Nebraska's workers' compensation insurance know-how to help protect employees and employers

Workers’ compensation protects Nebraska employers and their employees

In Nebraska, workers’ compensation insurance shields employees from the repercussions of an on-the-job injury, providing medical care and wage replacement benefits until they’re able to return to work. On the flip side, workers’ compensation insurance also protects employers, eliminating the need to pay costly medical bills while preventing costly litigation that may result from an employee’s injury.

Now that we better understand how workers’ comp benefits employers and employees, let’s find out which companies must carry it.

Which Nebraska employers are required to have workers’ compensation insurance?

In Nebraska, nearly every employer with one (1) or more employees is required to provide workers’ compensation coverage to their employees. This includes businesses in the private industry, state and local government employers, businesses that employ part-time workers, employees who are minors, and those employed by a charitable or nonprofit organization.  Agricultural companies that employ more than ten unrelated workers for at least 13 weeks in a year are also required to provide workers’ compensation insurance.

Are there any exceptions?

There are some exceptions to Nebraska’s workers’ compensation regulations. These exceptions include:

• Sole proprietors
• Partners and LLC members
• Executive officers that hold at least 25% of stock in the corporation
• Executive officers of nonprofits that earn $1,000 or less
• Railroad workers employed by companies that are engaged in interstate or foreign commerce
• Private residences that employ domestic workers
• Agricultural employers that employ less than 10 unrelated, full-time employees
• Volunteers

Any company that is exempt from purchasing workers’ compensation insurance has the option to purchase insurance voluntarily.

What does workers’ compensation cover when there’s a work-related incident?

Nebraska workers’ compensation offers the following benefits to workers injured on the job.

Medical benefits

Workers’ compensation pays all reasonable medical and hospital expenses, necessary appliances, prescribed drugs, prosthetic devices, and any other related expenses, including mileage reimbursement for medically-necessary travel.

Indemnity benefits

Nebraska workers’ comp offers the following indemnity benefits which begin on the eighth calendar day after the initial injury or illness – following a seven-day waiting period. If the disability continues more than six weeks, the benefits are payable for the initial waiting period. Indemnity benefits include:

• Temporary disability benefits – these benefits cover both partial and total disability and are paid for as long as the employee is unable to work or unable to return to their previous job.
• Permanent disability benefits – Permanent disability benefits cover both partial permanent disability and total permanent disability. Benefits are usually based on the level of loss suffered.

In addition, injured employees may be eligible for a lump sum payment based on the level of injury suffered.

Repetitive injuries and ongoing care

Nebraska workers’ compensation covers both repetitive strain injuries that may develop over time as well as ongoing care for any work-related medical issues that may persist. Services include physical therapy, additional surgeries, or other related medical treatments.

Return to work services

Return to work services are available to employees that are injured at work. These services include vocational rehabilitation services such as job placement or formal training for a new position, should the employee be unable to return to their former job. Return to work services are not available automatically and will need to be requested by the employee or the insurer.

Death benefits

If an employee’s injury results in death, the surviving spouse and other dependents may be entitled to burial expenses and a monetary death benefit.

How can Nebraska employers purchase workers’ compensation insurance?

Nebraska business owners can obtain workers’ compensation coverage in one of three ways.

1. By purchasing a workers’ compensation policy from a private insurance company that is licensed in the state of Nebraska to sell workers’ compensation policies.
2. By obtaining insurance through the Nebraska Department of Insurance.
3. By applying to the Nebraska Workers’ Compensation Court to become self-insured. Requirements for being self-insured include a minimum of five years in business, have at least 100 employees, and have an established program in place that addresses employee safety. Once approved, businesses are required to file a surety bond.

What are the penalties for not having current workers’ compensation coverage?

If a Nebraska employer is found to be lacking adequate workers’ compensation coverage, the results can be less than ideal. Penalties can be monetary but may also prevent a business from operating.

• A civil fine of up to $1,000 for each violation, with each day that coverage is not in place constituting another violation.
• Criminal charges which can include imprisonment for up to one year, a $1,000 fine, or both.
• Employers may be prohibited from operating their business in Nebraska until workers’ compensation coverage is in place and the civil penalty paid.

In addition to the penalties assessed by the state of Nebraska, employers may be sued by the injured employee for damages resulting from their injury.

What happens when an employee is injured?

Any employee injured on the job is required to notify their employer as soon as possible. Employees should seek emergency care when necessary and inform the medical provider that the injury is work-related.

Once an employer has been given notification of the injury, they will need to file a First Report of Alleged Occupational Injury or Illness with the court within ten days of the notice of injury. Employees have up to two years to file a workers’ compensation claim from the date of the original injury or illness.

The employer is also responsible for telling the employee about their right to choose a doctor for treatment, and must provide their employee with Form 50, Choice of Doctor, giving them a reasonable amount of time to complete and return the form.

Can an employee use their own physician for a work-related injury?

In Nebraska, an employer must notify the employee about their right to choose the doctor they wish to treat their injury or illness. Employees must fill out Form 50 – Choice of Doctor to inform their employer about their choice of doctor. The employer is responsible for providing Form 50 to any employee who has notified them about a work-related injury or illness. The doctor chosen by the employee must have treated the employee or a family member in the past. If the employee does not have a doctor, the employer will choose the doctor. Once a treating physician has been chosen, whether by the employee or the employer, the doctor cannot be changed without prior written approval or by court order.

More resources for Nebraska employers

For more information, contact the Nebraska Workers’ Compensation Court via email or call 800-599-5155. In addition, mores resources from the state are listed below.

• Nebraska Workers Compensation Court Statutes and Rules 
• Nebraska employee FAQs
• Nebraska employer FAQs
• Forms and publications