Pennsylvania Workers’ Compensation eligibility is determined by whether an injuryarose out of and occurred in the course of employment. To establish this connection, several factors are evaluated, including thecircumstances of the injury, thetime of occurrence, and theplace of occurrence. These elements help determine whether the injury is work-related and therefore compensable.
Pennsylvania Workers’ Compensation guidelines make it clear that theseverity of the injury is not a factorin determining eligibility. Even minor injuries may qualify for coverage if they are work-related, while severe injuries may be denied if they do not arise from employment activities. This reflects the no-fault nature of Workers’ Compensation, which focuses on work connection rather than injury magnitude or employee fault.
Insurance licensing study materials approved in Pennsylvania consistently reinforce that Workers’ Compensation benefits are triggered by eligibility, not by how serious the injury is. Medical treatment, wage replacement, and disability benefits are provided once eligibility is established, regardless of severity.
Thus, under Pennsylvania Life, Accident, and Health Insurance standards, the correct and verified answer isseverity of injury.
