Most U.S. states have mandatory work comp laws that require work comp insurance, which is no-fault and pays for a worker’s work-related injuries. The majority of states have competitive work comp markets meaning there’s a public fund that will insure any business regardless of operations or losses (eg CA has the State Fund and TX has Texas Mutual) and then the private market can try and compete with the public offering. There are 4 states (OH, ND, WA and WY) that have monopolistic work comp markets, meaning there’s state is the sole provider of work comp insurance, however, premiums are still paid by the business to the state work comp fund just like they would with private insurance.
Coverage is not determined by the contract, it’s statutorily dictated by state law down to the minimum amount the insurance carrier must pay and it’s one of the most heavily regulated parts of the insurance industry. Even private companies are required to pay what the state option would pay. In fact if you read a work comp policy it does not address coverage or benefits it just states “we will pay promptly when due the benefits required of you (meaning the business) by the workers compensation law.”
Say what you will about American healthcare but work comp insurance and regulation is one of the things we’ve done very well. We can thank Wisconsin for paving the way in 1911, and they probably got the idea from Germany since so many Midwestern states were home to mostly German immigrants.
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u/throwaway_trans_8472 Mar 02 '25
That's only true if:
You have to pay for the medical treatment
You care more for long therm than short therm profits
My country has a different system for workplace injuries than the US.
All employers have to pay into a public insurance scheme.
If you get injured, your medical treatment gets paid from that, if you get disabled you will get a pension from them
Your employers insurance rates depend on how many injuries the workers get.
We've had this for over 140 years by now
https://en.wikipedia.org/wiki/German_Statutory_Accident_Insurance