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What is Workmen Compensation? All That You Need To Know

Workmen Compensation Insurance

Workmen Compensation Policy

With the increase in the work environment globally, the rights of employees have also moved forward. One of the prime objectives of any organization is to provide a safe and healthy environment to all its employees.

A workmen’s compensation insurance is a key method through which an employer demonstrates the ability to make certain the obligations imposed by the worker's compensation statutes. Before we get into the nitty-gritty of workmen compensation insurance, let us primarily understand the Workmen Compensation Act.  

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What is the Workmen Compensation Act?

The Workmen Compensation Act, 1923 is an employee compensation act that mandates specific classes of employers to pay compensation to the employees/workmen for an injury/accident. The workmen's compensation policy helps the employer to pay the compensation within the Workmen Compensation Act of India. It is monitored by the Ministry of Labour and Employment.

The Workmen Compensation Act helps workmen and their dependents to obtain compensation from their employers in case of an accident/injury caused at work or because of the nature of the work that may result in disability or death. The Workmen Compensation Act mandates that employers pay compensation to the workmen if they end up contracting specific occupational diseases during that employment.

The Workmen Compensation Act covers the people working in construction works, mines, factories, plantations, mechanically propelled vehicles, and other hazardous activities. This also includes railway employees and people employed in any capacity as such.

The compensation that needs to be paid to the employer depends on various factors such as the age of the workmen, injury nature, and monthly salary/wages paid to the employee. It is to be noted that the minimum and maximum compensation rate is fixed for demise and disability which is subject to timely revisions. In case the workmen pass away, the employer is needed to pay the compensation to the immediate dependents.

The workmen's compensation policy helps the employer to pay compensation to its employees or their families. The workmen's compensation policy is helpful in case of death, bodily injuries, or disability whether permanent or partially caused due to an accident or injury at the workplace during the employment course. 

What is Workmen’s Compensation Insurance?

The workmen's compensation insurance policy is the commercial policy that covers any legal liability of an employee. This labour insurance policy provides compensation to its workmen in case of their demise or an accident during the employment course.

The workmen compensation insurance policy is sometimes also referred to as employee compensation insurance. The workmen compensation policy coverage helps the employer to demonstrate the ability to meet the imposed obligations under Workmen Compensation Act. 

Why Do You Need Workmen Compensation/ Labour Insurance?

You might be wondering why you would need a workmen's compensation policy. Here is a rundown of the key reasons why the employers should buy a workmen compensation insurance policy:

  1. The workmen compensation policy helps to pay the compensation that the employer is liable to pay the employees and their dependents. This is done because of the death or any injury caused by an accident or disease due to work during the employment tenure.
  2. The workmen compensation insurance policy fulfills the insured employer's liability arising either under the law that is common or as mentioned in the Workmen Compensation Act, 1923.
  3. This labour insurance policy covers the expenses that are incurred by the insured employer with the consent of the insurer to defend any extra claims.

Why You Should Buy Bajaj Allianz’s Workmen’s Compensation Insurance?

Bajaj Allianz Workmen’s Compensation Insurance is comprehensive and flexible, which easily fulfills the prerequisites. At Bajaj Allianz General Insurance, we respect your time and money. Our offerings reflect our commitment to you. An unfortunate event can easily surprise and could be daunting. Not all surprises are good.

Hence, it becomes imperative to safeguard the funds, be responsible and choose a workmen compensation insurance policy, and avail of the benefits during crisis hours. We also have a strong efficiency in handling and settling the claims. 

What Does Workmen Compensation Policy Cover?

The workmen's compensation insurance policy offers a cover for the following:

  • Any bodily injury incurred due to an accident during the employment course
  • Any bodily injury incurred due to a disease or the aggravated conditions of the employment
  • Partial or total/permanent disability
  • Temporary disability or death
  • Legal expenses incurred with the consent of the company

What is Not Covered in Workmen Compensation?

Here is a rundown of the general exclusions under the workmen compensation policy:

  • For injury caused to an employee by accident directly or indirectly caused by or arising from or in consequence of or attributable to war, invasion, the act of a foreign enemy, hostilities (whether war be declared or not) civil war, mutiny, insurrection, rebellion, revolution or military or usurped power, nuclear weapons material, ionizing radiations or contamination by radioactivity from any nuclear fuel or any nuclear waste from the combustion of nuclear fuel
  • Accident occurring at any other place than the place or places of employment specified in the schedule, unless the employee was at such other place whilst on duty for the business and on the directions of the insured or any of its official authorized to exercise control and supervision over the employee
  • For occupational diseases contracted by an employee
  • For interest and/or penalty imposed on the insured under any law or otherwise.
  • Under any law for medical expenses in connection with the treatment of any injury sustained by an employee
  • For persons employed in the business under a contractor or sub-contractor of the insured unless specifically covered in the schedule
  • For injury sustained by a person whilst in the employ of the insured otherwise than in the business and/or who has is not declared for insurance under this policy
  • Assumed by agreement which would not have been attached in the absence of such agreement
  • For any sum which the insured would have been entitled to recover from any party but for an agreement between the insured and such party
  • Any injury or accident incurred due to the influence of drug or alcohol
  • For any incapacity or death of an employee resulting from his/her deliberate self-injury or the deliberate aggravation of an accidental injury

Workmen’s Compensation Insurance Claim Process

The steps to filing a claim for workmen compensation insurance are completely hassle-free and easy. Listed below are the quick steps to file a claim for workmen compensation insurance:

  1. First and foremost, inform the employer about the demise or disablement of the employee
  2. In case a mishap has happened in the manufacturing plant, intimate to the factory inspector without further delay
  3. The employer should gather all information and all important documents as per the requirements of the insurer under workmen’s compensation policy
  4. The employer should deposit all the labour insurance policy documents to the insurance company
  5. The insurance company either approves or denies the claim for workmen’s compensation insurance. The same is informed to the employee

Documents Required for Workmen Compensation Policy Claim Process

You can buy a workmen compensation policy online. To ensure easy and quick approval of the workmen compensation insurance policy, the following are the documents that need to be submitted in the table below:

For all types of claims

Permanent disablement claims

Temporary disablement

For fatal claims

Duly filled and signed claim form

Disablement related medical certificate

Medical certificate related to disablement

Final investigation report

Medical bills

Memorandum of agreement as per Workmen Compensation Act between insured and workmen who is injured

Medical bills

Death certificate

Compensation record

 

 

Post mortem report copy

 

 

 

Statement by witnesses

 

 

 

Form A to be filled by the insured as per Workmen Compensation Act

FAQs About Workmen’s Compensation Insurance

FAQs About Workmen’s Compensation Insurance

What is covered under the workmen compensation policy?

The workmen compensation policy offers cover for accidental death, permanent total or partial disability, and temporary disability. You can easily buy a workmen compensation policy online.

What add-on covers are included in the workmen compensation policy?

The following is the list of add on the cover that can be included in the workmen compensation policy:

  • Terrorism cover
  • Compressed air disease
  • Occupational disease
  • Contractor or sub-contractor coverage
  • Cashless for medical expenses
  • Medical expenses
  • PAN India location coverage

What is the difference between the Workmen Compensation policy and ESIC (Employee State Insurance)?

The table below shows the difference between workmen compensation policy and employee state insurance:

Workmen Compensation Policy

Employee State Insurance

Construction site workers are covered

Construction workers remain uncovered

There is no limit on wages

Any employee with wages above 21000 remains uncovered

Lower and flexible rates

The rates are fixed

No restriction as to the number of workers

An organization with up to 10 workers, in the case of Chandigarh and Maharashtra, need not require ESIC registration

How sum insured is calculated in a workmen compensation policy?

The sum insured is the complete earnings of the employees in the company. The sum insured in a workmen compensation policy is calculated on the premise of the monthly wages of employees. The wages include allowance, basic salary, or any other benefits provided to the employees. 

Who is eligible for workmen compensation?

The following is the list of those who are entitled to workmen compensation policy: 

  • Association, corporate, firms, or people employing workers on contract
  • Shipping ports, companies, docks, and ship owners
  • Civil engineering firms and contractors
  • Farming companies who employ workers to harvest, farm, and process farm produce
  • Nuclear mining, reactor, and other handling firms or companies

*This is not an exhaustive list

What is employee compensation and its benefits?

The workmen's compensation policy is an act that came into effect in 1923. This mandates the right to obtain cover for any injury, death, or disability due to an accident for the employees. Within it, the employer needs to provide financial aid for any incurred medical expenses either to the employee or the dependent. 

How to calculate workmen compensation insurance premiums?

The workmen compensation insurance premium is calculated on the premise of the employee’s occupation, the number of insured employees, and the cumulative wage.

Who is liable to pay compensation to the affected employee?

The employer is liable to pay the compensation to the employee within 30 days of making the workmen compensation insurance claim. 

Who can cancel the workmen’s compensation insurance?

With a 15 days notice both the insurer and the insured can cancel the workmen compensation insurance policy. 

How to file a claim under workmen compensation insurance?

The employer should follow the workmen compensation insurance policy claim properly. Submit all the relevant and required documents about the claim. In case of any query, get in touch with customer support. 

What are the benefits of workmen compensation policy?

The Workmen’s Compensation Act, of 1923 was made to provide compensation to the workers who encountered injuries because of an accident during the employment course. The Workmen’s Compensation Act ensures that the rights of the laborers are maintained even in case of a disability or demise because of a mishap/accident during the employment course.

Written By : Bajaj Allianz - Updated: 29th Mar 2023

Disclaimer

I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

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