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Tips for Managing Your Workers Comp Case

Contact us for your Worker Compensation needs in Boca Raton, Port St Lucie, West Palm Beach & Fort Pierce.

Workers can get injured any time and anywhere while at work.  Allie James, a former employee of Anne’s Dress Shop in Charleston County, was injured when she slipped and fell down while working at the shop.  She was terminated by the employer in 2003 after this incident. When this incident occurred, she had worked for Anne’s Dress Shop for approximately 20 years.

Allie James was found to be totally and permanently disabled from the work accident by the South Carolina Workers’ Compensation Commission. The Commission also found that she was entitled for a lump sum award of benefits which includes 500 weeks of compensation benefits.

The Commission denied James’ request of prorating the amount over her life expectancy. James later appealed in circuit court which affirmed the Commission’s decision.  She had requested the Commission to prorate her lump sum in order to minimize the reduction of her social security benefits. After the case was denied by the circuit trial she moved for reconsideration. This case was later returned to circuit court for it to remand to the Commission.

When you are in need of any help in receiving all the benefits entitled to you under the law for your work-related injuries, a worker compensation attorney can be contacted for all the legal assistance to you in your case.

Common Workers Compensation Insurance Questions For Small Business Owners

What is workers’ compensation insurance?

Workers’ compensation insurance covers your employees’ medical and disability expenses related to work-related illness and on-the-job injuries. Employers’ liability coverage, which is normally included on a workers’ comp policy, protects your company by paying legal fees and any awarded settlements should an employee sue you, claiming that an illness or injury was caused by your company’s negligence or failure to provide a safe workplace.

How do I know if I need workers’ comp insurance?

Workers’ compensation insurance is required by law in most states for companies that have W2 employees, and in some states for 1099 contractors. Regardless of state law, clients often also require in their contracts that their contractors carry workers’ compensation insurance.

What are the workers’ compensation laws for each state?

It’s important to know your employer rights as well as the laws governing workers’ comp in your state. Workman’s comp is regulated by each state’s department of industrial relations, department of labor, department of insurance, department of employment, bureau of workers’ compensation, or a similar state agency. TechInsurance provides links to each state’s insurance web site for quick access to detailed information about workman’s compensation laws.

Do I have to carry workers’ compensation insurance if I don’t have employees?

If you have a one-person company, you may be operating in a state that does not require that you maintain workers’ compensation coverage. However, your client may still require that you carry workers’ compensation insurance. Why? In many states, unless a company can show that subcontractors carry their own workers’ compensation insurance, subcontractors will be automatically covered under the hiring company’s policy, at the hiring company’s expense.

Do I still need workers’ comp insurance if I use contractors instead of employees?

Contract employees, leased employees and some other work-for-hire situations may be exempt from workman’s comp insurance requirements, but some state laws do require companies to cover 1099 contractors. When you hire independent contractors to do work for you, you should require that they carry their own workers’ compensation, or assume that you will have to pay additional premium to cover the subcontractor on your own policy.

My state requires me to carry workers’ compensation insurance, and so do my clients. But what’s in it for me?

Workers’ comp insurance medical benefits pay for doctor’s visits, medication, diagnostic tests, therapy or hospital stays that are directly related to an accident or injury that occurred while the employee was on the job. Additionally, the policy will reimburse the employee for a portion of income lost due to work-related injury or illness. If the worst should happen and an employee is killed on the job, the insurance will pay death benefits to the survivors, as well as some funeral expenses. So, if your employee is hurt on the job and you have workers’ comp coverage, you won’t have to worry about paying those costs out of pocket.

There’s another important benefit for you as an employer: The employment liability coverage included with your workers’ comp policy protects you from paying high lawyer fees or big settlements if an employee claims that your negligence, carelessness or failure to provide a safe working environment caused an accident or injury.

Do I have to pay for workers’ comp coverage for myself?

In some states, owners, officers, partners and other company principals can exclude themselves from their own companies’ workers’ compensation coverage. If you’ve got good health insurance and disability insurance policies, consider your risk low, and want to save on premiums, this may be a good choice for you.

What if I want to cancel my workers’ comp policy?

In virtually every state, the insurance company can charge and retain a minimum premium when a workers’ compensation policy is cancelled. So, if you buy a workers’ compensation policy and cancel it two months later, you will still owe the minimum premium, which can be much more than the cost of two months of coverage. In some states, the minimum premium can run from several hundred dollars to more than $1,000. So, read the fine print before you decide to cancel your workers’ compensation policy, and be sure it will actually save you money.

What’s a premium audit?

Your workers’ compensation premium depends on the number of people you employ and what risk classifications those employees fall into, based on each person’s scope of employment. To determine these numbers, your carrier will conduct an annual premium audit and set your company’s workers’ compensation insurance premium for the policy period accordingly. It is important to note that during the audit period, the carrier may adjust the premiums and findings from current period and make that adjustment retroactive to cover the employees and risk classifications that were incurred during your previous policy period.

What can I do to minimize my premium?

Audit mistakes can cause you to lose coverage or can unnecessarily inflate your company’s workers’ compensation insurance premium, so it’s important to prepare. Designate a knowledgeable contact person for the auditor who is familiar with your employees’ work. Be sure to provide accurate and detailed information, because without it, the auditor may assume the worst-case scenario for risk exposure and increase your premium. Review your payroll documents to make sure that they will allow the auditor to readily break out overtime pay and discount it back to straight time, as is allowed in most (but not all) states’ workers’ compensation rules. Your payroll records should also reflect the actual hours spent by each employee in each of the different workplace exposure categories. Otherwise, all of the employee’s payroll will go into the most expensive classification applicable. If your company uses 1099 subcontractors, show the certificates of insurance documenting that they have their own workers’ compensation insurance.

What if I have employees in multiple states? (OK, make that Top 11 Questions.)

It is very important to break down your payroll by state. If you do not provide the insurance company with accurate information about payroll you have in each state where work is done, the insurance company will very likely not pay claims that occur in unreported states, even if the total payroll on your report is accurate. Be sure the person handling the audit in your office is aware of and has access to accurate information on out-of-state payroll, and that the audit is fully completed.

HVAC Maintenance Tips

You’ve either moved into a new home or installed a new heating and cooling system. What’s next for you and your HVAC system? If you’re like many homeowners, not much… until there’s a problem.According to Aris Parviz of Virginia’s Able Air-1, Inc., regular maintenance of home HVAC systems is much more important than most people realize. Here Parviz talks about the importance of HVAC system maintenance and explains what must be done to keep your HVAC system in tip-top shape.

Today’s residential HVAC systems are about more than just heating and cooling. Today’s homeowners demand total comfort, and the HVAC industry has responded with more complex, more integrated systems designed to provide optimal indoor air quality, optimal heating and cooling, and improved energy efficiency. As one might expect, these more sophisticated all-inclusive systems are also more expensive than traditional HVAC systems. For this reason, properly maintaining your HVAC system is more important than ever before, both to protect your investment and to ensure that you’re getting what you paid for.

Professional Maintenance

Many people balk at the idea of hiring a contractor to maintain an HVAC system that seems to be performing fine. Why fix what isn’t broken? While it’s easy to detect an HVAC system failure, when will the average homeowner discover that his system is not operating as efficiently as it should? When the sky-high utility bills arrive?

When you’ve invested in a high-efficiency HVAC system, you deserve for your system to be delivering maximum efficiency. Likewise, when you’ve invested in an air filtration system, home humidifier or other add-on, you want to know without a doubt that it’s performing properly.

Most manufacturers recommend professional maintenance of any HVAC system at least once per year. Although specific maintenance requirements vary from system to system, yearly maintenance will always involve two very important components — inspection and cleaning.

Regular inspection of your HVAC system serves two functions. First, a thorough inspection will enable the technician to identify and diagnose any problems with efficiency or performance. Second, an inspection will ensure that the system is not posing a health or safety risk to you and your family. This is particularly important for gas-fueled heating systems, as carbon monoxide buildup can create a dangerous, possibly deadly, situation inside the home.

Cleaning certain components of your HVAC system yearly is also an essential part of ensuring its ongoing reliability and efficiency. The cleaner your HVAC system, the better it will perform. And the better your HVAC system performs today, the longer it likely will last.

Ongoing Maintenance

While yearly professional maintenance is important, your HVAC system needs a little attention from you every now and then as well. You should check and change your system’s air filter frequently. A dirty filter can lead to a myriad of problems, including a total system failure. Avoid costly repairs and disruptions by taking a few minutes each month to perform this simple task.

You can also do your part to improve your system’s efficiency by keeping the area around outdoor air conditioners or heat pumps free from plants and debris. Be sure that air is able to circulate freely in these areas.

Another important part of your role as a homeowner is understanding that your HVAC system does have a shelf life. If your system is over 15 years old, it is likely costing you more in energy inefficiency and repairs than it would cost to replace it. In addition to improved heating and cooling performance, a newer system would offer substantial cost savings over time, improved air quality, and a wide range of options to help make your home safer and more comfortable for you and your family.

How Can A Geriatric Care Manager Help Your Aging Loved One?

Home Care allows your aging parent or elderly relative to remain safely in their home. As Dorothy said; “there’s no place like home”.  A geriatric care manager will help with personal care such as bathing, dressing and getting around their home without falling.

 

The aide will also do the laundry, shopping, cooking and provide transportation to doctor appointments and other outings. This caregiver will also provide companionship to your mother or father.

  

Aging parents or their adult children may decide that staying at home is not the best decision. Although home care agencies and services can provide live in round the clock care, the stimulation of daily entertainment, communal meals and no longer managing the household can point caregivers and older adults to Assisted Living Facilities. There, they will have greater socialization, help with medications and be free of caring for a home.

 

Seniors tend to go to ALFs (assisted living facilities) when they either can no longer manage at home or no longer want to live independently on their own.

They may seek the security of having a staff available as well all of the social aspects of group living. It is a big move and often family caregivers will have the home care aide continue with their parents for a couple of weeks to ease their elderly parent’s transition into facility life.

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Does my Aging Parent need Long Term Care Insurance?

With private homecare costs increasing, (the national average is over $20.00 an hour) seniors, elderly caregivers, and adult children caring for aging parents want to know how to cover these costs. Long Term Care Insurance is an excellent way to shield oneself when they need private home care help.

Like any insurance, there a many types of policies and conditions. Use a trusted agent and ask many questions like:
  • How long is the policy for?
  • Is there an elimination period?
  • What is the daily benefit?
  • How do I meet the criteria to trigger the policy?
  • Is there an inflation rider?
  • Will it cover me in Assisted Living or Nursing Home?

If your mother or father is already too old or sickly to pay affordable premiums, if they even qualify then LTC insurance is not the answer. There are companies which offer a bank of hours for a fee which do not require all the criteria of LTC insurance. They are not insurance and have pros and cons too.

So, does your parent need Long Term Care Insurance?  It sure helps. It may be too late for them to purchase it but it isn’t too late for you! Make it part of your long term plan.

Feel free to contact one of our nursing specialists if you need more specific questions answered. We are here to help.