When an Ohio worker is injured on the job, he or she could have a right to a variety of benefits through the state workers’ compensation system. Workers’ compensation benefits exist to cover the medical care and lost wages experienced by an injured employee. There are a number of different types of benefits that address a wide variety of employment and injury situations. These payments are typically offered bi-weekly, and they are paid to workers during the recovery period or on an ongoing basis if the injury results in a permanent disability. There are other payment options, however. Lump sum settlements are one alternative way to resolve a workers’ compensation case. While a lump sum award may not be advantageous in every situation, there are times when an injured worker may want to pursue this opportunity. Here, we take a look at lump sum settlements—what they are, how they work, and if they might be right for you.
What Is a Lump Sum Settlement?
A lump sum settlement is a way to close a workers’ compensation claim whereby the employer or its insurance company pays the injured worker one larger sum of money rather than ongoing bi-weekly payments. The lump sum can include expected future payments, past due amounts, disputed amount, medical reimbursements, and more. The employer or insurance company and the injured worker typically negotiate this amount to find an agreement that is acceptable to all parties. There are two types of lump sum settlements in Ohio:
- Full – Settling all allowed conditions, compensation, and benefits.
- Partial – Settling only certain conditions, compensation, and benefits, leaving a reserve for possible future use.
In Ohio, an agreement is reached among the injured worker, the employer (or its insurance company), and the state Bureau of Workers’ Compensation (BWC). The BWC must approve all settlements, even if the employer and employee have already agreed on terms.
Advantages of a Lump Sum Settlement in Columbus
There are a number of reasons why an injured worker would want to pursue this payment option. The advantages of a lump sum award include:
- Money in your pocket now. Rather than waiting for the compensation to be doled out week by week, a lump sum offers cash quickly. This can be helpful for those who have specific needs right now.
- Safety net for you and your family members. Workers’ compensation benefits will cease when you are medically cleared for work or upon your death. Once you agree to and are awarded a lump sum, however, that money is yours to use how you see fit. If it seems likely that your benefits will soon be terminated, it can be possible to obtain guaranteed money now.
- Closure of your workers’ compensation claim. Navigating the workers’ compensation claims process can be frustrating and time-consuming. Accepting a lump sum settlement can put an end to the process and help you move forward with your life.
- No stress over medical exams or insurance investigations. Once the claim is settled, insurance companies have no reason to keep a watchful eye on the injured employee. Fears about medical exams and investigators can be put to rest.
There are advantages for employers to offer a lump sum settlement, as well. A settlement can reduce claim costs and premium rates, as well as help employers avoid time-consuming hearings or litigation.
Lump Sum Settlements Are Not Beneficial in Every Workers' Comp Case
Despite the advantages, a lump sum settlement may not be the best outcome in every case. In fact, it could be detrimental to the injured worker. Some important considerations include:
- Your case is closed permanently. Once you accept a lump sum settlement, it is typically impossible to receive any further compensation for that injury.
- The future is unpredictable. There may be unforeseen complications of your condition, which your employer and its insurance company would not have to cover.
- Financial responsibility is required. Weekly payments of disability benefits essentially force an injured worker to be fiscally responsible. For some, it can be difficult to manage a large lump sum amount appropriately, resulting in the money being spent too quickly and unavailable for future use.
How a Columbus Attorney Can Protect Your Rights and Future
The decision to pursue a lump sum settlement and the process of obtaining one can be complex. Employers and insurance companies are out to protect themselves and save as much money as possible. They will not have your best interests at heart and will likely offer you much less compensation than you deserve. While you may worry that retaining an attorney will take up valuable resources, without proper representation, you could miss out on a substantial amount of money and face unexpected consequences in the future. An experienced workers’ compensation attorney can help:
- Negotiate with employers and insurance companies for maximum compensation.
- Protect your future rights to medical care and compensation.
- Avoid unnecessary tax liability, especially for those who may also qualify for Social Security disability benefits.
If you or someone you love has suffered an injury at work and you are wondering if a lump sum settlement is possible, reach out to the experienced legal team at Monast Law Office. Jim Monast can help you understand your rights and work to ensure you obtain all the compensation to which you are entitled.