Is My Workers Comp Policy A Contract With My Insurance Company?

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Workers Comp Policy A Contract?

Is my Workers Comp policy a contract between my company and my current insurance company? Cleaning out my email bag of questions from employers, I came across a great question from over the Thanksgiving Holiday.
As I am not an attorney, I usually refer to Black’s Law Dictionary. The passages were generated from a Copilot (Microsoft Bing) search for “contract according to Black’s Law Dictionary.”   The answer was generated by Copilot.  Over my career, I have referred to this dictionary often for a layperson’s explanation of legal terms. I have often recommended that adjusters and risk managers obtain a copy of a very helpful book written originally in the 1800s.  You can find a copy under $20 to download here.
I have referred to Black’s Law Dictionary since my first year in insurance.  It is worth obtaining a copy. I will add any comments in <>.
pic of Black's Law Dictionary Workers Comp Policy A Contract
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According to Black’s Law Dictionary, contract is defined as “an agreement, upon sufficient consideration, to do or not to do particular thing.”

Key Elements of Contract

  1. Agreementcontract involves mutual agreement between two or more parties. This agreement can be either written or oral, but it must be clear and specific regarding the terms involved. <the policy itself>.
  2. ConsiderationThis refers to something of value that is exchanged between the parties. It can be promise, service, or tangible item. Without consideration, contract may not be enforceable. <deposit premium>
  3. LegalityThe purpose of the contract must be lawful. Contracts that involve illegal activities are not enforceable in court of law. 
  4. Competent PartiesAll parties involved in the contract must have the legal capacity to enter into the agreement. This means they must be of sound mind, not minors, and not under duress or undue influence.
  5. Mutual Obligationscontract creates obligations for all parties involved, which can be enforced by law. This means that if one party fails to fulfill their part of the agreement, the other party may seek legal remedies.

Botton Line

Yes, your workers comp policy is a contract between the insurance company and your company. For the parts of a policy, click here. 

 

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications

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