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Term
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Definition
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Family Medical Leave Act (FMLA)
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federal statute that protects a worker's job during certain family member illnesses
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Federal Coal Mine Health and Safety Act of 1969 (Coal Act)
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national program enacted to address shortcomings in state WC approaches to coal miner’s injuries and occupational diseases; included both an inspection component (like OSHA) and a limited benefits program
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Federal Coal Mine Health and Safety Act Coverage Endorsement
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endorsement to WC policy that provides coverage for the Federal Coal Mine Health and Safety Act
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Federal Employees Compensation Act (FECA)
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federal statute providing WC benefits to civilian federal government employees – the U.S. government funds and administers FECA through the Office of Workers Compensation (OWCP), so no private insurers are involved
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Federal Employers Liability Act (FELA)
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federal statute that predates state WC statutes and applies to railroad workers only – cases are decided on the basis of employer liability under common law, not a WC no-fault scheme
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Federal Employers Liability Act Coverage Endorsement
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endorsement to WC policy that provides coverage for the Federal Employers Liability Act
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fellow servant rule
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common-law defense used by employers before WC laws were passed -- if an employee was injured due to the carelessness of a fellow employee, the fellow worker was responsible, not the employer
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fighting
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for WC, fights between employees cause various compensability issues
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final premium
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determined after the policy period ends; the premium shown on the information page is an estimated premium
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fixed costs
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for underwriting purposes, costs not affected by the amount of losses
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first named insured
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when a WC policy contains more than one named insured entity, the first one is responsible for paying the premium and also represents all insureds in some other matters
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first report of injury (FROI)
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state-specific form required to be sent to the claim administrator and, in some cases, the state when a worker alleges a work-related injury, illness, or disease
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flat dividend plan
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same as standard dividend plan
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FMLA
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see Family Medical Leave Act (FMLA)
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foreign national
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for WC, a person from the U.S. who temporarily resides outside of the U.S. during a work assignment
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foreign voluntary coverage endorsement
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extension of WC coverage to a foreign national
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formula reserves
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reserves based on some formula rather than the outcome of a single claim based on the facts of that specific claim (sometimes called actuarial reserves)
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forum shopping
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slang term for the tendency of 1) some injured workers to choose the most generous state in which to file a WC claim, or 2) some employers to try to force the claim to the least generous state-- in some instances, more than one state is willing to accept the claim
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fronted program
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insurance that includes a fronting arrangement
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fronting
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same as fronting arrangement
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fronting arrangement
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contractual arrangement where an insurer writes coverage for an entity (either an employer or another insurer) that, in turn, reinsures substantially all of the exposure
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