If you are dealing with a workers' compensation claim in Texas it's important to understand that there are no settlements in a Texas workers' comp case.
At least a few times a week, our office is contacted by a potential client who wants to know how much they can settle their workers' compensation case for. They are always shocked when we tell them nothing. This does not mean that they will get nothing, but that as a rule, there are no settlements under Texas workers' comp.
For all intents and purposes, the Workers' Compensation Act of 1993 sought to eliminate work injury settlements altogether. Injured workers can still obtain compensation, but it's not in the form of a settlement like you'd find in a normal Texas personal injury case. In this article, we'll explain how it all works.
What Is the Difference Between a Workers' Compensation Benefit and a Settlement?
When a person is injured in a workplace accident and their employer subscribes to Texas worker's compensation coverage, then the compensation the injured worker receives is paid in the form of "benefits." Benefits are compensation paid out in real time on an as-needed basis. Unlike a settlement that is given in a lump sum at the end of legal proceedings, benefits are paid as the expense arises. So, if an injured worker needs an eye surgery, workers' comp pays for the eye surgery. If the injured workers has lost wages, they pay a portion of the worker's wages in the form of weekly checks.
This is different from a settlement, however. A settlement is when one party may be liable to another party in some way and agrees to pay them a certain amount of compensation to avoid going to court. Since workers' comp prohibits injured workers from suing their employers, it is basically impossible for their to be a settlement in a workers' comp case.
What Does Texas Worker's Compensation Law Entitle You to Receive?
Worker's compensation cases are unlike nearly every other personal injury case. In a normal personal injury case you sue the person that hurt you under a negligence cause of action, and a jury awards financial compensation proportionate to the losses you have sustained. As has been covered, since you lose the ability to sue your employer in a worker's compensation case, those normal rules go out the window. Instead, Texas worker's comp laws takes what would otherwise be negligence claims out of the court system and transform them into a type of benefits claim, like filing for social security disability.
Even though losing their right to sue their boss for negligence is a bad thing, workers who are hurt on the job while working for an employer who subscribes to workers' comp coverage will find that their compensation is almost guaranteed. To clarify, if injured workers only had the option to sue their boss when they're hurt, there is always risk that they will lose their case. But when an injured workers is covered by a workers' comp policy, even though they lose their right to sue their boss, the end up getting benefits that are paid automatically and without a fight (in theory).
Suppose a restaurant worker is shucking oysters without a cut glove. The employee gets involved with a conversation with another employee and, being distracted, the oyster knife slips and impales his hand. In this instance, the employee is most likely liable for his own injuries and would probably lose if he only had the option of getting compensation by way of suing his employer in court. However, since his employer subscribes to the workers' compensation system, he is still entitled to workers' compensation benefits.
Instead of juries awarding compensation for an injured worker's losses that are caused by negligence of their employer, an employer simply buys worker's comp coverage, and Texas worker's comp laws entitle the injured worker to benefits, irrespective of whose fault the accident is. There are several types of Texas workers' compensation benefits, Medical, Income, Burial, and Death benefits.