August 19, 2015
There is much confusion as to which Health Insurance providers will pay for medical benefits should an owner or officer of a company elect not to purchase Workers’ Compensation coverage on themselves and they are injured on the job.
Here are our findings:
Anthem: Will not provide coverage to anyone who has suffered a work related injury.
Optima Health: Will only pay if the claim is denied by the Workers’ Compensation carrier and the Bureau of Insurance has deemed that the claim is not related to Workers’ Compensation. However, if the claim is a legitimate work related injury coverage under the health insurance plan will be denied.
United Healthcare: Workers’ Compensation injuries will not be covered.
Southern Health (Conventry Healthcare of Virginia): Will decline coverage regardless of whether or not the owner/officer has Workers’ Compensation coverage or not.
Cigna Healthcare: Cigna will pay for an individual that has been injured on the job once it has been proven that there is no Workers’ Compensation coverage provided for that individual.
Aetna Health Insurance: Will pay a health claim for an owner or officer who was injured on the job and has excluded themselves from Workers’ Compensation.
What does this mean for you? You must contact your Health Care provider immediately and find out if your plan will cover you should you be injured on the job. If they say no, and you presently exclude yourself from coverage we urge you to please contact us immediately to have yourself added to your Workers’ Compensation coverage.
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