Coordinación de Beneficios de Compensación Laboral y Salud

Explicación Simple

Si alguien tiene un accidente y recibe dinero de la compensación laboral, esa cantidad se resta de otros beneficios que pueda recibir. Esto significa que no puedes recibir más dinero del que realmente necesitas para cubrir tus gastos.

Es como cuando haces una cena y decides usar las sobras de otra comida. Si ya tienes suficiente comida, no necesitas cocinar más, así que solo usas lo que tienes.

Ejemplo Práctico

Imagina que Juan tiene un accidente en su trabajo y recibe $5,000 de compensación laboral. Luego, también solicita beneficios de salud que suman otros $3,000. Según la ley, solo podrá recibir la diferencia si se le considera que necesita más ayuda, pero no podrá juntar los dos montos para recibir un total mayor.

Texto Original del Estatuto (Inglés)

75 Pa.C.S. 1755 - Coordination Of Benefits (a) Workers' compensation.--All benefits (less reasonably incurred collection costs) that an eligible claimant receives or is entitled to receive from workers' compensation and from any other like source under local, state or Federal law shall be subtracted from any benefits available in section 1753 (relating to benefits available) unless the law authorizing or providing for those benefits makes them excess or secondary to the benefits in accordance with this subchapter. (b) Accident and health benefits.--All benefits an eligible claimant receives or is entitled to receive as a result of injury from any available source of accident and health benefits shall be subtracted from those benefits available in section 1753. (Feb. 12, 1984, P.L.53, No.12, eff. Oct. 1, 1984) 75 Pa.C.S. 1756 - Subrogation The Assigned Claims Plan or its assignee is entitled to recover, in accordance with the tort liability law of this Commonwealth, reimbursement for benefits or coverages paid, loss adjustment costs and any other sums paid to an eligible claimant under this subchapter. (Feb. 12, 1984, P.L.53, No.12, eff. Oct. 1, 1984) 75 Pa.C.S. 1757 - Statute Of Limitations (a) General rule.--An action by an eligible claimant to recover benefits or coverages from the Assigned Claims Plan shall be commenced within four years from the date of the accident. (b) Minors.--For minors entitled to benefits described in section 1753 (relating to benefits available) or 1754 (relating to additional coverage), an action to recover these benefits or coverages shall be commenced within four years from the date on which the injured minor attains 18 years of age. (Feb. 12, 1984, P.L.53, No.12, eff. Oct. 1, 1984)