Goldstein Ballen O’Rourke & Wildstein, P.C.
Goldstein Ballen O’Rourke & Wildstein, P.C.

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Is my insurance coverage a factor in a workers’ comp case?

On Behalf of | Aug 21, 2024 | Workers' Compensation

Workers’ compensation cases can be complex, and many factors influence the process. You might wonder whether your personal insurance coverage affects your workers’ compensation claim. 

It is important to understand how insurance interacts with your benefits and what role it might play in your workers’ comp case.

Understanding workers’ compensation

If you suffer an injury at work, workers’ compensation benefits typically cover medical expenses, lost wages and rehabilitation costs. These benefits aim to provide financial support while you recover. New Jersey workers’ compensation law outlines a no-fault system, meaning that an injured worker receives benefits for a work-related injury regardless of who is at fault.

The role of personal insurance coverage

Personal health insurance coverage does not usually affect a workers’ compensation claim. This is because workers’ compensation serves as the first line of coverage for work-related injuries. In most cases, workers’ compensation benefits will cover all medical bills. This makes it unnecessary to involve personal health insurance. However, if your compensation claim faces delays or denials, personal health insurance may temporarily step in to cover medical expenses.

Considering disability insurance

Disability insurance, whether short-term or long-term, can also play a role in the context of workers’ compensation. Disability insurance provides benefits when someone cannot work due to injury or illness. While these benefits can help during the recovery period, they do not replace or reduce workers’ compensation benefits. Instead, they can supplement workers’ compensation. This means you can receive additional financial support when workers’ comp benefits alone are insufficient.

Workers’ compensation benefits take precedence for work-related injuries. This ensures that employees receive the necessary financial support regardless of their own health insurance coverage.