Grant Pelham Is Covered by Both a Workers' Compensation Program

question 75

Multiple Choice

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both programs. Mr. Grant was injured while on the job and applied for benefits. Because Mr. Pelham was injured on the job, he is entitled to receive benefits through workers' compensation. Under the terms of the state-mandated exclusive remedy doctrine included in the workers' compensation agreement, Mr. Pelham will most likely be prohibited from

• A) Receiving workers' compensation benefits unless he can show that the employer was at fault for his injury
• B) Obtaining care from providers who are not members of a workers' compensation network
• C) Suing his employer for additional benefits
• D) Claiming benefits from both workers' compensation and his group health plan

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Definitions:

Good Data

High-quality, accurate, and reliable information that is collected and analyzed according to rigorous standards, often used for decision making and research.

Ethnography

Ethnography is a qualitative research method used in social sciences, particularly anthropology, where researchers immerse themselves in a community to observe and document its cultural practices.

Commercial Purposes

Pertains to activities or endeavors undertaken with the intention of generating profit or financial gain.

Heisenberg Uncertainty Principle

A fundamental theory in quantum mechanics that states it is impossible to simultaneously know both the exact position and exact velocity of a particle.