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A primary issue in Workers鈥 Compensation is determining whether an injury or illness is work-related. Workers鈥 Compensation covers injuries and illnesses "arising out of and in the course of" employment.
鈥淎rising out of employment鈥 means that the claimant must have been performing an obligation or condition of his/her employment that exposed him/her to the danger causing the injury. If one falls as a result of a previous medical condition which is not related to a danger of the job, it probably will not be considered to have arisen out of the employment.
鈥淚n the course of employment鈥 deals with the time and place that the injury occurred. If an injury occurs on the employer鈥檚 premises, such as in the parking lot or in the lobby of a building within a reasonable time before or after working hours, then workers鈥 compensation is likely to be accepted.
A specific injury or illness occurs as the result of or is caused by a specific event or one-time exposure. The time, place and circumstances surrounding the injury or illness are specific and identifiable.
A Cumulative or repetitive trauma is a gradual onset of injury or illness caused by repetitive acts or traumas. The most common cumulative trauma claims are to the back, wrist, hearing loss or psychological claims.
For the purposes of administering Workers' Compensation benefits the word 鈥渆mployee鈥 within this area represents those noted as 鈥渃overed鈥 below. If any employee has any questions regarding coverage, please contact Human Resources Management at 310-243-3771.