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Frequently Asked Questions

Pain and Suffering/Third Party Claims

  1. Can I collect for my pain and suffering under workers’ compensation?
  2. Can I make a negligence claim against anyone else besides my employer?
  3. Do I have to repay what I received in workers’ compensation from my negligence claim?

1. Can I collect for my pain and suffering under workers’ compensation?

No. Pain and suffering is not a benefit under workers’ compensation. Pain and suffering is only paid in negligence claims. Workers’ compensation is the exclusive remedy against employers for work related injuries. Therefore, you cannot sue your employer for pain and suffering for a work related injury even if your injury was caused by the negligence of your employer or a co-worker.

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2. Can I make a negligence claim against anyone else besides my employer?

Yes. In addition to collecting workers’ compensation, you have the right to make a claim against anyone other than your employer whose negligence caused your injury. This is called a third party claim. For example, you may have a claim against the driver of a vehicle that caused an accident. You may have a claim against a general contractor for an injury on a construction site while you were working for a sub-contractor. Other claims are those against manufacturers for defective machinery, against premises owners for a defective condition that caused an injury and claims against maintenance companies for failing to keep an area safe and free of defects such as ice in a parking lot. These are just a few examples of the types of third-party claims that you may have.

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3. Do I have to repay what I received in workers’ compensation from my negligence claim?

Yes. The workers’ compensation insurance company will have a “lien”, or claim, against any money you recover from a negligent third party. A negligence case will entitle you to recover for all of your lost earnings, medical expenses and pain and suffering. Since part of your lost wages and all of your medical expenses were paid by workers’ compensation, you are required to reimburse the insurance company that paid your benefits from any money you receive in your negligence case. In this manner, you do not collect twice for the same claim and the workers’ compensation insurance company gets reimbursed by the party who was ultimately found responsible for your injury. Very often, the amount to be reimbursed is subject to negotiation.

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Copyright © 2005 Gary J. Levine. All rights reserved. No portion of this website may be reproduced without the express written permission of the copyright holder.  All information on this website is provided for general information only and does not constitute legal advice. A lawyer should be contacted for information about a specific issue or how the information provided on this website applies to a specific case.