SOFA-CFE · Question #389
The primary victim of what is not the employer but the insurance carrier for the employee?
The correct answer is B. Worker's compensation scheme. Option B is correct because in a workers' compensation scheme, when an employee commits fraud (e.g., faking or exaggerating a workplace injury), the claim is filed against the employer's workers' compensation insurance policy. The insurance carrier - not the employer…
Question
The primary victim of what is not the employer but the insurance carrier for the employee?
Options
- AEmployee's fraud cash filter
- BWorker's compensation scheme
- CEmployees' recognized codes of conduct
- DWorker's profit scheme
How the community answered
(38 responses)- A11% (4)
- B82% (31)
- C5% (2)
- D3% (1)
Explanation
Option B is correct because in a workers' compensation scheme, when an employee commits fraud (e.g., faking or exaggerating a workplace injury), the claim is filed against the employer's workers' compensation insurance policy. The insurance carrier - not the employer - ultimately pays the fraudulent claim, making the insurer the primary financial victim, even though the fraud was perpetrated against the employer's account.
Why the distractors are wrong:
- A (Employee's fraud cash filter) is not a recognized legal or insurance concept - it's fabricated terminology designed to sound plausible.
- C (Employees' recognized codes of conduct) refers to ethical/behavioral guidelines, which have nothing to do with who bears financial loss from fraud.
- D (Worker's profit scheme) is also invented terminology; no such scheme exists in standard employment or insurance law.
Memory tip: Think of workers' comp as a triangle - Employee → Employer → Insurance Carrier. When an employee commits fraud, the claim travels the whole triangle, and the carrier at the far end absorbs the loss, making them the hidden victim. Ask yourself: "Who actually writes the check?" - that's your primary victim.
Community Discussion
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