Workplace injuries may leave people worried about how they will cover their bills. Filing for workers’ compensation in Oklahoma may not seem difficult for some, and the benefits could alleviate some financial concerns. However, exclusions exist in the law. Under specific circumstances, a worker injured on the job cannot collect compensation benefits.
Exclusions to workers’ compensation claims
Does getting injured at work also include work breaks? Under Oklahoma law, a supervisor must authorize the break, and the injury must happen inside an employer’s facility. So if the injury happens at a convenience store next to the facility, the worker may be ineligible.
Other restrictions appear under listings that bar claims. Preexisting injuries must be aggravated by something at work to be valid. Recreational activities for personal pursuits aren’t covered, and workers’ comp won’t cover any injury caused due to the influence of alcohol or drugs.
Receiving a denial may cause alarm, but the process isn’t necessarily over. Appealing the initial denial may reverse the decision.
Addressing the injury
Sometimes, the circumstances surrounding the injury may cause questions. When an intoxicated person suffers harm due to an accident where inebriation played no role, the worker may still be eligible. However, an employer could claim the intoxication had caused the accident.
Was someone hurt on work property when a break accident occurred? Employers may dispute when and where the injury took place, hurting a workers’ compensation claim.
Applicants must submit substantiating evidence and documents to support their claims. When the worker’s information and details are sparse, a denial may result. A thorough claims package that includes all necessary evidence may prevent a denial. Such evidence could work in the employee’s favor when filing an appeal.