On the Job Injuries in Texas…Who Pays?
You do. You will pay either by paying workers’ compensation insurance premiums or risking your own funds to pay for an employee’s injuries. Injuries are inevitable, but armed with some knowledge of the law, you may be able to prevent any large damage to your pocketbook. So, what does workers’ compensation mean and what does it cover?
In 1913, Texas adopted a workers’ compensation system to provide medical care and lost wage reimbursement to employees injured in the “course and scope” of employment. Evidence of an employer’s fault is not necessary—Texas is a no fault state. Texas is also the only state that allows employers to “opt-out” of the workers’ compensation system and become a non-subscriber (about 37% of all Texas employers).
A benefit of nonsubscriber status is simply that it saves the employer the cost of workers’ compensation insurance; however, the negative quickly follows. Simply stated, the nonsubscriber employer is not safe from common law negligence claims brought by employees (lawsuits) and are legally deprived of their common-law defenses. A very specific procedure must be followed to opt out of the system.
A nonsubscriber loses its immunity from a lawsuit and if during a lawsuit an employee proves the company’s negligence was the proximate cause of the injury, the employee may recover damages. The nonsubscriber in the suit cannot assert traditional common law injury defenses like contributory negligence or assumption of the risk to name a few. In other words, the employer nonsubscriber at trial cannot argue that the employee should have seen the danger and known better or that they were partly responsible for the damages.
In a lawsuit, a nonsubscriber may be responsible for damages to the employee including mental anguish, pain and suffering, lost-earning capacity and punitive damages. A damages figure could be large and bankrupt your company.
As you may also know, a negligence claim as would be asserted against the nonsubscriber could be asserted within two (2) years (statute of limitation) after the injury.
So, as you can assume, the pitfalls could be huge for a nonsubscriber if the employer is not careful. Prior to deciding whether or not to opt out as a nonsubscriber analyze the type of business that you perform and whether your business would subject you to on the job injuries. Obviously, if you operate an auto mechanic shop riddled with inherent dangers, you will likely have someone injured. Nonetheless, as with all big decisions like this, consult a qualified professional and understand all your risks and choices. This article is simply meant to be a general overview of the workers’ compensation structure in Texas.