Copyright

(c) 2010-2026 Jon L Gelman, All Rights Reserved.
Showing posts sorted by date for query insurance. Sort by relevance Show all posts
Showing posts sorted by date for query insurance. Sort by relevance Show all posts

Thursday, August 13, 2026

Coverage Without Employment

How states are severing injury benefits from employee status, and what that means for claims. Updating and superseding "Reshaping Workers' Compensation for the Sharing Economy" (July 29, 2015)


In July 2015, this blog argued that the sharing economy was the single most dramatic force reshaping workers' compensation, and that a generational faith in "trust" would determine where social insurance went next. Eleven years later, the prediction about disruption holds up. The mechanism does not. Trust did not reorganize the safety net. Worker classification did, and then legislatures went around classification altogether.

The platform economy is no longer a forecast. Uber, Lyft, DoorDash, Instacart, and Amazon Flex move passengers and goods in every state, and their workers are hurt every day. What has changed since 2015 is not whether those injuries occur. It is whether anyone is legally obligated to pay for them and, if so, under which body of law.

For claims professionals, the practical development of the last three years is this: a growing number of states now deliver injury-related benefits to platform workers without declaring them employees. Coverage and employment status, joined at the hip since 1911, are coming apart.

1. The Question Behind Every Platform Claim

Every gig-economy compensation file still opens on the same threshold question: employee or independent contractor? The answer controls jurisdiction, medical authorization, temporary and permanent disability, dependency benefits, and the exclusive-remedy bar. Platforms have answered "contractor" from the beginning, which, absent a statute to the contrary, means no compensation obligation at all.

States have not converged on a single test. Three tests dominate:

 The ABC test, adopted for California wage orders in Dynamex Operations West, Inc. v. Superior Court, 4 Cal. 5th 903 (2018), and for New Jersey wage claims in Hargrove v. Sleepy's, LLC, 220 N.J. 289 (2015). It presumes employment and puts the burden on the hiring entity.
 The economic-reality test, used under the FLSA and applied to Uber drivers in Razak v. Uber Technologies, Inc., 951 F.3d 137 (3d Cir. 2020), vacated summary judgment for Uber and returned the fact-bound control questions to the district court.
 Control and common-law agency tests, still the rule in most Southern and Midwestern states.
 


Where the ABC test governs, platforms lose more often than they win. New Jersey's Supreme Court tightened Prong C in East Bay Drywall, LLC v. Department of Labor & Workforce Development, 251 N.J. 477 (2022), holding that a worker who joins the ranks of the unemployed when the engagement ends is not independently established. New York reached the same destination by a different route in Matter of Vega v. Postmates Inc., 35 N.Y.3d 131 (2020), finding a courier an employee for unemployment purposes based on the platform's control over pay, customer contact, and the ability to cut a courier off. Pennsylvania's Supreme Court did the same for a rideshare driver in Lowman v. Unemployment Compensation Board of Review, 235 A.3d 278 (Pa. 2020).

None of those cases is a workers' compensation decision. That is precisely the point. Compensation practitioners are litigating classification on borrowed authority, and the borrowing runs both ways.

2. California Closed the Constitutional Door

The most consequential development for our field came from California, and it went against injured workers. Proposition 22, approved in November 2020, classified app-based drivers as independent contractors, thereby removing them from the state's compensation system. Plaintiffs argued the initiative was void because Article XIV, Section 4 of the California Constitution vests the Legislature with plenary power to create a complete system of workers' compensation, and the voters cannot legislate that power away.

In Castellanos v. State of California, 16 Cal. 5th 588 (2024), the California Supreme Court unanimously rejected that argument. The Legislature's authority over workers' compensation is plenary, the court held, but not exclusive; the electorate may act through the initiative power. Proposition 22 stands.

The claimed consequence is significant and underappreciated. The constitutional argument that a legislature cannot carve out a class of workers from the compensation system, long assumed to be a backstop, failed in the state with the strongest constitutional language on the point. Practitioners should not plan around it.

3. Washington Opened a Third Lane

Washington took the opposite approach and produced the most important structural innovation in this area. Engrossed Substitute House Bill 2076, effective January 1, 2023, codifies transportation network company drivers as independent contractors and simultaneously requires transportation network companies [TNCs] to carry workers' compensation coverage for them through the Department of Labor and Industries.

The mechanics matter:

 Coverage attaches only during dispatch platform time and passenger platform time. A driver injured with the app off is not a covered worker.

 Labor and Industry [L&I] assesses TNC premiums by multiplying covered hours by the rate established for taxicab companies.

 The statute expressly provides that application of the workers' compensation statutes is not evidence of, and is not a factor in determining, an employment relationship for any other right or obligation.

 Food and goods delivery drivers are excluded. Only passenger service is covered.

  Beginning July 1, 2026, TNCs face new data-aggregation and itemized-receipt requirements, which will make covered-time proof materially easier for claimants.

This is a genuine third lane: statutory occupational injury coverage with no employment relationship attached. It gives an injured driver medical and wage-replacement benefits; it gives the platform premium certainty and an exclusive-remedy shield; and it gives the state a funded pool instead of an uninsured-employer problem. Expect it to be copied.

4. Portable Benefits Are Not Workers' Compensation

The competing model is moving faster. Utah enacted the first voluntary portable-benefits framework in 2023. Tennessee's Voluntary Portable Benefit Plan Act was signed April 3, 2025, and Alabama's Portable Benefits Act, Senate Bill 86, followed on April 10, 2025, to be codified at Ala. Code section 25-1-70. Idaho, West Virginia, and Wyoming have since enacted frameworks of their own, and Georgia's House passed House Bill 987 in February 2026. Bills were introduced in 2026 in Connecticut, Florida, Hawaii, Kansas, Kentucky, Louisiana, Mississippi, New Hampshire, and Rhode Island. Federal safe-harbor legislation is pending.

Every one of these statutes shares the same architecture. Contributions are voluntary. The account belongs to the worker and is shared across platforms. Most important for our purposes, the statutes provide that a hiring party's contribution may not be used as evidence of employment status.

That last clause deserves careful reading. Portable benefits accounts may fund health coverage, income-replacement or disability insurance, life insurance, and retirement savings. They do not create a workers' compensation entitlement. An injured platform worker with a funded account may receive some wage replacement while having no right to authorized medical treatment, no permanency award, no dependency benefits, and no forum in which to litigate causation. From the platform's side, there is also no exclusive-remedy bar, meaning a driver injured through the platform's negligence retains a civil action.

The statutory language insulating contributions from the classification analysis also cuts directly against Prong A control arguments in ABC-test jurisdictions. Claimants' counsel in New Jersey should anticipate seeing that language cited by carriers.

5. The Federal Test Keeps Moving, and Matters Less

The federal standard has been rewritten three times in six years. The 2021 rule weighted two core factors, control and opportunity for profit or loss. The January 2024 rule replaced it with a six-factor totality-of-the-circumstances analysis that leaned toward employee status. In May 2025, Field Assistance Bulletin 2025-1 instructed investigators to stop applying the 2024 rule. On February 26, 2026, the Department of Labor published a Notice of Proposed Rulemaking to rescind the 2024 rule outright and restore the two-core-factor economic-reality analysis, with the comment period closing April 28, 2026. Until a final rule issues, the 2024 rule remains technically operative and largely unenforced.

Two cautions for compensation practice. First, none of this controls a state workers' compensation claim. The FLSA test governs wage and hour liability, not coverage under a state act, and states applying the ABC test are unaffected. Second, after Loper Bright Enterprises v. Raimondo, 603 U.S. 369 (2024), which overruled Chevron deference, whichever rule survives will receive less judicial weight than either administration expected. Courts will decide classification questions for themselves. The regulatory seesaw is loud, and it is increasingly beside the point.

6. New Jersey: The ABC Test Under Pressure

New Jersey applies the ABC test and enforces it aggressively. Platform drivers routinely fail Prong B, because carrying passengers is the usual course of a rideshare company's business, and Prong C, because a driver working through a single app is not an independently established trade.

The regulatory picture is unsettled. The Department of Labor and Workforce Development proposed regulations in May 2025 codifying and tightening each prong, and expressly providing that a 1099, a contractor agreement, or a business registration is not by itself sufficient to establish independent contractor status. The Legislature introduced Assembly Concurrent Resolution 177 in December 2025 asserting that the Department exceeded its authority, and Governor Mikie Sherrill imposed a 90-day pause on the proposed rules by executive order on January 22, 2026.

Two fixed points remain regardless of how that fight resolves. First, an employer found to have misclassified faces liability under N.J.S.A. 34:15-79 for failing to secure compensation, along with retroactive premium exposure and stop-work authority. New Jersey's maximum weekly benefit rose to $1,199 effective January 1, 2026, which raises the arithmetic on every reclassified file. Second, following the New Jersey Supreme Court's decision in Lopez v. Marmic LLC(March 19, 2026), immigration status is not a defense to the obligation to pay for work performed. A significant share of the platform workforce is undocumented, and that population's claims are protected once the classification test is satisfied.

7. What This Means for Claims

 Ask which lane the claim is in before analyzing the merits. Employee claim, statutory third-lane coverage as in Washington, portable-benefits account, or nothing. The four produce entirely different benefit structures and different defenses.

• Plead classification in the alternative. A platform contract labeling the worker a contractor is the start of the analysis, not the end. Preserve the misclassification theory alongside any third-party action.

 Build the record on algorithmic control. App-based dispatch, mandated routing, real-time performance scoring, and deactivation authority are Prong A evidence. Preserve the data early, because platforms do not retain it indefinitely.

 Check for a portable-benefits account, then check what it actually pays. Income replacement is not medical benefits, and no portable-benefits statute creates an exclusive-remedy bar.

 Track covered-time definitions in third-lane states. Under Washington's model, app status at the moment of injury is dispositive. The July 2026 receipt and data requirements will help prove it.

 Price retroactive exposure. For carriers and risk managers, a reclassification finding reaches backward. Unpaid premium, uninsured claims, and statutory penalties compound quickly at 2026 benefit levels.

Conclusion

In 2015, the sharing economy was a looming disruption, and the open question was whether workers' compensation could absorb it. In 2026, the question has been answered, though not in the way anyone expected. The system is not absorbing platform work. It is being routed around by a ballot initiative in California, by a statutory carve-out with a coverage mandate in Washington, and by voluntary accounting in a dozen states that have written the classification question out of the analysis entirely.

The 2015 post was right that a generational shift would force the issue. It was wrong that trust would be the currency. The currency is coverage, and for the first time in a century it is being sold separately from the employment relationship. Practitioners who still analyze these files as a binary, employee or not, will miss where the benefits actually are.

Sources

1.  Reshaping Workers' Compensation for the Sharing Economy, Workers' Compensation (July 29, 2015).

2.  Gig Workers Without a Safety Net, Workers' Compensation (Apr. 8, 2026).

3.  Dynamex Operations West, Inc. v. Superior Court, 4 Cal. 5th 903 (2018) (CourtListener).

4.  Hargrove v. Sleepy's, LLC, 220 N.J. 289 (2015) (CourtListener).

5.  Razak v. Uber Technologies, Inc., 951 F.3d 137 (3d Cir. 2020) (CourtListener).

6.  Matter of Vega v. Postmates Inc., 35 N.Y.3d 131 (2020) (CourtListener).

7.  Lowman v. Unemployment Compensation Board of Review, 235 A.3d 278 (Pa. 2020) (CourtListener).

8.  East Bay Drywall, LLC v. Department of Labor & Workforce Development, 251 N.J. 477 (2022) (CourtListener).

9.  Castellanos v. State of California, 16 Cal. 5th 588 (2024) (CourtListener).

10. Loper Bright Enterprises v. Raimondo, 603 U.S. 369 (2024) (CourtListener).

11. Sergio Lopez v. Marmic LLC, A-27-24 (N.J. Mar. 19, 2026); full opinion (PDF).

12. Wash. Dep't of Labor & Indus., Transportation Network Company Drivers' Rights.

13. Wash. Dep't of Labor & Indus., TNC Workers' Compensation Driver Fact Sheet (PDF).

14. Wash. Legislature, House Bill Report, ESHB 2076 (As Passed Legislature) (PDF).

15. U.S. Dep't of Labor, Wage & Hour Div., Notice of Proposed Rulemaking: Employee or Independent Contractor Status, RIN 1235-AA46 (Feb. 26, 2026).

16. U.S. Small Bus. Admin., Office of Advocacy, DOL Proposes New Independent Contractor Rule (Mar. 3, 2026).

17. Jackson Lewis, DOL's Proposed 2026 Independent Contractor Rule: What Employers Need to Know.

18. Phelps Dunbar, Alabama Enacts Law that Establishes Portable Benefits for Independent Contractors.

19. Georgetown Ctr. for Retirement Initiatives, Portable Benefits and the Future of Retirement Access for Independent Workers (Mar. 2026).

20. Staffing Industry Analysts, Legislators Push for Portable Benefits.

21. Cal. Dep't of Indus. Relations, Labor Commissioner's Wage Theft Lawsuits Against Uber & Lyft.

Recommended Citation

Gelman, Jon L., Coverage Without Employment, WORKERS' COMPENSATION, workers-compensation.blogspot.com (Aug. 11, 2026), https://workers-compensation.blogspot.com/2026/08/coverage-without-employment.html.

 About the Author

Jon L. Gelman of Wayne, NJ, is the author of NJ Workers' Compensation Law (West-Thomson-Reuters) and co-author of the national treatise Modern Workers' Compensation Law (West-Thomson-Reuters).

Blog: Workers' Compensation

LinkedIn: JonGelman

LinkedIn Group: Injured Workers Law & Advocacy Group

Author: "Workers' Compensation Law" West-Thomson-Reuters

Blue Sky: jongelman@bsky.social

Substack: https://jongelman.substack.com/

© 2026 Jon L Gelman. All rights reserved.

Attorney Advertising

Prior results do not guarantee a similar outcome.

Disclaimer

Download Adobe Reader

Wednesday, July 29, 2026

Sunday, July 19, 2026

The Exclusion That Wasn't

A landlord's tenant leases warehouse space, promises to name the landlord as an additional insured, and buys a commercial general liability policy to do it. The tenant's own employee is then badly hurt on the premises and sues the landlord. Does the tenant's CGL carrier owe the landlord a defense and indemnity, or do the policy's employee and workers' compensation exclusions wipe out coverage? In SL 10 Park Place, LLC v. Utica National Insurance Group, the Appellate Division answered squarely for the additional insured, and in doing so drew a bright line that every workers' compensation practitioner should understand.

Tuesday, June 16, 2026

Chevron Gone, Benefits Threatened

Two Years After Loper Bright: Workers' Compensation, the Administrative State, and a Coming Reckoning Over Social Security

Monday, June 15, 2026

The Clock Runs Out

What the 2026 Social Security Trustees Report Means for Injured and Retired Workers

Thursday, June 11, 2026

When Inflation Hits Workers’ Compensation

How a renewed inflationary cycle is reshaping premiums, medical delivery, and disability benefits across the U.S. workers' compensation system.

Audit Trumps Oral Promise

 A New Jersey federal court enforces a written insurance policy over an alleged phone-call agreement, with a workers' compensation payroll rule at the heart of the dispute.

Tuesday, June 2, 2026

Discovery Delays Cost Defenses

An employer's dilatory discovery and silence regarding a motion to strike led the Appellate Division to affirm an order compelling knee-replacement surgery and to underscore that medical care cannot be delayed.

Friday, May 29, 2026

Medicaid Care Workers: Not Jointly Employed

 In a significant ruling for the home care and Medicaid services industry, the United States Court of Appeals for the Third Circuit affirmed that a financial management services vendor does not qualify as a joint employer of home care workers under the Fair Labor Standards Act (FLSA). The decision in Talarico v. Public Partnerships LLC, decided May 19, 2026, carries important implications for workers' compensation coverage, overtime liability, and the rights of workers who are exposed to occupational hazards, including asbestos, in home health settings.

Sunday, May 24, 2026

Workplace Stress Kills Workers

The International Labour Organization's landmark 2026 Global Report, The Psychosocial Working Environment: Global Developments and Pathways for Action, delivers a sober verdict: workplace stress is not merely an inconvenience; it is a global killer. For workers' compensation practitioners in New Jersey and across the United States, this report carries profound implications. It quantifies what many attorneys and physicians have long argued: that the psychosocial conditions of work — job strain, overwork, harassment, and insecurity — are primary drivers of cardiovascular disease, mental health disorders, and even suicide.

The ILO's new global estimates, published here for the first time, are staggering in scope and sobering in implication. They demand a reevaluation of how workers' compensation law responds to stress-induced illness and death in the workplace.

Saturday, May 23, 2026

Thursday, May 21, 2026

Ebola: A Global Workers' Peril

A deadly new chapter in the decades-long struggle against Ebola has arrived. On May 16, 2026, the World Health Organization (WHO) declared a Public Health Emergency of International Concern (PHEIC), its highest level of alarm, as the Bundibugyo virus (BVD) rapidly spread across northeastern Democratic Republic of the Congo (DRC) and crossed the border into Uganda. With no approved vaccine and no targeted therapeutics, this rapidly spreading, often fatal hemorrhagic fever poses an urgent, underappreciated threat to workers around the globe, particularly those in healthcare settings.

Wednesday, May 20, 2026

Thursday, May 14, 2026

SIF, PEOs, and Ethics

On May 13, 2026, the New Jersey workers' compensation bar gathered for the annual May Day Seminar, a three-hour intensive legal education covering some of the most pressing and financially consequential issues in the practice. The topics: the Second Injury Fund (SIF) credit debate, the chaos of PEO coverage litigation, and the ethics landmines embedded in the insurer/employer/attorney triangle. What follows is a practitioner's guide to the issues presented, the law as it now stands, and what you need to do about it.

Wednesday, May 13, 2026

Sexual Harassment Survives Dismissal

A federal court in New Jersey has issued a significant ruling at the intersection of employment discrimination law, workers' compensation, and workplace harassment. In Matthews v. United Airlines, Inc., Judge Brian R. Martinotti of the United States District Court for the District of New Jersey denied, in substantial part, defendants' motion to dismiss, allowing a flight ramp employee's claims of sexual harassment, hostile work environment, and retaliation to proceed under both Title VII of the Civil Rights Act of 1964 and the New Jersey Law Against Discrimination (NJLAD). The decision carries important implications for workers in New Jersey who suffer harassment on the job and then find themselves further victimized by retaliatory termination.

Sunday, May 10, 2026

Single Payer’s Workers’ Compensation Gamble

For more than a decade, this blog has tracked what I have called “The Path to Federalization,” the steady, incremental expansion of federal authority over what was once an exclusively state-run workers’ compensation system. From the World Trade Center Health Program in 2010 to the Affordable Care Act’s Libby Care pilot, from Supreme Court validation of the individual mandate in 2012 to the Medicare Secondary Payer offset debate, each chapter has added a new stone to that path. California’s 2026 gubernatorial race is laying the boldest stone yet.

Friday, May 8, 2026

SSDI in Freefall

The Social Security Administration's (SSA) Disability Insurance (SSDI) program has undergone a dramatic transformation over the past decade. New data from SSA's Office of the Chief Actuary reveal a steep and sustained decline in disabled-worker beneficiary rolls, a trend with profound consequences not only for disabled workers but also for the workers' compensation system that frequently intersects with SSDI benefits.