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How Does Workmen Compensation Injury Settlement Work?

  • Author :
  • TATA AIG Team
  • Last Updated On :
  • 04/10/2024
  • 2 min read

Employees are the key driving force of every business! So, prioritising their well-being is not merely an obligation but a fundamental commitment.

A workmen's compensation policy is exclusively designed for employers to manage the financial challenges that may incur due to unprecedented events at the workplace, such as an accident that affects an employee.

Here is how workers' compensation insurance works. Before we start, let us get a brief understanding of the workmen's compensation policy and what it covers.

What is a Workmen Compensation Policy?

A workmen's compensation policy is a type of insurance plan for employers that offers financial protection for employees against possible and unexpected accidents at the workplace.

It ensures that the employee or their family receives adequate compensation to cover medical expenses and loss of wages due to injury or disability, including permanent partial disablement, permanent total disablement, temporary disablement and even death.

How Does the Workmen Compensation Policy for Injury Settlement Work?

Before we start understanding the settlement process, here is a brief description of the workers’ comp settlement examples and the amount of settlement offered in the employees' compensation policy.

Amount of Compensation

Type of Claim Compensation Amount
For Death that results from the injury ₹1,20,000 or (50% of monthly salary multiplied by the employee’s age), whichever is higher
For Permanent Total Disability that results from the injury ₹1,40,000 or (60% *of monthly salary multiplied by the employee’s age), whichever is higher
For Permanent Partial Disability that results from the injury Percentage of the amount payable in the case of permanent total disability proportional to the loss of earning capacity or assessed by a qualified medical practitioner based on the applicable conditions and the injury.
For Temporary Total Disability that results from the injury A half-monthly payment of 25% of the average monthly salary 

Source: The Employee’s Compensation Act, 1923

Note: On January 3, 2024, the Ministry of Labour and Employment amended the Act to raise the amount on which the compensation was calculated from ₹8,000 to ₹15,000.

Tata AIG's Workmen Compensation Settlement

  • Notify Us Promptly: We will establish a compassionate connection

  • In case an employee sustains an accidental injury or dies in the course of their employment, they or their employer must intimate Tata AIG using any of the modes of communication.

  • The injured employee must have attained 18 years of age to be eligible for compensation.

  • They can call us at our 24-hour toll-free number, 1-800-2667780 or 022-66939500, or mail us at general.claims@tataaig.com. The incident should be notified for the WC policy insurance benefits within two days of its occurrence at the workplace. Further, it should also be notified to the WC Commissioner.

  • Seamless Support: Claim Forms, Just a step away

  • Upon receiving the intimation, we will provide the relevant claim forms and detail the requirements of supporting documents for the proof of loss.

  • The duly filled claim forms for the employees’ compensation policy with the supporting documents will have to be submitted to us within 15 days of discharge in case of hospitalisation and 30 days in case of death.

The documents required can vary for the individual scenarios and the type of accidents. Some of the most important documents required are:

  • Duly filled and signed claim forms

  • Salary of all employees at policy inception

  • Proof of identity and age

  • Attendance records

  • Medical treatment reports

  • MLC records, if available

  • Any communication with the WC Commissioner

  • Copy of FIR and Death Certificate in case of death

  • Disability Certificate from the medical practitioner in case of disability

  • Workers Comp Injury Payout: Delivered with integrity for Employees

After receiving the claim forms and verifying all the supporting documents, if the claim is admitted as payable, we will make the applicable payment within 30 days. Our workmen’s compensation policy online details the key features and exclusions.

Conclusion

Prioritising the well-being of the workers in an organisation is critical to its growth and integrity. A workmen's compensation policy offers financial protection for employees against unprecedented accidents at the workplace that can lead to bodily injuries, disabilities, or death.

Along with SME insurance that covers losses arising out of business operations across different stakeholders, we recommend purchasing the employee compensation policy that covers the financial obligations exclusively of the employees.

At Tata AIG, we follow a seamless procedure to help the employees and their corresponding employers access the insurance policy benefits promptly and efficiently. It will ensure employers fulfil their responsibilities while nurturing a safe and supportive work environment.

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Disclaimer / TnC

Your policy is subjected to terms and conditions & inclusions and exclusions mentioned in your policy wording. Please go through the documents carefully.

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