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Injuries That Are Not Covered by Workers Compensation

By Kenton Koszdin Law Office on July 28, 2015 | In Workers Compensation Claims

Injuries That Are Not Covered by Workers Compensation

Most injuries that arise in the course of employment are covered under California workers’ compensation system. As long as you were performing work-related activities at the time of your injury, you should be able to seek financial support for your medical bills and a portion of your lost wages. However, there are many factors that may impact your eligibility.

For example, the severity of your injuries will affect your potential claim. Workers’ comp is reserved for those who have suffered relatively serious injuries. If your injuries were adequately treated by the contents of a first-aid kit, you probably will not qualify for benefits. Small wounds or minor cuts that do not require stitches won’t likely result in workers’ comp benefits.

The location of the accident will probably not impact your workers’ compensation claim. You can seek support for injuries sustained outside your office or work site as long as you were acting within the course and scope of your job. As long as you were within your job duties and receiving pay for what you are doing, your actions are covered. However, suffering an injury away from the job site may give your employer or your employer’s insurance provider enough reason to try to deny your claim.

You can suffer an injury because of work that is not covered. For example, commuting to work is work-related but it is not within the course of your employment. Therefore, injuries suffered while driving to work very rarely qualify towards a workers’ compensation claim.

What conditions are disputed during workers’ comp claims:

  • Cumulative injuries Not all work-related accidents occur suddenly. Some workers suffer physical injuries after hours, weeks, months and years performing the same physical motions over and over.
  • Mental health conditions Depression and severe anxiety are mental conditions that can qualify for workers’ compensation benefits. However, claiming that the condition is simply the result of stress may not work. You will need your doctor’s support to prove your condition.

There are many reasons why an employer or an employer’s insurance provider may deny a valid claim. If you have been hurt while working, make sure you have legal guidance to ensure that you get the support you need to recover financially, emotionally and physically.

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