Question 1

When a workers' compensation claim is denied, the employee (or eligible dependents) can appeal the denial to the state workers' compensation board and undergo a process called __________, which is a judicial dispute resolution process in which an appeals board makes a final determination.

Accepted Answer

Adjudication is the process where a judicial body, such as a state workers' compensation board, makes a final determination on a disputed claim.

Question 2

Survivor benefits claims provide death benefits to eligible dependents. These benefit amounts are calculated according to the employee's earning capacity __________.

Accepted Answer

Survivor benefits are typically calculated based on the employee's earning capacity at the time of the illness or injury that led to their death.

Question 3

Workers' compensation insurance provides weekly cash payments and reimburses health care costs for covered employees who develop a work-related illness or sustain an injury while on the job. It also provides payments to qualified dependents of a worker who dies from a compensable illness or injury. Each state establishes a workers' compensation __________, which is responsible for administering workers' compensation laws and handling appeals for denied claims or cases in which a worker feels compensation was too low.

Accepted Answer

Each state establishes a workers' compensation board, which is responsible for administering workers' compensation laws and handling appeals for denied claims or cases in which a worker feels compensation was too low.

Question 4

First Report of Injury forms are completed by the __________ when treatment for a work-related illness or injury is sought.

Accepted Answer

The physician or other health care provider completes the First Report of Injury forms when treatment for a work-related illness or injury is sought.

Question 5

Which is an Office of Workers' Compensation Programs (OWCP) program?

Accepted Answer

The Federal Black Lung Program is one of the programs administered by the Office of Workers' Compensation Programs (OWCP).

Question 6

Who is required to personally sign the original and all photocopies of reports submitted to the workers' compensation board?

Accepted Answer

The physician or other health care provider is required to personally sign the original and all photocopies of reports submitted to the workers' compensation board to ensure the accuracy and authenticity of the medical information provided.

Question 7

OSHA has special significance for those employed in health care because employers are required to obtain and retain manufacturers' Material Safety Data Sheets (MSDS), which contain information about __________ used on site. Training employees in the safe handling of these substances is also required.

Accepted Answer

Material Safety Data Sheets (MSDS) provide information about chemical and hazardous substances, which are crucial for ensuring safety in the workplace, especially in health care settings.

Question 8

Temporary disability claims cover health care treatment for illness and injuries as well as payment for __________.

Accepted Answer

Temporary disability claims typically cover lost wages for the period an employee is unable to work due to illness or injury.

Question 9

Which is filed with the workers' compensation board to document any significant change in the worker's medical or disability status?

Accepted Answer

A detailed narrative progress/supplemental report is filed with the workers' compensation board to document any significant change in the worker's medical or disability status.

Question 10

The U.S. Labor Department's Mine Safety and Health Administration (MSHA) helps reduce deaths, injuries, and illnesses in U.S. mines through a variety of activities and programs. Which is an example of such an activity or program?

Accepted Answer

MSHA develops and enforces safety and health rules to ensure safe working conditions in U.S. mines, which is a key part of its mission to reduce mining-related deaths, injuries, and illnesses.

Question 11

Effective July 31, 2001, the Energy Employees Occupational Illness Compensation Program (EEOICP) started providing benefits to eligible employees and former employees of the Department of Energy, its contractors and subcontractors, or to certain survivors of such individuals, and to certain beneficiaries of the Radiation Exposure Compensation Act. Which is responsible for adjudicating and administering claims filed by employees, former employees, or certain qualified survivors?

Accepted Answer

The Office of Workers' Compensation Programs (OWCP) is responsible for adjudicating and administering claims under the Energy Employees Occupational Illness Compensation Program.

Question 12

Which is a quasi-public agency that provides workers' compensation insurance coverage to private and public employers and acts as an agent in state workers' compensation cases involving state employees?

Accepted Answer

A state insurance fund is a quasi-public agency that provides workers' compensation insurance coverage to employers and acts as an agent in state workers' compensation cases.

Question 13

To qualify for workers' compensation benefits, an employee must be injured while working within the scope of the job description, be injured while performing a service required by the employer, or develop a disorder that can be directly linked to employment, such as asbestosis or mercury poisoning. The worker does not have to be physically on company property to qualify for workers' compensation. Which is an example of an on-the-job injury that would qualify the employee for workers' compensation benefits?

Accepted Answer

The employee was performing a service required by the employer (picking up reports for the office) when the injury occurred, which qualifies for workers' compensation benefits.

Question 14

The Merchant Marine Act (or Jones Act) provides seamen with the same protection from employer __________ as the Federal Employment Liability Act (FELA) provides railroad workers.

Accepted Answer

The Merchant Marine Act, also known as the Jones Act, provides seamen with protection from employer negligence, similar to the protection that the Federal Employment Liability Act (FELA) provides to railroad workers.

Question 15

Permanent disability refers to an ill or injured employee's __________ capacity to return to work.

Accepted Answer

Permanent disability refers to a reduced or diminished capacity to return to work due to an illness or injury.

Question 16

The Federal Black Lung Program provides medical treatment and other benefits for __________ conditions related to former employment in the nation's coal mines.

Accepted Answer

The Federal Black Lung Program specifically addresses respiratory conditions, as it is designed to help coal miners who have developed pneumoconiosis, commonly known as black lung disease, due to inhaling coal dust.

Question 17

The Longshore and Harbor Workers' Compensation Program, administered by the U.S. Department of Labor, provides medical benefits, compensation for lost wages, and rehabilitation services to longshoremen, harbor workers, and other maritime workers who are __________.

Accepted Answer

The program covers workers who are injured or suffer diseases during employment, not just injuries or diseases alone.

Question 18

The Occupational Safety and Health Act of 1970 created the Occupational Safety and Health Administration (OSHA) to protect employees against injuries from occupational hazards in the workplace. OSHA and its state partners (of approximately 2,100 inspectors) establish protective __________, which are enforced. OSHA also reaches out to employers and employees by providing technical assistance and consultation programs.

Accepted Answer

OSHA establishes protective standards, which are specific guidelines and requirements designed to ensure workplace safety and health.

Question 19

The Office of Workers' Compensation Programs (OWCP) administers programs that provide wage-replacement benefits, medical treatment, vocational rehabilitation, and other benefits to federal workers (or eligible dependents) who are injured at work or acquire an occupational disease. In which federal department is the OWCP located?

Accepted Answer

The Office of Workers' Compensation Programs (OWCP) is located within the Department of Labor.

Question 20

Vocational rehabilitation claims cover expenses for vocational retraining for both temporary and permanent disability cases. Vocational rehabilitation retrains an ill or injured employee so he or she can return to the workforce. The employee __________ of resuming the position held prior to the illness or injury.

Accepted Answer

Vocational rehabilitation is intended for employees who may be incapable of resuming their previous position due to illness or injury, hence the need for retraining.

Quiz 17: Workers Compensation