What Is Workers' Compensation?
Workers' compensation is a state-run insurance system that provides medical benefits and partial wage replacement to workers injured on the job. In most cases, you do not need to prove that your employer was negligent. Benefits are provided on a no-fault basis.
The trade-off is that workers' compensation limits what you can recover. It typically does not cover pain and suffering, and wage replacement is usually a fraction of your actual earnings. In most states, receiving workers' compensation also means giving up the right to sue your employer directly.
What Is a Third-Party Lawsuit?
A third-party lawsuit is a legal claim against someone other than your employer — for example, a contractor on the site, the manufacturer of a defective machine, a property owner, or a chemical supplier. These claims are based on proving that the third party was negligent and that their negligence caused your injury.
Third-party claims can potentially allow recovery for pain and suffering, full lost earnings, and other losses that workers' compensation does not cover. However, they require proof of fault and can take longer to resolve.
When Can Both Routes Be Used?
In most US states, you can pursue both workers' compensation and a third-party claim at the same time. However, there are rules about how the two interact — particularly subrogation, which allows the workers' compensation insurer to recover some of its payments from any third-party recovery. An attorney can explain how these rules apply in your state.
What Workers' Compensation Does Not Cover
- Pain and suffering damages
- Full lost earnings (workers' compensation typically pays a percentage)
- Punitive damages in egregious cases
- Disfigurement and other heads of loss not in the workers' comp schedule
- Claims for the full impact of catastrophic or permanent injuries
What a Third-Party Claim Can Add
A successful third-party claim can recover losses not covered by workers' compensation, subject to the applicable state law. For serious injuries — amputations, spinal injuries, burns, catastrophic injuries — the difference in what can be recovered through a third-party claim versus workers' compensation alone can be significant.
How an Attorney Can Help
The interaction between workers' compensation and third-party claims is complex and varies significantly by state. An attorney can assess whether a third-party claim exists, advise on how the two routes interact, and manage both processes. See also: what to do after an industrial accident and industrial accident lawyers overview.
Request a Free Case Review
No obligation · No fee · Confidential · No attorney-client relationship created by submitting