Workers’ compensation vs a third-party claim
These are not alternatives you choose between. In most states they run alongside each other, and the second only exists if someone other than your employer contributed to the accident.
| Workers’ compensation | Third-party civil claim | |
|---|---|---|
| Do you prove fault? | No — benefits are payable regardless of who caused it | Yes — you must prove the other party was responsible |
| Who you claim against | Your own employer's insurer | A contractor, manufacturer, site owner, supplier or driver |
| Medical treatment | Covered | Recoverable, including future care |
| Lost earnings | Partial — commonly around two-thirds, subject to a state cap | Full past and future loss, uncapped by any benefits schedule |
| Pain and suffering | Not available | Available, subject to state law |
| Effect of your own fault | Generally none — it is a no-fault system | Reduces the claim in most states; bars it entirely in five |
| Typical speed | Weeks to months | Months to years |
| Attorney fees | Capped by statute, approved by a judge in most states | Ordinary contingency percentage set by agreement |
| Deadline | Often short — notice in days, filing in one to two years | A separate, usually longer civil limitation period |
| Can you do both? | Yes in most states — they run alongside each other | Yes, subject to the comp insurer’s lien on any recovery |
Details vary by state. Full comparison.
What your own fault does to a claim
This affects only the civil claim — workers’ compensation stays no-fault either way. It is the single largest state-to-state difference in US work injury law.
| Rule | Where it applies |
|---|---|
| Pure contributory negligence — any fault bars the claim entirely | Maryland, Virginia, District of Columbia, Alabama, North Carolina |
| Comparative negligence — damages reduced by your share of fault | The remaining 45 states, in one of several variants |
Three of the five strict jurisdictions are neighbours: Maryland, Virginia and Washington DC.