensation, this refers specifically to the president, vice-president, secretary, treasurer or other officer of a legally recognized corporation or limited liability company.

Any person, including aliens and minors, working under any contract of hire or apprenticeship, written or implied.

The Virginia Worker's Compensation Commission schedules a case for a hearing and informs all parties involved about the date, time and location of the hearing.

A hearing request that can be made if an employer's denial of benefits after the initial compensation is established will cause the worker severe economic hardship.

A federal law that requires employers to provide unpaid, job-protected leave for specific family and medical reasons.

A form that the insurance carrier or self-insurer files with the Commission when an injury occurs.

The act of intentionally misleading or deceiving someone in order to gain an unfair advantage.

An employee claims to have suffered an injury on the job, but either did not suffer an injury at all or received the injury during a non-work-related activity.

An employer deliberately underreports the number of employees or the type of work they do to reduce their worker's compensation costs.

The formal submission of a document to the Virginia Workers' Compensation Commission.

The date the commission receives a document or the date on the postmark of certified mail.

The official list of fees that medical providers can charge for their services under worker's compensation.

Includes the injured worker, employer, insurance carrier, claim administrator, and attorneys of record for all parties. Family members are not considered parties unless specifically authorized by the injured worker.

A system for evaluating healthcare services, repealed in Virginia in 2017.

Benefits paid for permanent loss of a body part, such as an arm, leg, finger, or eye. Includes vision, hearing, and disfigurement.

Lifetime wage benefits payable to workers with severe injuries like loss of both hands, arms, feet, legs, or eyes, or paralysis.

A 20% penalty assessed against an insurance carrier for late payments of awarded compensation.

A penalty assessed against an employer who fails to secure workers' compensation insurance or to file required reports.

A formal request for a change in benefits or other relief from the Workers' Compensation Commission.

The injured worker in a workers' compensation claim.

A person or entity that enters into a written agreement with a client company to provide professional employer services, assuming responsibility for the client's workforce.

A document used to show that important papers have been sent to the right people in a case.

An appeal to the Commissioners to reconsider a decision made by a Deputy Commissioner.

A release from the treating physician indicating the injured worker is able to return to their job.

Compensation isn't allowed for the first 7 days of an injury. If the injury lasts longer, compensation starts on the 8th day. But if it lasts more than 3 weeks, you get paid for all missed work.

A right or claim for payment against a workers' compensation case. It can be filed by a doctor, hospital, or other medical provider.

Medical expenses for conditions caused by the accident or occupational disease are payable for as long as necessary, provided a claim was filed within the required time period and the expenses are reasonable and necessary.

The treating physician's description of the work an injured worker can and cannot do.

An injury that is well stabilized and unlikely to change substantially, with or without medical treatment. Once an injured worker reaches MMI, a physician can assess how much, if any, permanent partial disability resulted from the work injury.

An Award that provides lifetime medical benefits for reasonable, necessary, and authorized medical treatment causally related to the work-related injury; this Award does not provide wage replacement.

A unique identification number assigned to a workers' compensation case. It's used in all communications with the Virginia Workers' Compensation Commission.

A method of resolving disputes in workers' compensation cases through a process that involves a neutral third party.

The injured worker is reimbursed for out-of-pocket medical expenses (prescriptions) and reasonable medical mileage. All medical bills should be sent to the Claim Administrator for payment.

The statute of limitations for most workers' compensation claims is two years from the date of injury, but certain statutes pursuant to Code Section 65.2 may toll the statute of limitations.