- Monday Morning: The alleged injury occurs either “first thing Monday morning,” or late on a Friday afternoon but not reported until Monday.
- Employment Change: The reported accident occurs immediately before or after a strike, a layoff, the end of a big project or at the conclusion of seasonal work.
- Job Termination: If an employee files a post-termination claim:
- Was the alleged injury reported by the employee prior to termination?
- Did the employee exhaust his/her unemployment benefits prior to claiming workers’ compensation benefits?
- History of Changes: The claimant has a history of frequently changing physicians, addresses and places of employment.
- Medical History: The employee has a pre-existing medical condition that is similar to the alleged work injury.
- No Witnesses: The accident has no witnesses, and the employee's own description does not logically support the cause of injury.
- Conflicting Descriptions: The employee's description of the accident conflicts with the medical history or First Report of Injury.
- History of Claims: The claimant has a history of numerous suspicious or litigated claims.
- Treatment is Refused: The claimant refuses a diagnostic procedure to confirm the nature or extent of an injury.
- Late Reporting: The employee delays reporting the claim without a reasonable explanation.
- Hard to Reach: You have difficulty contacting a claimant at home, when he/she is allegedly disabled.
- Moonlighting: Does the employee have another paying job or do volunteer work?
- Unusual Coincidence: There is an unusual coincidence between the employee’s alleged date of injury and his/her need for personal time off.
- Financial Problems: The employee has tried to borrow money from co-workers or the company, or requested pay advances.
- Hobbies: The employee has a hobby that could cause an injury similar to the alleged work injury.
The workers' compensation (WC) insurance system is a no-fault method of paying workers for medical expenses and wage losses due to on-the-job injuries. While the majority of WC claims are truthful, the National Insurance Crime Bureau reports that billions of dollars of false claims are submitted each year. To help you detect possible WC fraud, experience shows a claim may be fraudulent if two or more of the following factors are present:
Imagine for a moment that a skilled hacker attacks your company. The hacker can have access to the names and contact information of your customers. Worse, they may also get the social security numbers of your employees. Moreover, they may disable your website. These can prevent you from taking orders and collecting payments. Such things are crucial to stay in business.
It can be a daunting task to acquire capital whether your business has been profitable for years or it is in the early development stage. If a business loan is your most appropriate funding option after assessing your financial needs, it is important to avoid underestimating the application process. Here are things that you need to know when applying if you're considering applying for a business loan.
As a business owner, you’d want to protect your investment from certain threats. You’ve invested not only your hard work and money but your time as well. But how can you protect your business from everyday risks? Here are some important tips you should do to ensure business protection.
On May 4, 2017, members of the U.S. House of Representatives voted 217-213 to pass the American Health Care Act (AHCA), after it had been amended several times. The AHCA is the proposed legislation to repeal and replace the Affordable Care Act (ACA).
The AHCA needed 216 votes to pass in the House. Ultimately, it passed on a party-line vote, with 217 Republicans and no Democrats voting in favor of the legislation. The AHCA will only need a simple majority vote in the Senate to pass.
If it passes both the House and the Senate, the AHCA would then go to President Donald Trump to be signed into law.
Impact On Employers
The AHCA will now move on to be considered by the Senate. It is likely that the Senate will make changes to the proposed legislation before taking a vote. The AHCA would only need a simple majority vote in the Senate to pass.
However, unless the AHCA is passed by the Senate and signed by President Trump, the ACA will remain intact.
The AHCA is budget reconciliation legislation, so it cannot fully repeal the ACA. Instead it is limited to addressing ACA provisions that directly relate to budgetary issues—specifically, federal spending and taxation. A full repeal of the ACA must be introduced as a separate bill that would require 60 votes in the Senate to pass.
Since the AHCA was introduced, it has been amended several times. To address concerns raised by both Democrats and fellow Republicans, the House Republican leadership released amendments to the legislation on March 20, 2017, followed by a second set of amendments on March 23, 2017. On March 23, 2017, House leadership withdrew the AHCA before taking a vote. After the withdrawal, Republicans made additional amendments (the MacArthur amendments) to the AHCA, followed by a separate corrective amendment. A new House vote was scheduled for May 4, 2017, which resulted in a 217 to 213 vote to pass the AHCA.
The AHCA will now move on to be considered by the Senate. It is likely that the Senate will make changes to the proposed legislation before taking a vote. The AHCA would only need a simple majority vote in the Senate to pass. However, unless the AHCA is passed by the Senate and signed by President Trump, the ACA will remain intact.
Whether you’re a start-up or wanting to grow your business and expand the size of your business, you should consider getting liability insurance.
Whenever there are formal lawsuits or other third-party claims, this type of insurance protects a company’s assets and pays for obligations such as medical costs and cost of legal defense and any settlement or award. Typically, these include personal injury, losses suffered by the injured party, and punitive damages.
When a company carries insurance against the catastrophic loss, insurance protects the business from closing. It covers an establishment from financial loss or responsibility due to an unfortunate emergency, accident, or negative unforeseen event. Thus, closure and loss are temporary instead of permanent.
Although you conduct business in your home, it doesn’t mean it’s covered by your home policy. A lot of people assume that losses of a home business are covered by home insurance. But the truth is that it offers little to no coverage for a business loss. Whether you have a consulting business or you’re a freelance writer, consider getting home business insurance.
Getting the right insurance for your business can be a complex process. From property insurance to liability coverage, there are so many things to consider. To help you find what’s right for your company, read the following tips.
Most small business owners think that as long as they have general liability insurance they’re covered against any disaster. But that’s not always the case if you haven’t been working with a trustworthy agent. There are policies where you think that you’re getting a bargain but the truth is, you’re actually at risk of huge losses. So let’s take a look at some of the most common business insurance scams that you can avoid.
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