These days, workers who refuse to get vaccinated against COVID-19 may face financial repercussions, from higher health insurance premiums to loss of their jobs.
Now, the financial fallout might follow workers beyond the grave. If they die of COVID-19 and weren't vaccinated, their families may not get death benefits they would otherwise have received.
New York's Metropolitan Transportation Authority no longer pays a $500,000 death benefit to the families of subway, bus and commuter rail workers who die of COVID-19 if the workers were unvaccinated at the time of death.
"It strikes me as needlessly cruel," said Mark DeBofsky, a lawyer at DeBofsky Sherman Casciari Reynolds in Chicago who represents workers in benefit disputes.
Other employers have similar concerns about providing death or other benefits to employees who refuse to be vaccinated.
In Massachusetts, the New Bedford City Council sought to extend accidental death benefits to city employees who died of COVID-19, but the mayor didn't sign that legislation because, among other things, it didn't prohibit payment if the worker was unvaccinated.
President Joe Biden has leaned hard on businesses to make sure their workers are vaccinated. In September, the administration announced all employers with 100 or more workers would be required to either ensure they're vaccinated or test employees every week for COVID-19.
Among employers, "there's a frustration level, particularly at this point when these vaccines are fully approved," said Carol Harnett, president of the Council for Disability Awareness, an industry group. "You're trying to protect yourselves and your employees, both from themselves and the general public."