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Workers' Compensation & Vocational Rehabilitation: Glossary of
Terms
- AOE/COE (Arising Out of Employment and
during the Course of Employment.)
- An injury, disease, or medical condition must meet the test
of both arising out of employment and occurring during the
course of employment to be compensable under Workers’
Compensation law. For an injury to be compensable, the injured
party must be an employee, the employee must be engaged in
job activities at the time of injury, and job activities must
be a proximate cause of the injury.
Death Benefit
- Money payable to financial dependents of an employee who
dies as a result of a work-related injury. Benefits vary depending
on surviving dependants. In certain circumstances, additional
benefits may be due.
Delay in Decision
- A notice to the employee advising that a decision to accept
or reject liability for the claim is not yet possible, giving
the reason(s). This will allow adequate time to investigate
claims without risking a penalty for failure to provide benefits
within a reasonable time.
Extended Sick Leave (ESL)
- A University benefit that provides the injured employee
with up to 26 weeks of 80% of normal salary after sick leave
hours are exhausted. The department pays the difference between
the temporary disability rate and the 80% of normal salary.
First Aid
- Refers to a one-time treatment of minor scratches, cuts,
burns, splinters, etc., which do not ordinarily require medical
care, with a follow-up visit for the purpose of observation
whether provided by a physician or registered professional.
Injury
- For Workers’ Compensation purposes: any injury, illness,
or disease arising out of employment. An injury may be traumatic,
repetitive, or cumulative over time, or an aggravation of
a medical condition that is either pre-existing to employment
or not proximate to it.
Medical Treatment
- The injured employee is entitled to reasonable treatment
to cure or relieve the effects of the work-related injury
or illness. This also includes prescriptions or prescribed
items such as heating pads.
No-Fault
- Neither the employee nor the employer must be proven negligent
for a Workers’ Compensation claim to be accepted.
Permanent and Stationary (P&S)
- The condition that exists when an injured employee’s
medical condition stabilizes, as determined by a treating
physician.
Permanent Disability (PD)
- When the disability is found to be permanent and stationary
and the injured worker is precluded from competing in the
open labor market, the employee may be entitled to a permanent
disability rating. A physician determines the extent of the
work preclusion. Based on state guidelines, a disability rating
and dollar value to be awarded the injured worker is determined
from the physician’s report.
Qualified Injured Worker (QIW)
- The injured employee becomes a Qualified Injured Worker
(QIW) when he/she can no longer do the usual job and the employer
cannot offer transitional or alternative work.
Suitable Gainful Employment
- Employment that is reasonably attainable and offers an opportunity
to restore the employee as soon as is practical and as near
as possible to maximum self-support. Considerations are given
to the employee’s qualifications, likely permanent disability,
vocational interest and aptitudes, pre-injury earnings and
future earning capacity, and the present and projected labor
market.
Temporary Disability (TD)
- Lost wages provided to an employee who is temporarily unable
to work because of a work-related injury are based on state
guidelines.
Vocational Rehabilitation
- Refers to efforts on behalf of an employee who cannot return
to his/her customary job. These services may include, but
are not limited to, vocational counseling, job analysis, transitional
job assistance, worksite modification, and job placement assistance
into a new, more appropriate occupation.
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