| Lead was |
Injury Caused Due to |
Category |
Notes |
| At a Casino |
Sitting on a broken chair at the casino |
Others |
|
| Employed at a casino |
Sitting on a broken chair at the casino |
Workers Compensation |
|
| On a Bicycle |
Hit by a Car |
Car Accident |
|
| On a Bicycle |
Hit by 18 Wheeler/Semi/Commercial Truck/Dump Truck |
Trucking Accident |
|
| On a Bicycle |
Hit by a Car (Hit & Run) |
Bicycle Accident |
|
| On a Bicycle |
Hit by a Truck (Hit & Run) |
Bicycle Accident |
|
| Passenger in a car |
Driver of the vehicle 'intentionally' hitting a tree |
Others |
|
| Passenger in a car |
Drivers car mal functioned |
Car Accident |
|
| Driving a car |
Hit by an 18 wheeler truck |
Trucking accident |
|
| Driving a car |
Hit by a tractor trailer |
Trucking accident |
|
| Driving a car at work |
Hit by a car |
Workers Compensation |
|
| Driving a car at work |
Other car hit the victims car deliberately |
Workers Compensation |
|
| Driving a car at work |
Other car hit the victims car deliberately |
Workers Compensation |
|
| Customer At a Store |
Got cuts on fingers while holding Handrail |
Others |
This scenario should be submitted under others category & not PI |
| Employee of the store |
Got cuts on fingers while holding Handrail |
Workers Compensation |
Agent must ask if the lead is eligible for Workers' comp benefits under the store policy. If lead does not qualify for Worker's comp the lead should be submitted under 'Others' category. |
| Customer At a Store |
Slip & fall due to wet floor |
PI- Slip & Fall |
This scenario should be submitted under PI & not Others category |
| A pedestrian |
Hit by a car ( Hit & Run) |
MVA- Car Accident |
The other car driver was not identified |
| A pedestrian |
Hit by a car |
MVA- Car Accident |
The car driver was identified |
| A pedestrian |
Hit by 18 Wheeler/Semi/Commercial Truck/Dump Truck |
Trucking Accident |
|
| A pedestrian |
Hit by a pick-up truck/utility vehicle |
MVA- Car Accident |
|
| Employee at a store |
Slip & fall due to wet floor |
Workers Compensation |
|
| Driver in a newly purchased car from a dealership |
Brake Failed/ steering wheel malfunctioned/faulty air bags |
PI Product Liability |
|
| Passenger in a car newly purchased from a dealership |
Brake Failed/ steering wheel malfunctioned/faulty air bags |
MVA- Car Accident |
|
| Working at construction site (employee) |
Heavy object fell on his head /inadequate safety gear |
Workers Compensation |
|
| Working at construction site (Independent contractor) |
Heavy object fell on his head /inadequate safety gear |
Others |
Agent must ask if the lead is eligible for Workers' comp benefits under the construction companny policy. If lead does not qualify for Worker's comp the lead should be submitted under the 'Others' category. |
| Passing through construction site having no signage |
Heavy object fell on his head |
PI- Construction accident |
|
| Driving a car |
The victim was shot while driving |
Others |
|
| Passenger in the car |
The driver assaulted the victim inside a car |
Others |
|
| Driving a car |
Passenger assaulted the victim |
Others |
|
| Riding a bike |
Hit by a car (At fault party was identified) |
MVA Car accident |
|
| Driving a Semi Truck |
Hit by a car |
MVA Trucking accident |
|
| Driving a car |
Hit by a Motor cycle |
MVA Car accident |
|
| Passenger in a Bus |
Hit by a car |
MVA Car accident |
|
| Driving a car |
Intentionally hit by other car, (other driver being under the influence of Alcohol) |
Others |
|
| Driving a car |
Hit by another car driven by someone under the influence of alcohol (Not intentional) |
MVA Car accident |
|
| At the hospital for a visit |
Assaulted by a patient inside the hospital |
Others |
|
| Employed at the Hospital |
Assaulted by a patient inside the hospital |
Workers Compensation |
|
| Passenger in a Bus |
Bus driver hit the other vehicle |
MVA -Car Accident |
|
| At a friends house |
The friends dog attacked & injured the victim |
PI Animal attack |
Such scenario should be taken under PI animal attack & not in others category |
| At a friends house |
Fell after her friend threw detergent on her face to prank her |
Others |
Leads friend purposely pranked her & so this situation should be taken under Others |
| Incarcerated |
Slip & fall incident/due to police officers brutality inside the jail/assauted by another inmate |
Others |
Any injury caused while the lead was incarcerated should be submitted under 'Others' |
| Correction officer/ prison guard (employed at the prison) |
Slip & fall incident/assaulted by an inmate |
Workers Compensation |
|
| Visting a family member who is incarcerated |
Slip & fall due to unsafe conditions, such as a slippery floor, poor maintenance |
PI-Slip & Fall |
|
| Visting a family member who is incarcerated |
Assaulted by an inmate |
Others |
|
| Passenger in an ambulance. |
The ambulance was in an accident involving another car |
MVA |
|
| Passenger in an ambulance. |
The ambulance was in a single vehicle accident due to reckless driving/negligence by the ambulance driver |
MVA |
|
| A pedestrian |
The lead was a pedestrian & was hit by an ambulance |
MVA |
|
| Being transported in an ambulance & was injured |
The EMT's did not secure the gurney/dropped the passenger while he was in the gurney |
Others |
|
| Driving an ambulance |
The ambulance was hit by a car/ truck |
Workers Compensation or MVA (To be identified by asking relevant probing questions) |
|
| On a Moped |
Hit by a car |
MVA Car accident |
|
| On a Moped |
Hit by a Car /Truck/Semi/18 Wheeler(Hit & Run) |
Bicycle Accident |
|
| Pedestrian/Driving a car/Passenger in a car |
Hit by a bus |
MVA- Trucking Accident |
|
| Child in a school bus |
Collision with car |
MVA- Car Accident |
|
| Child in a school bus |
Collision with bus/truck |
MVA-Trucking Accident |
|
| Child in a school bus |
Single vehicle accident |
PI - Transit Accident |
|
