The Going and Coming Rule in Massachusetts: Are Commuting Injuries Covered?
The Massachusetts 'Going and Coming' rule generally denies workers' compensation for standard commuting accidents. However, traveling sales reps, employees running work errands, and workers injured in employer-owned parking lots often fall under critical legal exceptions.
Getting into a car crash on the Mass Pike or slipping on an icy sidewalk on your way to work in Boston or Springfield is a terrible way to start the day. When you realize the accident has left you with a broken leg and mounting medical bills, your first thought is usually, 'Does workers' compensation cover this?'
In Massachusetts, the answer is heavily dependent on a strict legal doctrine known as the 'Going and Coming' rule. Insurance companies love this rule because it gives them an easy excuse to deny claims. However, there are massive loopholes and exceptions designed to protect traveling workers and those injured on company property. This guide explains how to beat the standard denial, the vital exceptions to the rule, and why finding a sharp attorney through our US Lawyer Directory is the key to winning your case.
Understanding the Massachusetts Going and Coming Rule
The core principle under Mass. Gen. Laws ch. 152, § 26 is that workers' compensation only covers injuries that 'arise out of and in the course of employment.' The courts have long held that your daily commute from your house to your fixed office desk is your own private time. Therefore, if you are rear-ended on the highway during a normal morning commute, workers' compensation generally does not apply. You must look to your own auto insurance for recovery.
However, the line between 'private commute' and 'working hours' is often blurred. If your job requires travel, or if you were performing a task for your boss, the exceptions come into play.
Injuries in Employer-Owned Parking Lots
One of the most common exceptions occurs mere steps from the office door. If you slip on ice or are hit by a car while walking from your car to the building entrance, you are likely covered-provided the employer owns or strictly controls the parking lot.
The precedent set in cases like Rogers's Case, 318 Mass. 308 (MA Supreme Judicial Court 1945) clarifies that injuries sustained in parking facilities maintained or provided by the employer are generally considered to arise in the course of employment. However, if you parked on a public street or a private garage not owned by your company, the claim will likely be denied.
The Traveling Employee Exception (Sales & Consultants)
If you are a home health aide traveling between patients' houses, a traveling sales rep, or an IT consultant visiting client sites, you do not have a fixed commute. For 'traveling employees,' the entire journey from the moment you leave your house until you return home is often considered in the course of employment.
If a home health aide is T-boned at an intersection while driving from one patient in Newton to another in Cambridge, that injury is fully compensable under Massachusetts workers' compensation.
Crashes in Company Vehicles
If your employer requires you to drive a company-branded van or truck home at night so you can head straight to a job site in the morning, the commute itself becomes part of your job. Insurance companies fight this fiercely, but courts generally side with the employee if the employer provided the vehicle specifically to benefit their business operations (e.g., a plumber taking the fully stocked van home).
What Happens if You Are Injured Getting Coffee on the Clock?
What if you are already at work, but you step out to grab a coffee across the street and get hit by a bicyclist? Under the 'personal comfort doctrine,' short, reasonable breaks taken during the workday (like grabbing a coffee or going to the restroom) are still considered within the course of employment. However, if you took an unauthorized hour-long detour to run personal errands at the bank, you stepped outside the scope of employment, and your claim will be denied.
Step-by-Step Appeals Process for Denied Claims
Insurance companies deny commuting claims by default. You must fight back.
Step 1: File the Employee Claim Form
Once the insurer issues a formal denial, your lawyer will file Form 110, Massachusetts, Department of Industrial Accidents, Employee Claim to force the issue into the court system.
Step 2: Attend the Conciliation
Your attorney will meet with the insurance adjuster at the Department of Industrial Accidents, Boston or the Department of Industrial Accidents, Fall River for an informal conciliation. They will present evidence (like your job description proving you are a traveling employee) to attempt a resolution.
Step 3: Conference and Hearing
If conciliation fails, the case proceeds to a Conference before an Administrative Judge. The judge will issue a temporary order. If either side appeals, it proceeds to a formal Evidentiary Hearing, which functions like a full trial.
How Much Does it Cost in Massachusetts?
Fighting the insurance company costs you nothing out of pocket.
| Attorney Fees | $0 upfront. If your attorney wins at the Conference or Hearing, the insurance company pays the legal fees directly. If you settle for a lump sum, the fee is 20%. |
| Third-Party Auto Claim Fees | If another driver hit you, you can file a separate personal injury lawsuit. Those lawyers take a standard 33.3% contingency fee. |
| Medical Coverage | If the judge approves your claim, 100% of your injury-related medical bills are covered by workers' comp. |
How Long Does the Process Take?
Because these cases are usually denied initially, you will not receive immediate checks. Securing a Conference date at the DIA usually takes 3 to 5 months. If you are waiting on an appeal for a full Hearing, the process can easily stretch beyond a year, making it vital to apply for state disability or use auto insurance PIP benefits in the meantime.
Frequently Asked Questions (FAQ)
What if I get into a crash while running an errand for my boss?
If your boss asked you to pick up office supplies or drop off mail on your way home, you are performing a 'special errand.' Injuries during this errand are typically covered by workers' compensation.
Can I get workers' comp and sue the at-fault driver?
Yes. You can claim workers' comp benefits for lost wages and medical bills, while simultaneously filing a third-party lawsuit against the driver who hit you for pain and suffering. However, the workers' comp insurer will place a lien on your lawsuit settlement.
Does workers' comp cover accidents if I am working from home?
If you trip over a work laptop cord in your home office during working hours, it may be covered. However, if you trip in your kitchen while cooking lunch, it is likely not covered.
Will my personal car insurance pay if workers' comp denies me?
Yes. If workers' compensation legally denies the claim under the Going and Coming rule, you can use your personal auto insurance PIP (Personal Injury Protection) to cover up to $8,000 in medical bills and lost wages.
No reviews yet. Be the first to share your experience!