EMPLOYEES
Most workers are covered under workers’ compensation from
the date of employment.
Report all injuries to your supervisor immediately.
When injured, you can receive wage loss benefits, medical care,
and rehabilitation services.
A compensable injury is one that has arisen “out of and in the
course of employment.” The work must cause the disability.
Workers’ compensation is the “exclusive remedy” for work
injuries, meaning that in most cases you cannot sue for other
damages.
There is a 7-day waiting period for benefit payments. You
will not receive a workers’ compensation check for disability
lasting less than 7 days. However, medical benefits should be
provided from the day of injury. If your wage loss lasts longer
than 7 consecutive days, you are entitled to benefits as of the 8
th
day. If your wage loss continues for 14 days or longer, you are
entitled to receive payment for that first week of disability.
In most cases, wage loss benefits are calculated by taking the
average of the highest 39 weeks of the last 52 weeks of gross
wages prior to injury. This is your Average Weekly Wage
(AWW). Generally you should receive 80% of the after-tax value
of your AWW.
In certain circumstances, the value of discontinued “fringe
benefits” such as the cost of health insurance, employer
contributions to a pension plan, and vacation and holiday pay
may be included in determining the AWW.
You should be paid your benefit on a weekly basis, and
payments should continue as long as you are disabled and are
suffering a wage loss.
Your first check is due and payable on the 14
th
day of disability.
However, a benefit check is not considered “late” until 30 days
after the due date.
If you have more than one job covered under the Act, the
earnings from Michigan employers are added together to calculate
the AWW.
You may also be eligible for Family Medical Leave Act (FMLA)
benefits. If you have questions, you should contact the U.S.
Department of Labor.
Medical Benefits: You are entitled to all reasonable and
necessary medical care including surgical, hospital, and dental
services, as well as crutches, hearing apparatus, chiropractic
treatment, and nursing care. These services are provided
indefinitely as long as there is a need.
Choosing A Doctor: During the first 28 days of treatment, the
employer has the right to choose the doctor. After that, you are
free to change doctors providing that you notify the employer and
insurance company, preferably in writing. You do not need
authorization from the insurance company or the employer to be
medically treated, as long as the treatment is reasonable and
necessary, and your claim is not in dispute.
Maintaining Contact: It is extremely important that you maintain
regular contact with your employer throughout the treatment and
recovery period so that they are aware of your progress. Provide
your employer with updated work status reports and discuss early
return to work options.
Vocational Rehabilitation: If you have a work-related injury or
illness which prevents you from returning to your job and you are
currently receiving workers' compensation benefits, you are
entitled to a maximum of 104 weeks of vocational assistance in
returning to work. Vocational rehabilitation can help you return to
your current job or a new one by identifying interests, skills and
abilities, evaluating accommodations, providing job readiness
assistance, outlining career objectives, and arranging retraining
opportunities. Vocational rehabilitation services create a “win-win”
scenario for employers, carriers, and injured employees, especially
when utilized as an early intervention tool.
EMPLOYERS
All public and most private employers in Michigan are covered
by workers’ compensation. Every employer subject to the Act
must provide proof of insurance or be approved for self-
insurance to ensure benefits can be paid to its workers should
they become injured.
Eligible employees are covered under workers’ compensation
from the date of employment.
There are severe penalties if an employer fails to provide
workers’ compensation coverage.
Minors: The Act provides that an illegally employed minor is
entitled to double compensation if injured.
Reporting:
All claims must be reported to your insurance carrier.
Form WC-100: must be filed with the Workers’ Compensation
Agency and your insurance carrier immediately upon the
disability exceeding 7 consecutive days, death or specific loss. A
copy of this form must also be given to the employee.
You must ensure that reasonable and necessary medical
treatment is provided promptly.
You will need to provide a wage history report to the insurance
carrier in order to calculate the correct benefit amount.
You are encouraged to maintain contact with your employees
while they are off work, and provide appropriate light-duty work
options and accommodations when possible.
INSURANCE COMPANIES
Prompt and regular payment of benefits is required by law.
Form WC-701: must be filed with the Workers’ Compensation
Agency (WCA) when wage loss benefits begin, change or
stop.
Form WC-110: must be filed with the WCA 3 months post-
injury, and every 4 months after, to report on vocational
rehabilitation activity.
Form WC-107: must be filed with the WCA if a claim is disputed.
Medical services rendered are subject to the State of Michigan
Health Care Rules and Fee Schedules. Injured employees are not
to be “balance billed” for charges over and above the fee schedule.
Benefits are not to be stopped for non-cooperation with vocational
rehabilitation, but a hearing can be requested.
WC-PUB-006 (5/12)
orkers’ Com
ensation
enc
Michigan’s workers’ compensation system provides wage replacement, medical treatment, and vocational rehabilitation benefits
to individuals who are injured while at work. Each party in this system has rights and responsibilities that ensure the successful
For more information contact: State of Michigan - Workers’ Compensation Agency
Toll free: 1-888-396-5041 www.michigan.gov/wca