Workers'
disability compensation is an employee benefit that has been available to
Michigan workers since 1912. Compensation is provided for employees who can
demonstrate their disability or death is as a result of a work-related injury or
disease. Benefits are paid by the employers (either directly or through their
insurance company). These benefits are separate from unemployment compensation,
hospital, health or accident insurance. The Department of Labor & Economic
Growth, Workers' Compensation Agency provides oversight for workers' disability
compensation programs.
Private
employers in Michigan who employ three or more workers at one time; or have
regularly employed at least one worker for 35 hours or more per week for 13
weeks or longer during the last 52 weeks must have workers' disability
compensation coverage, either as a self-insured or through an insurance company.
Employees have
the right under the Michigan disability compensation laws to:
-
Wage
loss benefits for the period of the disability, commencing on the 14th day
of disability. Specific amounts of compensation will depend on the date and
type of injury. Even if an employee returns to work, the employee may be
entitled to continued partial wage loss benefits if the job to which they
return after injury pays less than they were making before the injury.
-
Medical
care and treatment, commencing immediately.
-
Vocational rehabilitation, which may include job counseling, guidance,
specialized job placement or retraining.
-
Death
benefits: if an employee dies as a result of an injury or work-related
disease, the employer is responsible for payment of the reasonable expenses
of the employee's last sickness, funeral and burial. Funeral and burial
expenses are limited at $6,000 or the actual cost.
-
Death
benefits are payable to the dependents of a deceased employee who died
because of a work-related injury or disease.
A
Hearing/Mediation/Arbitration: If you disagree with any decision of your
employer or the insurance company, you may file an application for hearing
before a magistrate at the Workers' Compensation Agency. You may request an
application for hearing form from the Workers' Compensation Agency or from the
Workers' Compensation Agency website at
http://www.michigan.gov/wca. Depending on
the kind of dispute involved, you may be entitled to mediation or if your claim
is for less than $2,000, your case may be heard in the small claims division of
the Board of Magistrates.
Wage loss benefits are based on the employee's average weekly wages at the time
of injury and the number of dependents the employee has. Benefits are determined
in accordance with a formula in the statute, and a schedule of the maximum
benefits that an employee can receive is published annually. There is no minimum
amount of benefits. Medical benefits are paid in accordance with a fee schedule
adopted as part of the administrative rules for the Workers' Compensation
Agency.
The
Legislature has also provided that an injured employee may be eligible for
unemployment insurance benefits. The Legislature has additionally provided for
an offset and workers' disability compensation benefits will be reduced by the
amount of unemployment benefits received for the same period.
Employees have
responsibilities under the Act as well. An employee must report details of
work-related accidents or diseases promptly to the employer, supervisor or other
person in charge. Failure to give notice of an accident or injury within three
months may result in a loss of rights to compensation. An employee must submit
to reasonable and periodic medical examinations if required by the employer or
insurance company. An employee must cooperate with reasonable rehabilitation
efforts directed toward assisting the employee to return to appropriate
competitive employment. An employee must accept a reasonable offer of employment
from the previous employer or another employer or through the Unemployment
Insurance Agency. If an employee is receiving old age Social Security benefits,
pension or retirement benefits or benefits under a wage continuation program,
self-insurance program or disability insurance policy paid for by the employer,
the employee must report the amounts received as there will be a coordination of
these benefits against any wage loss benefits received from the same employer.
To determine
if an employer is insured for workers' disability compensation, you can search
the records at the Workers' Compensation Agency website at:
http://www.michigan.gov/wca to find that
information. If your search does not reveal insurance coverage, follow the
instructions provided on the Agency's website to file a complaint. You may also
call the Workers' Compensation Agency at (888) 396-5041 or (517) 322-1195.