Practice question

Which circumstance will typically NOT result in coverage under a standard Workers’ Compensation policy?

  1. Injuries sustained on the job
  2. Illness due to workplace conditions
  3. Injuries occurring during lunch breaks
  4. Injuries due to horseplay at work

Answer: D — Injuries due to horseplay at work

In the context of a standard Workers' Compensation policy, injuries sustained during horseplay at work are generally not covered. This is because Workers' Compensation is designed to cover injuries that arise out of and in the course of employment, which excludes injuries that occur due to reckless behavior, such as horseplay. The purpose of the policy is to protect employees in situations that are directly related to their work duties; however, engaging in horseplay is considered a deviation from an employee's work responsibilities. In contrast, injuries sustained on the job, illnesses due to workplace conditions, and injuries occurring during lunch breaks may fall within the scope of coverage depending on specific situations and state laws. For example, an injury occurring during a lunch break can be covered if it happens on the employer's premises or is part of an employee's work duties. Similarly, illness due to workplace conditions is recognized as a valid claim under Workers' Compensation, as it is directly related to the employee's work environment.

Practice more: New York Independent Adjuster, Motor Vehicle No‑Fault and Workers’ Compensation Health Services Adjuster (Series 17-72) Practice Test →