Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both programs. Mr. Grant was injured while on the job and applied for benefits. Mr. Pelham's group health insurance plan and workers' compensation both provide benefits to cover expenses incurred as a result of illness or injury. However, unlike traditional group insurance coverage, workers' compensation
A) Provides reimbursement for lost wages
B) Requires employees who suffer a work-related illness or injury to obtain care from specified network providers
C) Covers all injuries and illnesses, regardless of their cause
D) Requires employees to share the cost of treatment through deductible, coinsurance, and benefit limits

Question

Quizplus · Accepted Answer

Workers' compensation provides reimbursement for lost wages, while group health plans generally do not. Workers' compensation also does not require employees to obtain care from specified network providers, covers only work-related injuries and illnesses, and does not typically require employees to share the cost of treatment through deductibles, coinsurance, and benefit limits.

Grant Pelham Is Covered by Both a Workers' Compensation Program