In Washington D.C., employees that become injured or ill while they are on the job can receive certain benefits from workers’ compensation insurance. This system exists so that they can be compensation for damages and lost wages while they recover. However, it is important to be aware that not all workers can receive this compensation. It is dependent upon the employee and circumstances of their injuries/illness. Continue reading below to learn more.
Who is Eligible for Workers’ Compensation Benefits?
When private employers in Washington D.C. have one or more employees, they are required to carry workers’ compensation insurance. The benefits available to employees are only redeemable if they were injured or became ill during the course of employment. This includes while they are performing work-related duties or running work errands. It is important to know that if they are injured during their lunch break or on their commute to/from the office, the employee is not covered. Compensation covers injuries that occur from a one-time accident, injuries caused by repetitive movements, and illnesses developed from exposure to toxic substances.
What Do I Do If I’m Injured at Work?
Employees who become injured or ill at work must report the situation to their employer within 30 days of when it occurred or realized that it is work-related. A Form 7, Employee’s Notice of Accidental Injury or Occupational Disease, must be filed and a copy given to the employer as well as the Office of Workers’ Compensation. The sooner this is done, the sooner the benefits can begin.
What if My Claim is Denied?
It is important to know that employees have the right to appeal a decision if their workers’ compensation claim is denied. This can be done with the District of Columbia Administrative Hearings Division. The first step in appealing the decision is to request an informal conference. A recommendation will be made within 30 days by the claims examiner. However, this recommendation is not binding. This means not only can the employee appeal, but the insurance company can as well.
When contesting the recommendation, a formal hearing can be requested. This can be done with an Application for Formal Hearing. A copy of the workers’ compensation claim form should be signed and attached so that an in-person hearing can be scheduled. During a hearing, both parties can question witnesses, submit documents, and make legal arguments. A workers’ compensation judge will preside and mail a written decision to both parties.
If you have become the victim of an on the job injury, it may be beneficial to speak with an attorney and the doctor that is treating you to determine how to make the process as easy as possible. AllianceMeds understands that a workplace accident can be challenging and is here to help. We will deliver your medication to your door using overnight delivery and cover any out of pocket expenses that may arise. If you have any questions about how we can help, contact AllianceMeds today.