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What are the Requirements for Benefits Under Workers’ Compensation?

by | Jun 6, 2025 | Personal Injury

Understanding the Requirements for Workers’ Compensation Benefits in Connecticut

When workplace injuries or illnesses disrupt your life, workers’ compensation steps in as a critical safety net to provide financial and medical support. But do you know precisely what’s required to qualify for workers’ compensation benefits in Connecticut? Whether you’re an employee seeking compensation or simply curious to understand your rights, the workers’ compensation attorneys at Jacobs & Dow, LLC, break it all down with clarity and detail.

What is Workers’ Compensation?

Workers’ compensation is a state-mandated system designed to protect employees who get injured at work or become ill due to their job. The primary purpose of workers’ compensation is to provide financial and medical assistance to employees while shielding employers from expensive lawsuits.

This system is a no-fault arrangement. That means employees are entitled to benefits regardless of who caused the injury, as long as it occurred within the scope of their employment.

Eligibility Criteria for Workers’ Compensation Benefits in Connecticut

Connecticut has specific criteria to determine eligibility for workers’ compensation benefits. Here are the key requirements:

1. Employee Status 

You must be a recognized employee of the company. Independent contractors or sole proprietors are typically excluded unless specifically covered under certain arrangements. If you’re unsure about your employment classification, this is a key point to clarify.

2. Work-Related Injury or Illness 

The injury or illness must have occurred “in the course of employment.” This essentially means it must arise directly from your job duties or any activities incidental to your role. For example, slipping and falling in the office kitchen during a workday would likely qualify, while falling at a personal event after hours would not.

3. Employer’s Workers’ Compensation Coverage 

Your employer must carry workers’ compensation insurance. Nearly all employers in Connecticut are legally required to have this coverage, but exceptions exist for very small businesses or certain types of work.

4. Timely Reporting and Claim Filing 

Time is of the essence when it comes to workers’ comp benefits. You need to notify your employer about the injury immediately and file a formal claim within the timeframe specified by the Connecticut Workers’ Compensation Commission. Failing to act promptly can jeopardize your claim.

5. Medical Treatment 

Employers in Connecticut are required to arrange and pay for initial medical treatment following a workplace injury. After the first visit, you may have the option to choose your physician, provided it’s within the approved network.

Benefit Availability 

Once your claim is approved, you may be entitled to various benefits, including:

  • Medical expenses coverage: All necessary medical treatments related to the injury.
  • Lost wages reimbursement: Temporary total disability (TT) benefits if you can’t work at all, and temporary partial disability (TP) benefits if you’re placed on light duty.
  • Rehabilitation services: Vocational training and support if you need to transition to a different role due to your injury.
  • Permanent impairment benefits: Compensation for permanent physical damage, including scarring or disfigurement.

Reporting Deadlines 

  • Notify your employer immediately: Quick reporting helps ensure your case is filed in good faith while providing accurate and timely details about your injury.
  • Submit a written claim: Follow up with a formal written claim to your employer’s workers’ compensation insurance provider. Be sure to consult the Connecticut Workers’ Compensation Commission for exact filing guidelines and deadlines.

Next Steps to Protect Your Rights

At Jacobs & Dow, LLC, our skilled legal team has a deep understanding of Connecticut’s workers’ compensation laws and courtroom proceedings. If you’re facing any challenges with your claim, we’re here to ensure your rights are protected.

Understanding the requirements and formal steps behind workers’ compensation claims is vital, but it doesn’t mean you have to go through it alone. 

Our team is committed to helping injured workers in Connecticut recover the benefits they deserve. Whether you have questions about eligibility or need help navigating disputes, we’ve got your back. Contact us today to schedule a consultation.

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