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Workers Comp and No-Fault Ins.
CMR
16
Law
Not Applicable
06/22/2007

Additional Law Flashcards

 


 

Cards

Term
Generally, Workers' Comp
Definition
If they have workers' compensation, their exclusive remedy is through this law. Workers' Comp Board determines if the person is an employee and the injury was job-related.
Term
Workers Comp:

Employees Covered (3)
Definition
1. Employed by any business or in any capacity carried on by employer for PROFIT - excludes farm laborers

2. Employed in any "hazardous employments"

3. certain farm laborers
Term
Workers Comp:

Excluded Employees
Definition
teachers, nonmanual work for religious orgs or educational or charity, domestic servants, babysitters, spiritual leaders
Term
Workers Comp:

Casualties Covered (3)
Definition
1. accidental injuries and related infections/diseases arising in course of employment

2. Death from such injury

3. occupational disease resulting in disability or death
Term
Workers Comp:

Extent of Liability (3)
Definition
Not liable if:

1. due solely to intoxication

2. solely to willful intent to hurt/kill self or another.

3. off-duty athletic activity

**Those committing illegal act while working are covered.
Term
Workers Comp:

Extent of Remedy: employer and co-workers
Definition
Claim under worker's comp is exclusive claim against employer AND co-employees. BUT co-worker not w/in scope of employment who committed intentional/willful tort gets CL tort action.

If injury not work related, CL tort against employer too.
Term
Workers Comp:

Extent of Remedy: 3rd parties
Definition
May still sue 3rd party in tort.

3rd may not seek contribution from employer UNLESS grave injury.

Workers' comp fund may reimburse itself from that award - no right to double recovery.
Term
Workers Comp:

Wrongful Death and Workers' Comp
Definition
If you accept workers' comp, barred from seeking wrongful death action against employer for intentional assault.
Term
Workers Comp:

Employer's Failure to have comp insurance
Definition
P may assert claim for benefits OR sue in tort.

If in tort - employer may not argue: fellow servant rule, assumption of risk, or contributory negligence.
Term
Workers Comp:

Extent of Benefits (4)
Definition
Includes:

1. required medical service/equipmt

2. disability compensation (2/3 weekly wages)

3. death and funeral benefits (statutory schedule)

4. double compensation for illegally employed minors.
Term
Workers Comp:

Subrogation and Assignment of Claims against 3rd party
Definition
If he fails to bring action against 3rd party w/n 6 mos. of award of workers' comp benefits, the insurance carrier may take the claim. If they win more than they paid to employee, they give him 2/3 of the excess.
Term
Workers Comp:

Contributions to Insurance
Definition
Void if by employee (agreements with this clause are void too).
Term
Workers Comp:

Waiving right to compensation
Definition
Not legal. Void.
Term
Workers Comp:

Incarceration
Definition
Benefits suspended while incarcerated
Term
No Fault Insurance:

Purpose
Definition
to screen minor suits out of litigation. For personal injury, you must plead past the no-fault threshold. Claim begins to run from date of accident.
Term
No Fault Insurance:

Prerequisite to Registration
Definition
Insurance is required in NY, including no-fault.

Some may self-insure, but must also comply with no-fault.
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