Nevada Workers’ Compensation: How Workers’ Compensation Works in Nevada

Written by
Friedman and Throop
A person talking to a legal team about nevada workers compensation after an accident in the workplace

Workers’ compensation in Nevada is a state-mandated insurance program designed to provide medical benefits and wage replacement for employees injured or made ill while working. It exists to protect both workers and employers: workers receive essential care and compensation, while employers are shielded from potential lawsuits related to workplace injuries.

This system helps a wide range of workers from those injured in accidents to employees facing long-term health conditions caused by their jobs. For business owners, it offers legal protection by limiting liability for work-related injuries.

At Friedman and Throop, we can help you navigate Nevada workers comp laws and ensure you understand the claim process, from filing to securing benefits. Check out our Nevada workers’ compensation guide below to learn more.

How Nevada Workers’ Compensation Works

For Business Owners

Why It’s Needed
Workers’ compensation insurance is essential for protecting your business and employees. It ensures that workers injured on the job receive necessary medical care, wage replacement, and other benefits, while protecting you from costly lawsuits related to workplace accidents.

Is It Required?
Yes, Nevada workers’ comp laws mandate that nearly all businesses with employees carry workers’ compensation insurance. Failure to comply can result in hefty fines and penalties.

Who Does It Protect?
Workers’ compensation protects your employees by covering medical expenses and lost wages in case of a work-related injury or illness. It also shields you as an employer from personal liability for these injuries, thanks to Nevada’s exclusive remedy provision.

How Do You Get It?
To obtain workers’ compensation insurance in Nevada, business owners can purchase coverage from a private insurance provider. It’s important to work with a reliable company to ensure your business complies with state regulations.

Processes
Once you secure workers’ compensation insurance, the process involves filing a claim with your insurance provider whenever an employee is injured or falls ill due to work. This insurance covers medical treatment, rehabilitation, and compensation for lost wages. 

In the event of a workplace injury, you must provide Form C-1 and Form C-4 for employee use. Your employee is required to file this incident report detailing what occurred within 7 days of the incident. Employers must also report     

If your employee requires medical treatment, they must seek care within 90 days of the incident and fill out their portion of Form C-4. The medical provider will fill out the rest of the form documenting the employee’s injuries and send it to you and your insurer. If this form is not completed, your employee has not started a workers’ compensation claim. 

After receipt of this medical report, employers have six working days to submit Form C-3 Employer’s Report of Industrial Injury or Occupational Disease. Once all parties have submitted these forms, insurance will either deny or accept the claim within 30 days.

Who Is Exempt From Workers’ Comp In Nevada?

While most businesses are required to have workers’ compensation insurance, there are exemptions. Certain employees, such as those working on a temporary basis, employees working in interstate commerce, and small-scale casual laborers, may not be required to be covered.

Benefits
Nevada’s workers’ comp insurance provides critical benefits, including:

  • Coverage for medical expenses
  • Partial wage replacement for injured workers
  • Rehabilitation costs
  • Permanent disability benefits
  • Dependent benefits if the worker passes away

Costs
The cost of workers’ compensation insurance varies based on factors like industry, the size of your business, and the claims history. Businesses can expect to pay an average of $906 per year, but rates differ depending on your risk profile.


For Workers

Why It’s Needed
Workers’ compensation is crucial for ensuring workers receive timely and adequate care and compensation after workplace injuries or illnesses. It provides a safety net so you don’t have to face financial hardship while recovering from a work-related accident.

How Does Workers’ Comp Work In Nevada?
Workers’ compensation protects employees who suffer injuries or illnesses while performing their job duties.  This includes workers injured in accidents, those with repetitive stress injuries, and employees who develop health conditions due to workplace exposure.

Claim Process
To file a claim for workers’ compensation in Nevada, the first step is to report the injury or illness to your employer by filling out Form C-1 Notice of Injury or Occupational Disease within seven days. If medical treatment is required, it must be done within 90 days of the injury. Nevada workers’ comp law gives employers authorization to choose the medical provider that evaluates your injuries from the state-approved Panel of Treating Physicians and Chiropractors. Employees do have the right to request a different provider from the approved list within 90 days if they desire. 

Upon receiving medical care, you and your medical provider will need to fill out Form C-4 detailing the extent of your injuries within three days of treatment. Your medical provider will send this completed form to your employer and their insurance. Once this form has been completed, your official workers’ compensation claim has been started. 

Your employer is then required to complete Form C-3 Employer’s Report of Industrial Injury or Occupational Disease. Once these steps have been taken, the insurance company will review within 30 days and determine eligibility for benefits. 

If insurance denies your claim, you have 70 days to appeal the decision to a Hearing Officer at the Nevada State Hearings Division. You can learn more about how to file a workers comp claim and how a lawyer can help with filing or appealing a decision here

Deadlines for Reporting Workplace Injuries in Nevada

When navigating the Nevada workers’ compensation system, meeting deadlines is essential to avoid delays or denials. Nevada law requires employees to notify their employer of a workplace injury or illness within seven days of the incident or when they became aware of the injury, as outlined in NRS 616C.015. Prompt reporting (ideally on the same day) helps ensure the process moves smoothly.

In addition to notifying your employer, employees must file their workers’ compensation claim within 90 days with the insurance company, as mandated by NRS 616C.020. Missing this critical deadline can result in claim denial or significant delays. 

Filing a claim also involves completing specific C-forms, which can be accessed through the Nevada Division of Industrial Relations (DIR) website. While these deadlines may seem straightforward, challenges such as delayed symptom onset or misunderstandings about the process can arise. Acting quickly and accurately can make all the difference in securing the benefits you deserve.

Exemptions
Certain workers may not be covered by workers’ compensation in Nevada including:

  • Temporary employees who are already covered by another state’s insurance.
  • Workers in interstate commerce who aren’t subject to Nevada’s laws.
  • Casual laborers working less than 20 days or earning under $500 in total.

Benefits
Nevada workers’ compensation offers various benefits to workers including:

  • Medical treatment and care
  • Compensation for lost wages during recovery
  • Rehabilitation services
  • Permanent disability benefits if the worker cannot return to their previous job
  • Death benefits for dependents if the worker dies due to a workplace injury

Typical Settlements
Settlements can vary based on the severity of the injury, but workers’ compensation claims typically result in lump-sum settlements.

When You Need A Lawyer After An Accident

After a workplace accident, navigating the workers’ comp claims process can be overwhelming. While many workers may think they can handle the claim themselves, there are situations where seeking legal advice from a trusted and competent legal team, like Friedman and Throop, is essential.

You should consider contacting a Nevada workers’ compensation lawyer if:

  • Your claim is denied or delayed.
  • You face disputes over the extent of your injuries or the benefits you’re entitled to.
  • Your employer or insurance company refuses to provide adequate coverage.
  • You need assistance in negotiating a fair settlement or dealing with appeals.
  • You are unsure of your rights or suspect third-party liability.

At Friedman and Throop, our experienced attorneys can guide you through the complex legal and insurance systems and make sure you receive the benefits you’re entitled to while protecting your interests.

For more detailed information on how a lawyer can assist with your workers’ comp claim, visit our article on What Does a Workers’ Comp Lawyer Do?.

Nevada Workers’ Compensation FAQs

Workers’ compensation is a no-fault insurance plan that guarantees payment and medical care to employees that have been injured or fallen ill on the job, and protection to employers that have coverage at the time of the event. This insurance is paid for by employers at no cost to the employee. Nevada state law mandates that all businesses with at least one employee must have workers’ compensation insurance. 

If an employer’s insurance provider determines that the injury or illness occurred on the job, that employee receives benefits including compensation for lost wages, medical care, rehabilitation services, permanent disability benefits if a return to their job is not possible, and death benefits for dependents. 

If insurance denies the claim or an employer disputes that the injury/illness is work-related, benefits are not received. Employees do have the right to appeal these claims within 70 days.

In Nevada, when an employee is injured or has fallen ill on the job, they are required to report the incident to their employer by filling out Form C-1 Notice of Injury or Occupational Disease within seven days of the incident. If an employee requires medical treatment, they must see a provider chosen by the employer from the state-approved Panel of Treating Physicians and Chiropractors within 90 days. The employee and medical provider will then need to fill out their portion of Form C-4. Once a medical provider completes this form documenting the extent of injuries, a copy is sent to the employer and their insurance company. Filing of this form marks the official start of a workers’ compensation claim. 

Once an employer receives Form C-4 from the medical provider, they have six working days to complete Form C-3 and submit it to their insurer. The insurance company will then examine the details and either accept or deny the claim within 30 days. If a claim is accepted, employers receive benefits like medical care and compensation for lost wages.

If a claim is denied, there is a 70-day period to file an appeal. If you are in the midst of a claim that has been denied, delayed, or undervalued, a workers’ compensation lawyer can help you fight for the full benefits you need.

There are several instances when employees are not eligible to receive workers’ comp. Nevada workers’ compensation laws do not permit benefits for the following: 

  • Injuries that occur outside the scope of employment. This means injuries that happen when you’re off the clock (i.e. unpaid lunch break, commuting, personal time).
  • Intentional injuries that are self-inflicted 
  • Injuries that occur due to engagement in illegal activities at work
  • Injuries that occur due to alcohol or drug use
  • Injuries that occur as a result of violating company policy or procedures 
  • Injuries that are not reported within the specified timeframe to be eligible to receive benefits 
  • Injuries that only require first aid care 

There are a few categories of workers that are exempt from receiving workers’ compensation in Nevada. This includes: 

  • Any person whose employment is casual (no more than 20 days of work and total labor cost less than $500).
  • Any person engaged as a theatrical/stage performer 
  • Any person that performs services as a sports official (referee, umpire, judge, scorekeeper, etc.)  for a nominal fee and is sponsored by a public entity, public agency, or non-profit organization.
  • Musicians hired for occasional short-term work (no more than two consecutive days and not for the same employer).
  • Any person engaged in farm, dairy, agricultural or horticultural labor, household domestic service, or raising stock and poultry. 
  • Any volunteer ski patroller that does not receive compensation for services other than lodging, meals, or use of ski tow and lift facilities. 
  • Real estate brokers 
  • Any clergy, rabbi, lay reader, or any person in a similar position of any religion.
  • Any person who directly sells or solicits the sale of products by phone or in-person (on the basis of a deposit or commission) to another person from their home or any place other than a retail store. 
  • Any person that provides services under contract that states they are not an employee 

An impairment rating (or permanent partial disability rating) is a medical assessment that measures the extent of a worker’s permanent injury after reaching maximum medical improvement (MMI). This rating is a percentage and is used to determine the amount of permanent disability benefits an injured employee can receive. Impairment ratings are only assigned by medical providers in cases where workers are facing permanent partial disability (PPD) not temporary disabilities. This rating is used by insurance companies to determine the length of time you’ll receive workers’ comp benefits and how much you’ll receive. In some circumstances, an impairment rating may not accurately reflect the injuries you’ve sustained. If you believe you’ve received a PPD rating that does not reflect the extent of your injuries, a Nevada workers’ compensation lawyer can help you challenge this rating and fight for your maximum benefits.

If a medical professional gives you a 5% impairment rating after you’ve reached maximum medical improvement, this means that your work-related injury has permanently impaired 5% of your whole body’s ability to function and earn a living.


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