Risk Management Definitions

Definitions

Administrative Violation means a violation of the Texas Workers' Compensation Act or a rule adopted under the Act that is subject to penalties and sanctions as provided in the Act. Fines range from $500 to $10,000 per violation.

Benefit means a benefit received based on a compensable injury. The term includes a medical benefit, income benefit, and a death or burial benefit.

Commission means the Texas Workers' Compensation Commission.

Compensable Injury means an injury that arises out of, and in the course and scope of, employment for which compensation is payable under the Texas Workers' Compensation Act.

Course and Scope of Employment means an activity of any kind or character that has to do with and originates in the work, business, trade, or profession of the employer and that is performed by an employee while engaged in or about the furtherance of the affairs or business of the employer.

Disability is the inability to obtain and retain employment as a result of a compensable injury.

Health Care includes all reasonable and necessary medical aid, medical examinations, medical treatments, medical diagnoses, medical evaluations, and medical services. The term does not include vocational rehabilitation.

Injury means damage or harm to the physical structure of the body and those diseases or infections naturally resulting from the damage or harm. The term also includes occupational diseases.

Occupational Disease means a disease arising out of and in the course of employment that causes damage or harm to the physical structure of the body. The term includes other diseases or infections that naturally result from the work related disease. The term does not include an ordinary disease of life to which the general public is exposed outside of employment, unless that disease is an incident to a compensable injury or occupational disease. The term includes repetitive trauma injuries.

Repetitive Trauma Injury means damage or harm to the physical structure of the body occurring as the result of repetitious, physically traumatic activities that occur over time and arise out of, and in the course and scope of, employment.

Wages include every form of remuneration payable for a given period to an employee for personal services. The term includes the market value of board, lodging, laundry, fuel, and any other advantage that can be estimated in money which the employee receives from the employer as part of the employee's remuneration.