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      Working in Two States

      Workers' Compensation When the Injury Happens Away

      Unlike unemployment insurance, workers' compensation does not insist on a single state. Several can cover the same injury on different bases, the worker may have a choice, and the employer's policy may not follow the employee across the line.

      Working in Two States7 min readAcross state linesWorkers' compensation coverage

      Etowah River Park bridge over the Etowah River, Canton Georgia
      One injury, and potentially more than one system. — John Phelan, CC BY 4.0, source.

      The rule in short

      States assert workers' compensation jurisdiction on several alternative bases: where the injury occurred, where the employment contract was made, where the employment is principally localized, and where the worker resides. More than one can apply to a single injury, and a worker may be able to claim in whichever offers better benefits, subject to credit for amounts already received.

      Unemployment insurance solves the multi-state problem by assigning each worker to exactly one state. Workers' compensation does the opposite: it allows several states to have jurisdiction over the same injury, gives the worker a degree of choice between them, and leaves the employer to make sure its insurance matches wherever the claim lands.

      The bases for jurisdiction

      Where the injury occurred. The most intuitive basis and the one nearly every state asserts. An employee injured in a state generally may claim there.

      Where the contract of hire was made. Many states cover employees hired within the state regardless of where they are working when injured, which produces coverage for a worker sent out of state on a project.

      Where the employment is principally localized. A state in which the employer has a place of business and the employee regularly works, or from which the employee works.

      Where the employee resides. A smaller number of states extend coverage on residence, generally in combination with another connection.

      Extraterritorial provisions. Most states extend their own coverage to employees temporarily working elsewhere, typically for a defined period, which is what allows a business trip to remain covered by the home state.

      What the choice is worth

      Benefit levels differ substantially. Weekly maximums, the proportion of wages replaced and the duration of benefits vary widely, and the difference over a long disability is large.

      Medical control differs. Some states let the employer or insurer direct treatment; others give the employee the choice of physician. For a serious injury this can matter more than the money.

      Permanent disability is scheduled differently. States use different schedules and different methods for rating impairment, producing materially different awards for identical injuries.

      Settlement practice differs. Some states permit full and final settlements closing future medical care; others restrict them. A worker's long-term position can turn on which regime applies.

      Credit prevents double recovery. Where a claim is pursued in a second state, benefits already received are credited, so the practical question is which system produces the better overall outcome rather than whether both can be collected.

      ConnectionUsually enough for a claimNote
      Injury occurred in the stateYesThe most direct basis
      Employment contract made thereOftenA common alternative basis
      Employment principally localized thereOftenEven if injured elsewhere
      Worker resides thereSometimesRarely on its own
      Employer has an office thereSometimesDepends on the connection to the work

      The employer's insurance problem

      Coverage is listed state by state. A policy names the states for which the insurer provides statutory benefits. A state not named is not covered, and the employer faces the claim directly.

      Some states require an admitted insurer. An out-of-state policy, however well drafted, does not satisfy a state requiring coverage from an insurer admitted there.

      A few states are monopolistic. Coverage must be purchased from a state fund, and private policies do not satisfy the requirement at all.

      Reciprocal exemptions have conditions. Where an employer relies on a home-state extraterritorial provision to avoid local coverage, the host state must grant a reciprocal exemption and the conditions — usually a time limit and a notification — must be met.

      The penalty is not only the claim. Failing to carry required coverage typically attracts per-day penalties and, in several states, removes the exclusive-remedy protection that limits an employer's exposure, allowing the employee to sue in tort instead. That is the largest single risk in the registration checklist described in when an employer must register in a second state.

      More than one state may accept a claim, and benefits differ sharply

      Where two states both have a basis, the worker generally has a choice, and the schedules, durations and medical control rules are not comparable between them. Credit provisions prevent double recovery, so the practical question is which system to claim in first — a decision worth making deliberately rather than by whichever form arrives.

      Practical steps

      For employers: tell the broker before the hire or the trip. Adding a state to a policy in advance is routine. Doing it after an injury is not possible.

      And check whether the destination is monopolistic. This is a short list and it is worth knowing, because the usual solution does not work there.

      For workers: report the injury immediately, wherever it happened. Reporting deadlines are short in every state, and a late report is the most common reason a valid claim fails.

      And establish which states have jurisdiction before filing. The choice is generally available only at the outset, and filing in the nearest office forecloses a better option.

      Keep the employment facts. Where the contract was made, where the employer has premises, where the work is usually done and where the injury occurred. Those four facts decide jurisdiction, and they are also the facts that decide the unemployment assignment in which state pays an unemployment claim and the wage entitlements in whose wage and hour law covers a remote worker.

      Remote work has made this area considerably harder in a way that the statutes never contemplated. A workers' compensation system built around premises, shifts and supervisors now has to answer questions about an employee who slipped on their own stairs between a video call and a kitchen. Most states have concluded that an injury at home can be compensable where it arises out of and in the course of employment, which turns on what the person was doing rather than where the walls were. That is a workable test and it produces genuinely contested cases: the same fall is compensable if the employee was carrying work equipment and not if they were making lunch.

      The practical consequences fall on both sides. Employers cannot inspect a home workplace in the way they would inspect a site, and several states have responded by encouraging or requiring written home-work arrangements defining a designated work area and working hours. Those documents are not bureaucratic decoration; they are frequently the only evidence about the scope of employment when a claim is made. Employees, correspondingly, should report a home injury exactly as they would report one on premises, immediately and in writing, because the instinct to treat a domestic setting as a private matter is what causes late reports and denied claims.

      The broader point is that the multi-state structure and the remote-work question compound each other. An employee hired in one state, working from home in a second, injured while traveling through a third, presents three plausible jurisdictions and an insurance policy that may name only one of them. None of that is exotic any longer, and an employer whose coverage was arranged before the workforce dispersed should assume it needs revisiting rather than assume it has kept pace. A single conversation with a broker, listing every state where an employee currently sits, resolves in an afternoon what an uncovered claim resolves over years.

      One further category deserves mention because it sits outside the state system entirely. Certain occupations are covered by federal compensation schemes rather than by state law: maritime workers on navigable waters and adjoining areas, federal employees, coal miners with specified conditions, and workers on the outer continental shelf. Where one of those applies, the state analysis in this article is largely beside the point, and a claim filed in the wrong system can miss a deadline in the right one. The overlap is not always obvious — a repair worker on a dock, a contractor on a federal site — which is why the first question in any unusual case is which system governs rather than which state.

      Points to carry away

      • Several states may have jurisdiction over the same injury on different bases.
      • A worker may be able to choose between them, subject to credit for benefits already paid.
      • Benefit levels, medical control and duration differ substantially between states.
      • An out-of-state policy may not satisfy the state where the claim is brought.
      • Some states operate monopolistic funds where coverage must be bought from the state.

      Questions readers ask

      Can a worker really claim in more than one state?

      A worker can often bring a claim in more than one state that has jurisdiction, though they cannot recover twice for the same injury. The usual mechanism is that the second state's award is reduced by benefits already received under the first. Because benefit levels, medical treatment control and permanent disability schedules differ substantially, the choice of state can be worth a great deal, and a worker injured while traveling should establish which states have jurisdiction before filing rather than defaulting to whichever office is nearest.

      What is an extraterritorial provision?

      A provision in a state's workers' compensation statute extending its coverage to employees temporarily working outside the state, usually for a limited period and where the employment is principally localized in the state. Most states have one. Their reciprocal counterpart is an exemption relieving out-of-state employers of the obligation to obtain local coverage where their home state's law applies and that state grants a reciprocal exemption. Whether the pairing works depends on both states, which is why it has to be checked in both directions rather than assumed.

      Why might an employer's existing policy not cover an out-of-state injury?

      Because coverage is state-specific in a way that other insurance is not. A policy lists the states in which the insurer has agreed to provide statutory benefits, and a state not listed is not covered. Several states also require the policy be written by an insurer admitted there, and a few operate monopolistic funds where private policies are not permitted at all. An employer that adds an employee in a new state without telling its broker has usually created a gap, and the gap appears at the moment of an injury.

      Sources

      1. U.S. Department of Labor — Office of Workers' Compensation Programsdol.gov
      2. U.S. Department of Labor — State Workers' Compensation Officialsdol.gov
      3. 33 U.S.C. § 901 et seq. — Longshore and Harbor Workers' Compensation Actlaw.cornell.edu
      4. 20 CFR Part 702 — Longshore administration and procedurelaw.cornell.edu
      5. Legal Information Institute — Workers' Compensationlaw.cornell.edu
      6. National Council on Compensation Insurance — About NCCIncci.com

      Right Way Review is a publication, not a law firm. This article states general rules and cites its sources; it is not advice about any particular case, and the law differs by state and changes over time.

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