Insurance Fraud Awareness Practice Test

Question: 1 / 400

In which situation would workers' compensation benefits most likely be paid?

An employee slipped and fell at a restaurant.

An employee of the Acme Delivery Company broke an ankle while unloading packages.

Workers' compensation benefits are primarily designed to provide financial assistance and cover medical expenses for employees who are injured or become ill as a direct result of their job duties. In this situation, when an employee of the Acme Delivery Company broke an ankle while unloading packages, the injury occurred during the performance of their work tasks. This directly ties the injury to the employee’s employment, fulfilling the core requirement for workers’ compensation claims.

In contrast, injuries that occur outside the context of job-related activities or while commuting to work typically do not qualify for workers' compensation benefits. For instance, slipping and falling at a restaurant (option A) could involve premises liability rather than workers' compensation, depending on employment status and the factors involved. An injury sustained in a traffic accident on the way to work (option C) typically falls under personal injury law rather than workers' compensation, unless specific circumstances apply, such as the employee being on a work-related task at the time. Even if an employee has a medical event like a heart attack at work (option D), workers' compensation would only cover it if there is sufficient evidence that the heart attack was caused or significantly triggered by job-related stress or conditions, which is a narrow interpretation.

Thus, option B exemplifies the

Get further explanation with Examzify DeepDiveBeta

An employee was injured in a traffic accident on the way to work.

An employee experienced a heart attack at work.

Next Question

Report this question

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy