More Related Content Similar to Workers' Compensation Laws: Georgia (20) More from Moore Ingram Johnson & Steele, LLP (20) Workers' Compensation Laws: Georgia1. © 2015 Thomson Reuters. All rights reserved.
A Q&A guide to workers' compensation law for
employers in Georgia. This Q&A addresses Georgia
laws requiring workers' compensation coverage,
including the benefits process, penalties for an
employer's failure to obtain workers' compensation
coverage and anti-retaliation provisions. Federal,
local or municipal law may impose additional or
different requirements. Answers to questions can
be compared across a number of jurisdictions.
OVERVIEW OF STATE WORKERS' COMPENSATION LAW
1. Please provide a brief description of employers' obligations
under your state's workers' compensation law (for example,
obtaining workers' compensation coverage, posting a notice to
employees). Please also:
„„ Identify which employers are covered by the law and whether
there are any exemptions.
„„ Describe any limits or restrictions placed on covered employers
(for example, prohibitions on terminating employees while they
are receiving workers' compensation benefits or restrictions on
when covered employers can use workplace drug tests).
„„ Identify which employees are covered by the law and whether
there are any exceptions. Are independent contractors and
interns covered by the law?
„„ State whether the law provides for a private right of action.
„„ Identify the state agency or entity that administers the law.
DESCRIPTION
In Georgia, all employers employing three or more employees must
either:
„„ Obtain workers' compensation coverage.
„„ Be self-insured.
(Ga. Code Ann. § 34-9-2(a)(2).)
Georgia employers must:
„„ Maintain a list of at least six physicians or professional associations
or corporations of physicians who are reasonably accessible to the
employees.
„„ Post this list in a prominent place on the business premises.
„„ Take reasonable measures to ensure that employees understand both:
„„ the function of the panel of physicians; and
„„ their right to select a physician in case of injury.
(Ga. Code Ann. § 34-9-201(b),(c); Ga. State Bd. of Workers' Comp. R. 201.)
An employer must also post what is commonly referred to as the "Bill
of Rights for the Injured Worker." This contains:
„„ A summary of rights, benefits and obligations.
„„ The rights and responsibilities of employees.
(Ga. Code Ann. § 34-9-81.1; Ga. State Bd. of Workers' Comp. R. 81.1.)
COVERED EMPLOYERS
Georgia employers employing three or more employees in the regular
course of business must obtain workers' compensation coverage (Ga.
Code Ann. § 34-9-2(a)(2)). A non-exhaustive list of covered employers
includes:
„„ Any municipal corporation within the state.
„„ Any individual, firm, association or public or private corporation
engaged in any business.
(Ga. Code Ann. § 34-9-1(3).)
A sole proprietor is considered an employer, but may elect to be
included as an employee if he is actively engaged in the operation of
the business (Ga. Code Ann. § 34-9-2.2).
LIMITS OR RESTRICTIONS FOR COVERED EMPLOYERS
Georgia is an at-will employment state, and there is no restriction
on terminating an employee who is receiving workers' compensation
benefits. However, doing so may increase the employer's indemnity
exposure because the employer forfeits the right to offer light-duty
work and limit indemnity exposure.
Workers' Compensation Laws: Georgia
RODNEY R. MCCOLLOCH, MOORE INGRAM JOHNSON & STEELE LLP,
WITH PRACTICAL LAW LABOR & EMPLOYMENT
View the online version at http://us.practicallaw.com/w-000-3246
2. © 2015 Thomson Reuters. All rights reserved.2
Workers' Compensation Laws: Georgia
Employers in Georgia must provide all employees and job applicants
for employment notice of drug testing. Employers must only give this
notice once. In addition to notice, employers must provide all employ-
ees with a written policy statement. (Ga. Code Ann. § 34-9-414; see
also State Q&A: Drug Testing Laws: Georgia (http://us.practicallaw.
com/3-501-1662).)
COVERED EMPLOYEES
An "employee" for workers' compensation purposes is "[e]very person
in the service of another under any contract of hire or apprenticeship,
written or implied" (Ga. Code Ann. §§ 34-9-1(2) and 34-9-7). This includes
employees in temporary or casual employment (Ga. Code Ann. § 34-9-2).
The following are excluded:
„„ Persons whose employment is not in the usual course of the trade,
business, occupation or profession of the employer.
„„ Domestic servants.
„„ Real estate agents, as long as the agent has an employment
contract providing that the agent is an independent contractor.
(Ga. Code Ann § 34-9-2(a)(2).)
For purposes of workers' compensation, an independent contractor
is not a covered employee. A person is considered an independent
contractor and not an employee if he:
„„ Is a party to a contract, written or implied, intending to create an
independent contractor relationship.
„„ Has control over the time, manner and method of his work.
„„ Is paid on a set price per job or a per unit basis (not an hourly basis
or on a salary).
(Ga. Code Ann § 34-9-2(e).)
For more information on independent contractors in Georgia, see
State Q&A, Independent Contractors: Georgia (http://us.practicallaw.
com/8-505-6634).
Employees may be joint employees of two or more employers when the
injury occurs (U.S. Fire Ins. Co. v. City of Atlanta, 217 S.E. 2d 647, 648
(Ga. Ct. App. 1975)).
PRIVATE RIGHT OF ACTION
Georgia's workers' compensation law provides an employee and the
employee's dependents a no-fault remedy for work-related injuries
and deaths. This is an exclusive remedy as far as the employer is
concerned and the law bars traditional common law tort actions (Ga.
Code Ann. § 34-9-11).
However, employees may bring an action against a person other than
the employer when the circumstances create a legal liability (Ga.
Code Ann. § 34-9-11.1).
In addition, the "exclusive remedy" does not protect employers that are
not required to maintain workers' compensation coverage. Therefore,
an employee could sue an employer without workers' compensation
coverage for a work injury. (Ga. Code Ann. §§ 34-9-11 and 34-9-11.1.)
ADMINISTRATION
The Georgia State Board of Workers' Compensation (the Board) ad-
ministers the workers' compensation laws (Ga. Code Ann. § 34-9-40).
The Board consists of a Trial Division that is made up of Administrative
Law Judges (ALJ) who hear the cases at a bench trial (Ga. Code Ann.
§§ 34-9-47 and 34-9-102(c)). Any party not satisfied with the ALJ ruling
has a right to appeal to the Appellate Division, which consists of the
Chair of the Board and two directors, who:
„„ Have original appellate jurisdiction.
„„ Accept the findings made by the ALJ that are supported by a
preponderance of competent and credible evidence contained in
the records.
(Ga. Code Ann. §§ 34-9-47 and 34-9-103(a).)
WORKERS' COMPENSATION COVERAGE
2. Please state whether an employer can opt out of workers'
compensation coverage.
Georgia employers may not opt out of coverage. However, up to five
corporate officers, who are usually counted as employees, may opt
out of coverage by giving written certification to either:
„„ The insurer.
„„ The Georgia State Board of Workers' Compensation.
(Ga. Code Ann. § 34-9-2.1(a).)
3. Please describe an employer's options for obtaining workers'
compensation coverage. If an employer can self-insure, please
describe the requirements to qualify to self-insure.
OBTAINING WORKERS' COMPENSATION COVERAGE
Georgia employers may do any of the following:
„„ Purchase workers' compensation insurance from a licensed insurer
in Georgia.
„„ Apply to be a qualified self-insurer.
„„ Be part of a licensed self-insured employer association or "group
fund."
(Ga. Code Ann. § 34-9-121(a).)
Group insurance fund coverage is available, with the approval of the
state insurance commissioner, to:
„„ Trade and professional organizations.
„„ Groups of municipalities, counties, school boards and hospital
authorities.
(Ga. Code Ann. § 34-9-152.)
Employers must file proof of compliance with the insurance provisions
with the Georgia State Board of Workers' Compensation (the Board)
(Ga. Code Ann. § 34-9-126).
REQUIREMENTS FOR SELF-INSURANCE
Employers wishing to self-insure must prove to the Board their
"financial ability to pay the compensation directly in the amount and
manner and when due" (Ga. Code Ann. § 34-9-121(a)). The Board has
discretion to require the employer to pay a security, indemnity or
bond to secure compensation liabilities as they are incurred (Ga. Code
Ann. § 34-9-121(a)).
3. 3© 2015 Thomson Reuters. All rights reserved.
Workers' Compensation Laws: Georgia
Employers wishing to self-insure must:
„„ Apply to the Self-Insurers Guaranty Trust Fund Board of Trustees.
„„ Be approved by the Board.
The Self-Insurers Guaranty Trust Fund Board sets the amount of the
security as a surety bond or letter-of-credit (or, at their discretion,
another form of security) in an amount no less than $250,000. (Ga.
State Bd. of Workers' Comp. R. 121(b).)
Groups engaged in similar business activities may establish a group
self-insurance fund if the fund complies with Title 34, Chapter 5,
Article 5 of the Official Code of Georgia. At least 30 days before
executing the initial intrastate agreement, an authorized group must
file with the Insurance Commissioner an intent to form a fund (Ga.
Code Ann. §§ 34-9-151.1 and 34-9-151.2.)
4. Please identify which workplace injuries and illnesses are
covered by workers' compensation. If there are key terms of art,
please define them.
WORKPLACE INJURIES AND ILLNESSES
Georgia's workers' compensation laws cover:
„„ Personal injuries.
„„ Deaths.
„„ Occupational diseases.
For an accident or injury to be considered compensable, the employee
must show that he sustained an injury arising out of and occurring
in the course of his employment with the employer (Ga. Code Ann. §
34-9-1(4)).
KEY TERMS OF ART
Injury or Personal Injury
Under Georgia's workers' compensation laws, an injury or a personal
injury is an injury that:
„„ Occurs by accident.
„„ Arises out of and in the course of employment.
It includes an aggravation of a pre-existing condition if the accident
causing the aggravation arose out of and occurred in the course of
the injured worker's employment. (Ga. Code Ann. § 34-9-1(4).)
Injury does not include:
„„ Injuries caused by the willful act of third persons directed against
employees for personal reasons.
„„ Heart diseases, heart attacks, failures or occlusions of coronary
blood vessels, thromboses or strokes, unless it can be shown by a
preponderance of competent and credible evidence that the illness
is attributable to performing the usual work of the individual's
employment.
„„ Alcoholism and disabilities attributable to alcoholism.
„„ Drug addiction or disabilities related to drug addiction, unless the
addiction or disability resulted from the use of drugs or medicines
prescribed for the treatment of the initial injury.
(Ga. Code Ann. § 34-9-1(4).)
Idiopathic injuries, which are personal in nature, without a known
cause or spontaneous (for example, fainting or seizure disorders) and
often do not arise out of the employment, are generally not compen-
sable (Prudential Bank v. Moore, 467 S.E.2d 7, 8 (Ga. Ct. App. 1996)).
There are special restrictions on claims for compensation for hernias
or deaths resulting from hernia surgery. The following must be proven:
„„ There was an injury resulting in a hernia.
„„ The hernia appeared suddenly.
„„ The hernia was accompanied by pain.
„„ The hernia immediately followed an accident.
„„ The hernia did not exist before the accident for which
compensation is claimed.
(Ga. Code Ann. § 34-9-266.)
Occupational Disease
An "occupational disease" is a disease arising out of and occurring in
the course of the particular trade, occupation, process or employment
in which the employee is exposed to the disease. For an occupational
disease to be compensable, the following criteria must be met:
„„ A direct causal connection must exist between work conditions
and the disease.
„„ The disease must have followed as a natural incident of
employment exposure.
„„ The disease must not have been of a character to which the em-
ployee may have had substantial exposure outside of employment.
„„ The disease must not have been an ordinary disease of life to
which the general public is exposed.
„„ The disease must have had its origin in a risk connected with the
employment and must have flowed from that source as a natural
consequence.
(Ga. Code Ann. § 34-9-280.)
Additionally, the disease must result from a hazard characteristic of
the employment that is greater than the hazards of the disease oc-
curring in employment generally (Ga. Code Ann. § 34-9-281).
The following are not considered occupational diseases:
„„ Partial loss of hearing caused by noise.
„„ Psychiatric and psychological problems except where they arise
from a separate occupational disease.
(Ga. Code Ann. § 34-9-280.)
Employees may receive benefits under Georgia's Workers Compensa-
tion Laws for a mental disability or psychiatric problem if:
„„ The disability or disease arose from an accident where the
employee sustained a compensable physical injury.
„„ The injury sustained contributed to the "continuation of the
psychic trauma."
The physical injury does not need to cause the psychic trauma. The
psychic trauma is compensable if the physical injury contributes to its
continuation. (Columbus Fire Dep't Columbus Consol. Gov't v. Ledford,
523 S.E. 2d 58, 61 (Ga. Ct. App. 1999).)
4. © 2015 Thomson Reuters. All rights reserved.4
Workers' Compensation Laws: Georgia
WORKERS' COMPENSATION BENEFITS
5. Please briefly describe the workers' compensation benefits
process. Please include information on:
„„ When an employee must notify his employer of an injury or illness.
„„ When an employer must submit information about an injury or
illness to its carrier or the state agency or entity.
„„ When a decision on compensation must be made.
„„ The standard of review for determinations on compensation.
„„ If a decision can be appealed, how a party appeals.
BENEFITS PROCESS OVERVIEW
Once the employee provides notice of an injury to the employer, the
employer notifies its insurance carrier who must make a determination
on the compensability of the claim. If the claim is acceptable as com-
pensable, the employee will either receive income benefits, medical
benefits or both.
NOTIFYING THE EMPLOYER
An employee or his representative must give notice of an injury to the
employer either:
„„ Immediately after the accident
„„ As soon as is practical after the accident.
(Ga. Code Ann. § 34-9-80.)
No compensation will be paid to an employee unless the employee
gives oral or written notice to the employer within:
„„ 30 days after the accident occurs.
„„ 30 days after the death resulting from the accident.
(Ga. Code Ann. § 34-9-80.)
The 30 day notice rule does not apply when:
„„ The injured employees or their representatives gave notice in
person to their employer or their agent, representative, foreman or
immediate superior.
„„ An employee prevented from providing notice due to a physical or
mental incapacity.
„„ An employee who is prevented from providing notice by fraud or
deceit.
„„ The employer has knowledge of the accident.
„„ A reasonable excuse is made to the satisfaction of the Georgia State
Board of Workers' Compensation (the Board) and the employer is
not prejudiced by the lack of notice.
(Ga. Code Ann. § 34-9-80.)
WHEN TO SUBMIT INFORMATION
An insured employer should look to the terms of the policy with their
insurer concerning when they must report an injury.
While there is not a statutory reporting requirement, an insured
employer should provide notice to the insurer as soon as practically
possible.
WHEN A DECISION MUST BE MADE
The employer or insurer has 21 days from when they know about the
injury to investigate and decide whether to either:
„„ Challenge the claim.
„„ Accept the claim as compensable and pay benefits.
(Ga. Code Ann. § 34-9-221.)
STANDARD OF REVIEW
Hearings before the ALJ must comport with due process but may be
informal proceedings. During the hearing, the ALJ makes determina-
tions of fact concerning the issues. (Ga. Code Ann. § 34-9-102(e).)
Hearings before an ALJ require competent supporting evidence (Fox
v. Liberty Mut. Ins. Co., 187 S.E.2d 305, 307 (Ga. Ct. App. 1972)). The
appellate division must accept the ALJs findings of fact when the
findings "are supported by a preponderance of competent and credible
evidence contained within the records" (Ga. Code Ann. § 34-9-103(a)).
APPEALING A DECISION
Workers' compensation decisions may be appealed by filing an Appli-
cation for Review and Enumeration of Errors with the Board. A party
must file an appeal within 20 days of the date shown on the ALJ's
award. (Ga. Code Ann. § 34-9-103.)
6. Please state whether the employer or employee has the right
to choose the treating physician.
Georgia employers must maintain a posted Panel of Physicians from
which the claimant may choose a treating physician. The claimant
has a right to a one-time change of physician to another physician on
the panel. (Ga. Code Ann. § 34-9-201(b).)
If an employer fails to maintain a valid panel, the claimant may
obtain treatment from a physician of his choosing at the employer's
expense (Ga. Code Ann. § 34-9-201(f)).
7. If an employee can be required to submit to a medical exami-
nation, please identify which party is responsible for the cost of
the examination.
If an employee makes a workers' compensation claim after an injury,
the employer may require the employee to submit to an examination:
„„ At a reasonable time and place.
„„ By a qualified physician or surgeon designated and paid by either:
„„ the employer;
„„ the insurer; or
„„ the Georgia State Board of Workers' Compensation.
(Ga. Code Ann. § 34-9-202(a).)
This examination may include the following examinations:
„„ Physical.
„„ Psychiatric.
„„ Psychological.
(Ga. Code Ann. § 34-9-202(a).)
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Workers' Compensation Laws: Georgia
8. Please describe the types of benefits available to injured
employees. For each, please:
„„ State whether there is a waiting period before an employee is
eligible to receive the benefit. If there is a waiting period, please
identify the timeframe.
„„ Provide a brief description of how the benefit is calculated.
BENEFITS AVAILABLE TO INJURED EMPLOYEES
Inured employees are eligible for:
„„ Indemnity or Income Benefits. The following types of indemnity
benefits are available to employees:
„„ temporary total disability (TTD) (Ga. Code Ann. § 34-9-261);
„„ temporary partial disability (TPD) (Ga. Code Ann. § 34-9-262);
and
„„ permanent partial disability (PPD). PPD benefits are not
available if the employee is entitled to either TTD or TPD
benefits. (Ga. Code Ann. § 34-9-263.)
„„ Medical Benefits. Employees are entitled to receive payment for
medical expenses that are:
„„ reasonably required and appear likely to effect a cure, give relief
or return the employee to suitable employment;
„„ prescribed by an authorized physician (the authorized treating
physician or one directly referred by the authorized treating
physician);
„„ for the employee's benefit;
„„ due to the employee's compensable injury; and
„„ the usual and customary charges (Ga. Code Ann. § 34-9-200).
„„ Rehabilitation Benefits. Rehabilitation and vocational services
must be provided to individuals who have sustained catastrophic
injuries (Ga. Code Ann. § 34-9-200.1). The parties may agree in
writing to provide rehabilitation benefits in non-catastrophic cases
(Ga. Code Ann. § 34-9-200.1(h)).
A catastrophic injury is any of the following:
„„ A spinal cord injury involving severe paralysis of an arm, leg or the
body.
„„ An amputation of an arm, hand or leg.
„„ A severe head or brain injury evidenced by:
„„ severe sensory or motor disturbances;
„„ severe communication disturbances;
„„ severe complex integrated disturbances of cerebral function;
„„ severe consciousness disturbances;
„„ severe episodic neurological disorders; or
„„ any other condition as severe as the above conditions.
„„ A second or third degree burns on 25% of the body.
„„ Third degree buns on 5% of the body.
„„ Total or industrial blindness.
„„ Any other severe injury that prevents the employee from performing
his work in substantial numbers.
(Ga. Code Ann. § 34-9-200.1(g).)
Rehabilitation benefits are in addition to medical and disability ben-
efits (Ga. Code Ann. § 34-9-200.1(a)). Rehabilitation services include:
„„ The goods and services necessary for vocational assessment and
evaluation.
„„ Guidance and counseling.
„„ Vocational planning, training and placement.
„„ Medical management, planning and treatment.
„„ Transportation.
(Ga. State Bd. of Workers' Comp. R. 200.1(a)(1)(i).)
WAITING PERIOD AND TIMEFRAME
Indemnity or Income Benefits
There is a seven-day waiting period for indemnity benefits (Ga. Code
Ann. § 34-9-220).
The waiting period for disability benefits begins:
„„ On the first day that the injured employee is unable to work a full
day.
„„ If the employee was paid in full for the date on which the injury
occurred, the next day.
(Ga. State Bd. of Workers' Comp., R. 220(a).)
The period runs for seven calendar days of disability (Ga. Code Ann. §
34-9-220).
An employee is entitled to payment of disability income benefits for
the first seven days of his disability once he has been disabled for 21
consecutive calendar days (Ga. Code Ann. § 34-9-220).
The first payment of income benefits must be paid 21 days after the
employer has knowledge of the injury or death. All income benefits
then due must be paid. (Ga. Code Ann. § 34-9-221(b).)
Additionally:
„„ TTD benefits are payable for a maximum of 400 weeks from the
date of injury (Ga. Code Ann. § 34-9-261).
„„ TPD benefits are payable for a maximum of 350 weeks from the
date of injury (Ga. Code Ann. § 34-9-262).
Claimants cannot receive TTD and TPD benefits at the same time
for the same injury (North Fulton Reg'l Hosp. v. Pearce-Williams, 718
S.E.2d 583, 586 (Ga. Ct. App. 2011)).
PPD benefits begin once TTD or TPD benefits end (Ga. Code Ann. §
34-9-263(b)). For PPD benefits, employers must pay weekly income
benefits equal to two-thirds of the employee's average weekly wage
for the number of weeks determined by the percentage of either
bodily loss or loss of use times the maximum weeks set out in Section
34-9-263(c) of the Official Code of Georgia. PPD benefits are subject
to the same maximum and minimum limitations on weekly income
benefits as TTD benefits laid out in Section 34-9-261 of the Official
Code of Georgia. (Ga. Code Ann. § 34-9-263(c).)
Medical Benefits
There is no waiting period for medical benefits for a compensable
injury (Ga. Code Ann. §§ 34-9-200 and 34-9-220).
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Workers' Compensation Laws: Georgia
However, Georgia employers are only liable for medical benefits for an
employee meeting the following criteria:
„„ For injuries occurring on or after July 1, 2013 that are not considered
catastrophic, the employee is entitled to a maximum of 400 weeks
of medical benefits from the date of the injury.
„„ For injuries occurring on or before June 30, 2013, and for injuries
occurring on or after July 1, 2013 that are considered catastrophic,
the employee is entitled medical benefits for life, as long as the
benefits:
„„ are reasonably required; and
„„ appear likely to effect a cure, give relief or restore the employee
to suitable employment.
(Ga. Code Ann. § 34-9-200.
Rehabilitation Benefits
There is no waiting period for rehabilitation benefits.
CALCULATION OF BENEFITS
Indemnity or Income Benefits
For injuries occurring after July 1, 2013, TTD benefits are two-thirds of
the employee's average weekly wage:
„„ Up to a maximum of $525 per week.
„„ Not less than $50 per week, unless the weekly wage is below $50,
in which case the benefit is the average weekly wage.
This amount is payable for a maximum of 400 weeks from the date of
injury. (Ga. Code Ann. § 34-9-261.)
For injuries occurring after July 1, 2013, TPD benefits are two-thirds of
the difference between the employee's average weekly wage before
the injury and the average weekly wage the employee can earn after
the injury, up to a maximum benefit of $350 per week. This amount
is payable for a maximum of 350 weeks from the date of injury. (Ga.
Code Ann. § 34-9-262.)
PPD benefits are two-thirds of the employee's average weekly wage
for the number of weeks determined by the percentage of either
bodily loss or loss of use times the maximum weeks set out in Section
34-9-263(c) of the Official Code of Georgia. PPD benefits are subject
to the same maximum and minimum limitations on weekly income
benefits as TTD benefits laid out in Section 34-9-261 of the Official
Code of Georgia. (Ga. Code Ann. § 34-9-263(c).)
The average weekly wage is determined by:
„„ Taking the average of the employee's wages for the full 13 weeks
before the injury.
„„ If the employee has not been employed for 13 weeks (or for the
substantial portion of 13 weeks), by taking either:
„„ the average weekly wage of a similarly situated employee; or
„„ the "full-time" equivalent weekly wage of the claimant.
(Ga. Code Ann. § 34-9-260.)
The "full-time" weekly wage is calculated by multiplying the employee's
hourly pay rate with the number of hours constituting a full-time
workweek (O'Kelley v. Hall County Bd. of Ed, 532 S.E. 2d 427, 430 (Ga.
Ct. App. 2000)).
Medical Benefits
There is no monetary limit on medical benefits, as long as the condi-
tions of Section 34-9-200 of the Official Code of Georgia are met. The
Board publishes an annual fee schedule of reasonable charges for
medical services provided under the Workers' Compensation Act (Ga.
Code Ann. § 34-9-205(b)). This fee schedule and its yearly updates
can be found on the Board's website.
Rehabilitation Benefits
There is no monetary limit on rehabilitation benefits.
PENALTIES
9. Please describe the possible penalties, both civil and criminal,
for an employer's failure to obtain workers' compensation
coverage or post a required notice.
CIVIL PENALTIES
If Georgia employers fail to obtain insurance, the employer is still
liable for the payment of benefits (Crawford v. Holt, 323 S.E.2d 245,
246-247 (Ga. Ct. App. 1984)). If the employer becomes insolvent, then
the employer's agent responsible for procuring workers' compensation
benefits may be held personally liable for payment of the benefits
(Sheehan v. Delaney, 521 S.E.2d 585, 586 (Ga. Ct. App. 1999)).
In addition, employers violating the insurance or self-insurance provi-
sions of the law (Ga. Code Ann. §§ 34-9-121 and 126(a)) are subject to
a civil penalty between $500 and $5,000 for each violation (Ga. Code
Ann. § 34-9-18(c)).
Penalties for Failure to Pay Benefits
Penalties for failure to pay income benefits fall into the following
categories:
„„ Benefits payable without an award. If any income benefits
payable without an award are not paid when due, a 15% increase
is added to the accrued income benefits. This amount must be
paid at the same time as, and in addition to, the accrued income
benefits unless:
„„ the employer files notice that it contents the compensation (Ga.
Code Ann. § 34-9-221(d)); or
„„ the Georgia State Board of Workers' Compensation (the Board)
excuses the nonpayment after the employer shows that the
income benefits cannot be paid within the period prescribed
due to conditions beyond the employer's control. (Ga. Code Ann.
§ 34-9-221(e).)
„„ Benefits payable under the terms of an award. If income benefits
payable under the terms of an award are not paid within 20 days
after becoming due, a 20% increase is added to the accrued
income benefits. This amount must be paid at the same time as,
and in addition to, the accrued benefits unless:
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Workers' Compensation Laws: Georgia
„„ the Board grants a review of the award; or
„„ the Board excuses the nonpayment after the employer shows
the income benefits cannot be paid within the period prescribed
due to conditions beyond the employer's control. (Ga. Code Ann.
§ 34-9-221(f).)
Employers or insurers must pay for:
„„ Medical goods and services within 30 days from the date that the
employer or the insurer receives the charges and reports required
by the Board.
„„ Mileage reimbursements within 15 days.
(Ga. Code Ann. § 34-9-203(c)(1).)
If an employer or insurer fails to make timely payments for medical
or mileage expenses, the employer or insurer may be assessed the
following penalties:
„„ For any charges paid between 30 and 60 days after their due date,
a 10% penalty is added to the charges.
„„ For any charges paid between 60 and 90 days after their due date,
a 20% penalty is added to the charges.
„„ For any charges not paid within 90 days of their due date, the
employer or insurer must pay both:
„„ a 20% add-on penalty; and
„„ interest on the combined amount at the rate of 12% per year
from the ninety-first day after the date the charges were due
until full payment is made.
„„ All penalties and interest must be paid to the provider of the
health care goods or services.
(Ga. Code Ann. § 34-9-203(c)(3).)
CRIMINAL PENALTIES
Employers that are subject to Georgia's Worker's Compensation Act
and that willfully neglect to comply with the filing requirements of
the Act are guilty of a misdemeanor (Ga. Code Ann. § 34-9-126).
ANTI-RETALIATION
10. If your state's workers' compensation law prohibits retaliation,
please include information on:
„„ What specific acts are protected.
„„ How retaliation is defined.
„„ What elements must be proven for an employee to prevail on a
retaliation claim.
„„ The defenses, if any, that are available to employers.
„„ The statute of limitations for bringing a retaliation claim.
In Georgia, retaliation or wrongful discharge tort claims as a result
of employees seeking workers' compensation benefits are not viable
causes of action (Evans v. Bibb Co., 342 S.E.2d 484, 485-486 (Ga. Ct.
App. 1986)).
However, there are federal causes of action for retaliation that may
benefit particular workers. For more information on federal retaliation
law, see Practice Note: Retaliation (http://us.practicallaw.com/5-501-
1430).
WORKERS' COMPENSATION EXCLUSIVITY
11. Please identify the types of claims that are barred by workers'
compensation law. If there are exceptions, please identify them.
The rights and the remedies the Georgia Workers' Compensation Act
(the Act) grants to an employee exclude all other rights and remedies
of the employee, his personal representative, parents, dependents or
next of kin for the injury, loss of service or death (Ga. Code Ann. § 34-
9-11(a)). The Act is mandatory and there is no right to elect remedies
(Southern Wire & Iron, Inc. v. Fowler, 124 S.E. 2d 738, 740 (Ga. 1960)).
However, there are several exceptions to the exclusive remedy doc-
trine. If an injury does not actually arise out of or occur in the course
of the employee's employment:
„„ The Act provides no remedy.
„„ The employee may bring a private action.
(Ga. Code Ann. § 34-9-11(a); Stoker v. Wood, 289 S.E. 2d 265, 265 (Ga.
Ct. App. 1982).)
Additional exemptions include:
„„ Intentional torts. The exclusive remedy doctrine generally bars an
employee's claim against an employer for an intentional tort that
seeks redress for current or future physical injury arising out of the
employment (Johnson v. Hames Contracting, Inc., 431 S.E.2d 455,
458 (Ga. Ct. App. 1993)). Claims for injuries intentionally inflicted
on an employee by a co-worker are also barred if the risk of injury
was employment-related or neutral. However, these claims are
likely allowed if the risk of injury was purely personal to the injured
employee. (Ga. Code Ann. § 34-9-1(4); Zaytzeff v. Safety-Kleen Corp.,
473 S.E.2d 565, 568 (Ga. Ct. App, 1996).)
„„ Claims against third party tortfeasors. This does not include
employees of the same employer or anyone who, under a contract
with an employer, provides workers' compensation to an injured
employee. (Ga. Code Ann. § 34-9-11(a)).
„„ Claims against construction design professionals. Special
immunity is given to architects, professional engineers, landscape
architects, geologists, land surveyors and professional corporations
organized to render those services, which are collectively referred
to as construction design professionals (Ga. Code Ann. § 34-9-
11). However, immunity can be waived if the construction design
professional specifically assumes the safety practices for the project
in a written contract. Furthermore, the immunity does not apply to:
„„ negligent preparation of design plans and specifications;
„„ tortious acts of construction design professionals on the
construction site;
„„ any professional surveys set out in the contract; or
„„ any intentional acts by the construction design professional or
his employees.
(Ga. Code Ann. § 34-9-11.)
8. 8
Workers' Compensation Laws: Georgia
8
Drafting and Negotiating Equity Commitment Letters Checklist
05-15
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„„ Claims for property damage against the employer (Ga. Code
Ann. § 34-9-11). However, these actions do not allow punitive or
additional damages for aggravated circumstances when the action
arises out of a compensable injury or death under the Act (Superb
Carpet Mills, Inc. v. Thomason, 359 S.E.2d 370, 371-371 (Ga. Ct. App.
1987)).
„„ Claims for professional negligence. Employees may have a
tort action against a co-worker if the co-worker owes a duty and
negligently breaches that duty, causing an injury (Davis v. Stover,
362 S.E.2d 97, 98 (Ga. Ct. App. 1998)). However, this does not
allow suits against the employer through vicarious liability (Crisp
Regional Hosp., Inc. v. Oliver, 621 S.E.2d 554, 557-558 (Ga. Ct. App.
2005)).
„„ Employment related claims. A non-exhaustive list includes:
„„ actions for breach of employment contract;
„„ unemployment compensation;
„„ intentional nonphysical torts (for example, those based on
gender, race, age or disability); and
„„ violations of the Fair Labor Standards Act, Labor Management
Relations Act, immigration laws, Employee Retirement Income
Security Act (ERISA), Polygraph Protection Act and the Migrant
and Seasonal Agricultural Worker protection Act (Ga. Workers'
Compensation Claims § 2:9).
JOINT EMPLOYER LIABILITY
12. Please state whether your jurisdiction recognizes joint em-
ployment under workers' compensation law. If so:
„„ Can more than one employer receive the protection of the
workers' compensation benefits bar to claims?
„„ If available, please briefly describe the standard to determine
joint employer status.
JOINT EMPLOYMENT
Georgia law recognizes joint employment for workers' compensation
purposes (Ga. Code Ann. § 34-9-224).
PROTECTION FOR MULTIPLE EMPLOYERS
A claimant who proceeds against and receives compensation from
one employer is precluded from bringing any common law action
against any remaining employer or employers (Scott v. Savannah Elec.
& Power Co., 66 S.E.2d 179, 182 (Ga. Ct. App. 1951)).
STANDARD FOR JOINT EMPLOYER STATUS
Employers are joint employers when an employee is in the joint service
of two or more employers subject to the Act (Ga. Code Ann. § 34-9-
224). There must be an employer-employee relationship between
the claimant and each of the alleged employers, and both employers
must have had some control over the time, manner and method of the
employee's work at the time of the injury (Dep't. of Human Resources
v. Demory, 227 S.E.2d 788, 789 (Ga. Code Ann. 1976)).
ADDITIONAL RESOURCES
13. If the state agency charged with oversight of the workers'
compensation law in your state has useful online guidance or
forms, please provide the link for those resources and a brief
description of them.
The Georgia State Board of Worker's Compensation provides useful
information and forms on its website.
The Board's Integrated Claims Management System provides online
claims filing, processing, claim management, managed care and
rehabilitation functions, online reporting, correspondence generation
and notifications on its website.