Free Workers Compensation Study Guide
Maryland Casualty exam — Workers Compensation.
The workers' compensation policy is covered in the national workers' compensation guide: statutory benefits, employers liability, and premium based on payroll. Maryland's workers' compensation law is Title 9 of the Labor and Employment Article (Lab. & Empl.). Claims are heard by the State Workers' Compensation Commission, an independent state unit (§ 9-301). Its 10 members are appointed by the Governor with Senate consent, serve 12-year terms, and must be Maryland lawyers (§ 9-302). Coverage is sold competitively by private insurers, with a nonprofit insurer of last resort.
Who is covered
- The law applies to every employer with at least one covered employee (§ 9-201).
- Anyone working under a contract of hire, including a minor, is presumed to be a covered employee unless the employer proves they are an independent contractor or specifically exempt (§ 9-202).
- Accidental personal injury means an accidental injury arising out of and in the course of employment. It includes certain third-party assaults and resulting occupational disease (§ 9-101(b)).
- Employers are liable regardless of fault (§ 9-501(b)).
Exclusive remedy (§ 9-509)
- Compensation is the employer's exclusive liability for the injury.
- If the employer failed to secure compensation, the employee may claim compensation or sue for damages, and the employer loses defenses such as assumption of risk.
How employers secure coverage (§§ 9-402 to 9-405)
Employers may secure coverage in three ways:
- insure with an authorized insurer
- join an approved self-insurance group
- self-insure individually, after satisfying the Commission of their ability to pay
Chesapeake Employers' Insurance Company (Ins. §§ 24-303, 24-306):
- the successor to the Injured Workers' Insurance Fund, since October 1, 2013
- a private, nonprofit, nonstock corporation regulated like other insurers
- the insurer of last resort, so it may refuse or cancel only for:
- nonpayment
- failure to provide payroll information
- failure to cooperate in a payroll audit
- failure to reimburse deductibles
Uninsured employers:
- The Commission orders an employer that failed to secure coverage to a show-cause hearing (§ 9-407).
- If such an employer defaults on an award, the Uninsured Employers' Fund pays it (§§ 9-1001, 9-1002).
Benefits
| Benefit | Maryland rule |
|---|---|
| Temporary total disability | Two-thirds of the average weekly wage, capped at the state average weekly wage, minimum $50 a week (or the actual wage if lower) (§ 9-621) |
| Waiting period | No compensation for the first 3 days if disability lasts 14 days or less. If it lasts more than 14 days, it is paid from day one (§ 9-620). |
| Medical | Medical, surgical, hospital, nursing, medicine and prosthetic care as the injury requires (§ 9-660) |
| Death | Paid to dependents if death results from the injury within 7 years (§ 9-501) |
Notice and claims (§§ 9-704, 9-709, 9-711)
- The employee gives the employer notice within 10 days of an injury, or within 30 days after a death.
- A claim should be filed with the Commission within 60 days. It is completely barred if not filed within 2 years.
- Occupational disease claims are filed within 2 years of disablement or of learning it was work-related. Pulmonary dust disease gets 3 years.
Insurance rules
- Workers' comp is exempt from the Insurance Article's unfair claim settlement subtitle (Ins. § 27-302).
- Underwriting-period cancellation. A new workers' comp policy cancelled during the 45-day underwriting period needs 15 days' notice stating the reason, or 10 for nonpayment. A copy is filed with the Commission's designee (COMAR 31.08.15.06).
- Renewal increases. A commercial or workers' comp renewal increase of more than 15% needs 45 days' notice (Ins. § 27-608).
- Insolvency. The Property and Casualty Insurance Guaranty Corporation pays covered workers' comp claims in full (Ins. § 9-306).
Common exam traps
- Claims go to the Workers' Compensation Commission, not the MIA.
- One employee triggers coverage.
- TTD is two-thirds of wages, capped at the state average weekly wage.
- The waiting period is 3 days. It is paid back if disability lasts more than 14 days.
- Notice to the employer is due in 10 days. A claim is barred after 2 years.
- Chesapeake Employers' is a private nonprofit insurer of last resort, not a state fund.
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Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.