Employers must ensure a safe workplace and have workers compensation insurance to protect employees and the business in case of work-related injury or illness.

Workers Compensation Insurance is managed under state-based legislation that assists employees who sustain an injury at work or become sick due to their work. This can include compensation and medical costs.

The insurance schemes and their regulations vary and are administered differently between states. If you would like more information about the insurance scheme and conditions for your state, please contact EBM or your Workers Compensation State Authority listed on the SafeWork Australia website.

Workers compensation premiums are often one of the largest components of an organisation’s total insurance costs. EBM’s experienced and professional Account Managers have an intimate understanding of each jurisdiction, including the key factors driving premium costs. Contact us for assistance with mitigating those key factors and ensuring your business is not incurring more cost than it should.

What is workers compensation insurance?

In Australia, workers compensation insurance is governed by state and territory legislation. It protects both employers and workers when a worker is injured or becomes ill due to their work. This cover includes income support (weekly payments), medical and related expenses and other forms of compensation or benefits and assistance depending on the circumstances.

If your business employs workers, you have a legal obligation to hold workers compensation insurance.

Workers compensation insurance provides cover for work-related incidents, including:

  • physical injuries
  • mental health injuries
  • injuries during work-related travel
  • diseases and illnesses caused by work (industrial diseases and occupational illnesses)
  • recurrence or exacerbation of an existing disease or condition due to work.

The cover is in place to ensure that the worker doesn’t suffer financial hardship because of an injury or illness stemming from their employment activities or conditions.

Benefits can include:

  • weekly payments
  • rehabilitation services
  • medical and hospital bill coverage, and
  • lump sum payments for permanent injuries or death.

Workers compensation is governed by individual states and territories, and each scheme differs in how it is regulated and administered. The roles of insurers and the services they provide also vary between jurisdictions.

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Who is covered by workers compensation insurance?

In Australia, workers compensation insurance is compulsory. Any business that employs workers is required to have a valid workers compensation policy in place regardless of the industry, turnover or size. Any business that employs or hires workers on any basis, must have workers compensation insurance for every single worker.

‘Workers’ can refer to:

  • full-time and part time employees
  • casual employees
  • apprentices and trainees
  • interns (if paid under a formal agreement)
  • volunteers (in limited circumstances)
  • staff working from home (if performing work-related duties)
  • workers paid on commission (if not running their own business)
  • directors who work in the business, and
  • contractors and sub-contractors (in some circumstances, e.g. working under your direction, using your tools, etc).

What happens if you don’t take out workers compensation when you ought to?

Injured employees can make workers compensation claims even if their employer has not taken out a policy.

The relevant state or territory authority will step in to process the claim and ensure the worker receives their full entitlements under the legislation. The relevant insurer will then recover the full cost of the compensation paid from the uninsured employer.

The uninsured employer may be:

  • Liable for the full cost of the claim, including weekly payments, medical expenses, and compensation;
  • Required to manage return-to-work obligations, such as providing suitable duties and maintaining communication with the injured worker; and
  • Subject to investigation, fines and penalties, or prosecution for failing to hold a valid workers compensation policy, including fines and potential criminal charges in some jurisdictions.

The financial costs of not insuring an employee can be devastating for the uninsured employer, particularly small-to-medium enterprises. Weekly compensation and medical benefits, common law damages, and penalties for not insuring can easily add up to more than a million dollars.

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Arranging workers compensation insurance

The location(s) of your business will determine the workers compensation arrangement. In New South Wales, Victoria, Queensland and South Australia the scheme is underwritten by a single government provider, meaning businesses may not be able to choose their insurer.

In the ACT, Northern Territory, Tasmania and Western Australia, workers compensation is privately underwritten, and employers can choose their insurer from approved providers.

The Commonwealth, states and territories are responsible for implementing, regulating and enforcing Work Health and Safety (WHS) laws in their jurisdictions. For more information about WHS laws that apply in each jurisdiction, visit the Safe Work Australia website.

WHY CHOOSE EBM?

Expertise & Resources

Workers compensation insurance can be complex (especially with each jurisdiction having different rules and even different definitions of ‘worker’). Your EBM Account Manager can help you determine whether workers compensation insurance is required for your business and assist you with tailoring your insurance program to your unique needs.

When reviewing your workers compensation requirements, we take into consideration:

  • The scope of available cover required including statutory benefits, common law, industrial disease and journey claims.
  • Contractual requirements such as principals’ indemnity, waivers, and hold harmless clauses (where available).
  • Your claims history.

EBM’s specialist Injury Management Team is available to help navigate workers compensation claims, including Early Intervention Return to Work expertise and Injury Management support. Our claims management philosophy is grounded in the principles of Safe Work Australia’s It Pays to Care, which highlights the critical importance of proactive care and timely intervention to foster better recovery times and in turn, reduce claim costs.

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EBM will work closely with you to understand your business requirements

When reviewing your Workers Compensation requirements, we take into consideration:

  • The scope of available cover required including statutory benefits, common law, journey claims and industrial diseases.
  • Contractual requirements extending to accommodate principals’ indemnity, waivers and hold harmless provisions, where available.
  • Your claims history.

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