Following are common coverage questions the Trust has received from members. Every situation has different facts and must be evaluated individually. 如果你觉得你可以申请的话, please submit it to the 明尼苏达城市联盟 保险信托 so we can determine whether coverage applies. Keep in mind, these guidelines only apply to organizations that are covered by the Trust. 如果您在其他地方投保，请咨询您的承运商.
Q1.What is the new state law that provides a presumption for COVID-19 workers’ compensation claims? Which employees are covered by it, and what coverage is provided under the presumption? (2021年5月4日更新)
Q3. 如果一个员工，除了那些列在 回答1 above、合同COVID-19? 他们是否有资格认定2019冠状病毒病? (2020年4月21日更新)
Q1. What is the new state law that provides a presumption for COVID-19 workers’ compensation claims? Which employees are covered by it, and what coverage is provided under the presumption?
- 护士或卫生保健工作者, 惩教官, or security counselors employed by the state or a political subdivision at a corrections, 拘留, 或安全的处理设施.
- 卫生保健提供者, 护士, 或在医疗保健机构工作的辅助人员, 家庭护理, 或者长期护理环境, “with direct COVID-19 patient care or ancillary work in COVID-19 patient units.”
- Workers required to provide child care to first responders and health care workers under previously issued executive orders.
这一假设将于12月12日到期. 31, 2021. 在那之前，它提供 员工福利保障 对于感染COVID-19的人(见 问题5 for more information about contracting versus being exposed to COVID-19), and it is only rebuttable if the employer can show the employment “was not a direct cause of the disease.” The COVID-19 diagnosis must be confirmed by a positive laboratory test or, 如果该员工无法进行实验室测试, “as diagnosed and documented by the employee’s licensed physician, 注册医生的助手, 或有执照的高级实习注册护士, 根据员工的症状.”
If an employee or volunteer works in one of the occupations noted above and contracts COVID-19, 市澳门唯一正规官方网站应该提交一份 第一次受伤报告 并提交给信托. 报告的目的, it is required by law that all types of employees and volunteers obtain a written copy of the document showing their positive test results and provide a copy to their employer. This does not have to be included with the 第一次受伤报告.
A2. The date of injury for an individual who has contracted COVID-19 is the date that person was unable to work either 1) due to a diagnosis of COVID-19, 或2)由于后来被诊断为COVID-19的症状. 先发生的日期被认为是受伤的日期.
Q3. 如果一个员工，除了那些列在 回答1、合同COVID-19? 他们是否有资格认定2019冠状病毒病?
A3. Other types of employees can still make a claim for an occupational disease or personal injury, even though they are not entitled to the COVID-19 presumption. If an employee contracts COVID-19 and reports it as a work-related 曝光, 市澳门唯一正规官方网站应该提交一份 第一次受伤报告 并提交给信托. The Trust will evaluate the claim and determine whether it’s compensable under state law.
Emergency response volunteers and paid on-call emergency volunteers not listed in 回答1 above are considered employees for purposes of workers’ compensation. They are included in the city’s workers’ compensation coverage, as long as they are registered with and under the direction and control of the city. 如果这些人受伤或感染COVID-19, whether it’s while responding to a COVID-19 emergency or not, 工人补偿会有所回应. 报告的目的, it is required by law that all employees and volunteers obtain a written copy of the document showing their positive test results and provide a copy to their employer. This does not have to be included with the 第一次受伤报告.
Q4. If our city enlists the help of other types of volunteers to assist with a COVID-19 emergency, are they covered if they are injured or contract COVID-19 while working?
A4. Other volunteers — those not considered emergency response volunteers, 比如那些公园和娱乐项目的志愿者, 上门送餐服务, and adult friendship programs — that are injured while performing services for the city are protected under the 志愿者事故报道 provided to all members of the Trust’s workers’ compensation program. 而福利则更为有限, some protection for city volunteers is available on a no-fault basis. 市澳门唯一正规官方网站应该提出申请 志愿者事故形式 并提交给信托.
Q5. 如果是员工或应急志愿者, 包括COVID-19假设涵盖的范围(见问题1), 不会感染COVID-19, 但只暴露于COVID-19, 有工伤保险吗?
A5. Workers’ compensation only applies to injuries and diseases that arise out of work. 没有保险 曝光 根据明尼苏达州的工人补偿法. 如果某个个人由于 曝光在美国，工人赔偿范围将不适用.
在州长的 紧急行政命令20-05, financial assistance is available for some people who are required to self-quarantine or isolate because of 曝光 to COVID-19. 根据 明尼苏达州就业和经济发展部, a person who works in a position covered by unemployment insurance may be entitled to unemployment compensation if their employer requires they self-quarantine or a health care professional advises they do so, and they are not receiving paid leave equivalent to their normal rate of pay. 这也适用于应急志愿人员(见 回答3 为定义)谁也被雇用在一个覆盖的职位.
A6. Non-emergency employees, emergency employees, and emergency response volunteers are eligible for 员工福利保障. 所有这些人都有资格获得必要的, 合理的, and related workers’ compensation medical benefits and indemnity benefits (or lost time benefits or wage replacement).
关于应急志愿者, if they’re unable to work in their normal occupation because they contracted COVID-19 while volunteering for the city, indemnity benefits are calculated as follows: If the volunteer only receives an expense reimbursement from the city, indemnity benefits are based on the greater of their regular employment earnings or an imputed full-time wage for a similar position. 如果志愿者从市澳门唯一正规官方网站得到工资, benefits are based on the total wage plus the volunteer’s regular employment earnings.
A7. 是的, it is beneficial for cities to track because the payroll allocated to paid furloughed employees during the COVID-19 pandemic will be excluded on the payroll audit for all new, 更新, 和杰出的政策, 3月1日或以后生效, 2020. Read more about tracking furloughed employees for work comp premium purposes.
Q8. If a city shuts down a city building due to COVID-19 voluntarily or involuntarily, 信托是否为收入损失提供保险?
A8. “Loss of revenue” coverage is not available when a city building is 关闭d for this reason. This type of coverage only applies when there is the necessary suspension of 操作s caused by direct physical loss or damage to covered property.
A9. 是的,可能. There is coverage for organic pathogen cleanup expenses necessary to prevent the spread of an outbreak, 疫情, or pandemic as long as it is either: 1) a disease for which federal isolation and quarantine is authorized by an executive order of the president; or 2) defined by the U.S. Department of Health and Human Services as a communicable disease of public health significance. Since federal isolation and quarantine for COVID-19 is authorized by an executive order, 如果在被覆盖的属性中或上面检测到它, there may be coverage available for your expenses to clean up, 减弱, 或者将其从覆盖的财产中移除. This coverage is only applicable for policies renewing prior to Nov. 15, 2020.
Q10. Is there coverage for expenses related to the proactive sanitation of city buildings or vehicles?
A10. The Trust does not provide reimbursement for these kinds of expenses.
A11. 信托不提供活动取消保险, but insurance may be available through another insurance provider. This coverage usually needs to be purchased well in advance of the event.
A12. Volunteers are covered parties under the city’s liability coverage as long as they are acting on behalf of the city and subject to the city’s direction and control.
A13. The Trust offers extraordinary expense coverage for unforeseeable events that are unanticipated, necessary to protect public health and safety or fulfill legal obligations and not otherwise covered. 预付款必须在五年内还清. There are guidelines, restrictions, and details for this coverage. 详情请联络我们.
Q14. Is the city liable if someone contracts COVID-19 while in a city facility or participating in a city program?
A14. 这是有可能的, 但是不太可能, given other potential sources of infection associated with the community spread of COVID-19. 如果这个城市不能免于责任, an injured person would need to prove the city’s negligence caused the injury. 实际上, it would probably be difficult for the person to prove where he or she contracted the virus. But even if the person can show the virus was contracted in a city facility or while participating in a city program, 但这并不意味着市澳门唯一正规官方网站负有责任. 对疏忽索赔进行辩护, that city can show the steps it took to keep facilities safe and prevent the spread of COVID-19. 这个城市应该把它所采取的行动以书面形式记录下来. 最终, the risk of liability to a city is relatively low if it is following the guidance of state and federal officials.
A15. 是的. LMCIT provides coverage for claims resulting from organic pathogens. A virus such as COVID-19 is considered an organic pathogen under the city’s limited contamination liability claim coverage. 然而, there is an annual aggregate (the maximum amount LMCIT will pay out on behalf of the city during the one-year policy period) that applies for claims covered under this coverage. 11月11日之前的展期. 2020年15日，年度总限额为300万美元. 11月11日续展. 15, 2020, 之后,, 每年的总限额是250美元,000美元，现在包括在限额内的国防费用. 然而, LMCIT does exclude bodily injury and personal injury damages arising out of the city’s ownership, 操作, 或维持医疗, 养老院, 和有执照的日托设施.
Q16. Should a 第一次受伤报告 be filed if an employee was exposed to COVID-19 (and therefore potentially quarantined), 但并没有真正感染COVID-19?
A16. No, a 第一次受伤报告 should only be filed if there is a confirmed COVID-19 diagnosis. Exposure to COVID-19 is not covered under workers’ compensation. There must be a confirmed COVID-19 diagnosis for it to be considered by workers’ compensation.