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Idaho Workers Compensation

Idaho Workers Compensation


What are ID Workers Compensation Laws?

ID workers compensation laws are a system that requires all Idaho-based employers with more than four employees to purchase insurance for their employees in case of a workplace injury or illness. Idaho Workers Compensation can be provided through state-run funds or through insurance companies. 

ID Workers Compensation laws are necessary to benefit both the employer and the employee:  protection clears the employer from liability while offering benefits to offset lost wages for the employee in case of a workplace injury or illness.

ID Workers Compensation Laws for the Employee:

ID Workers Compensation Laws: Your rights as an employee

Employees—to properly coincide with Id Workers Compensation Laws—must:

• ID Workers Compensation laws want you to study and practice safe practices that apply to your employment

• ID Workers Compensation laws ask that you cooperate and coordinate with your fellow workers to eliminate on-the-job illnesses and injuries

• ID Workers Compensation laws apply the basic principles of accident prevention to deliver safety devices in the workplace

• Idaho Workers compensation laws ask that you take care of all work safety equipment

• Idaho Workers compensation laws  state that you should not wear loose or torn clothing while working around heavy machinery

• Idaho Workers compensation laws  want you to report to your supervisor every occupational illness or industrial injury that occurs on the job

• Idaho Workers compensation laws   ask that you do not interfere with the use of any protective equipment or safety protocol by any individual in the workplace

• Idaho Workers compensation laws   ask that you do not displace, damage, destroy or remove any safeguard or warning provided to make the environment a safer place

• ID workers compensation law ask that you do not interfere with the use of any work practice implemented to protect the employees from injuries

• ID workers compensation laws states that Employees are required to everything possible to protect the safety and life of their fellow employees

Who Handles and Administrates Workers Compensation Claims?

The Idaho Industrial Commission is the state agency of Idaho responsible for settling disputes between injured workers and insurers. This agency is also responsible for ensuring that an employer possesses an adequate workers’ compensation coverage as required by law. If you have any questions regarding your request for workers compensation please contact the agency at 208-334-6000 or visit their site at https://www.iic.idaho.gov/. All contact information associated with agency may be found here

Filing For Workers Compensation in Idaho?

1. Receive Medical Treatment: ID workers compensation laws state that if you are injured and work and require treatment, you must immediately go to a health care provider or the emergency room. Your health care provider can assist you with filing a claim for workers compensation insurance Idaho. If you work for a self-insured employer, your employer will provide you with the Self-Insurer Accident Report and assist you—in accordance with Idaho workers compensation laws—with completing the form. If you visit your health care provider, they will submit the Provider’s Initial Report  to the self-insured employer. 

2. Understanding Fault: Idaho workers compensation laws proclaim Idaho a no-fault state. This means that the Idaho State Department of Labor & Industries will cover allowable claims for workplace injuries regardless of who is at fault. This Idaho workers compensation law is also applied to self-insured employers

3. Deadline for Filing Claims: Your self-insured employer or the Idaho State Department of Labor & Industries must receive your claim application within one year of the injury date. The Idaho State Department of Labor & Industries must receive claims for occupational diseases within two years from the date of your doctor’s diagnosis.  

4. What Information Goes on the Report: Idaho workers compensation laws declares that the following information must be placed on your claim:

a. Information concerning your employer, injury, diagnosis, treatment and other background information

b. This report is referred to as the Report of Industrial Injury or Occupational Disease or the Self Insurer Accident Report if your employer is self-insurer

5. How Long Does it Take to get my Workers Compensation Insurance Idaho: Your medical professional has five days to send the report to the Idaho State Department of Labor & Industries or your self-insured employer. The processing times vary depending on the type of claim. If you are eligible for a wage-replacement benefit package—without additional information required—your self-insured employer or the Labor & Industries board will send the first benefit check within 2 weeks of receiving your claim for workers compensation insurance Idaho. 

Idaho Workers Compensation Laws for Businesses:

What to do if Your Employee is injured:

• In case of a death or a probable death, an employer must report the incidence to the Idaho Labor & Industries organization within 8 hours of the probably death, the death or the in-patient hospitalization of any worker due to an on-the job injury. The employer, in this situation,—according to Idaho Workers Compensation Laws—must call 1-800-423-7233

• Assuming an employee files a claim, The Idaho Labor and Industries organization will immediately mail a claim notice to both the employer’s physical location and their claim mailing addresses, if the addresses are different. 

• Help Your Employee Return to Work: Getting the employee return work will reduce the financial impact of the employer’s workers compensation insurance Idaho. Returning to work options include:

o Perform transitional work: have the worker perform some of his/her original duties only with lighter physical demands

o Have the employee work shorter hours

o Work in a modified job. Job modification refers to making adjustments to the work site, altering the job to meet the worker’s limitations or providing equipment, tools or appliances that enable the worker to work within his/her limitation

• How to Appeal or Protest a Workers Compensation Insurance Idaho Claim: Injured workers and attending medical providers may protest the Idaho Labor and Industries decisions. 

o If an employer disagrees with a claim decision made by the Idaho Labor and Industries, they have the right—according to Idaho workers compensation laws—to protest a claim directly to the L&I or through an online submission. The employer may appeal directly to the Board of Industrial Insurance Appeals; however, after receiving the appeal, the Board of Industrial Insurance Appeals will provide the opportunity to reconsider the original decision

o If you disagree with the Idaho Labor & Industry’s decision concerning the protest, the employer can appeal the claim decision. An employer, injured worker or attending medical professional who disagrees with the Labor and Industry’s decision may submit an appeal to the Board of Industrial Insurance Appeals. These parties must submit their appeal as soon as possible. The following legal time limits apply:

§ 60 days to appeal a decision 

§ 15 days to appeal a vocational determination

§ 20 days for workers compensation insurance Idaho providers to appeal a billing decision

How to Submit an Appeal:

The appeal for workers compensation insurance Idaho should include the following:

• The worker’s name and claim number (this information should be listed on every page)

• A Description and the date of the Idaho Labor & Industry’s order

• Reason for the protest (why the party disagrees with the L&I’s decision 

• The type of relief requested

• The appealing party’s name, telephone number and address

• The city in which the appealing party would like the proceedings to be heard

• Any supporting information that can help the appealing party’s case

Settling Claims:

Idaho workers compensation law defines a structured settlement as an agreement between the Labor and Industries board, the employer and the injured worker. Idaho workers compensation law states that this agreement typically resolves all future benefits except for medical insurance/payments. A worker may still be eligible to receive treatment for conditions allowed on their workers compensation insurance Idaho claim. 

Idaho workers compensation laws typically close the claim and the employee is paid an established amount in periodic payments spelled out in the agreement. To be eligible—according to Idaho workers compensation laws—the worker must:

• Be at least 55 years or older

• Have a valid workers’ compensation claims in Idaho that is at least 180 days old

An employer may initiate a structured settlement discussion for eligible worker’s claims by filing applications with the Idaho Labor and Industries Organization. That being said, Idaho workers compensation laws declares structured settlements as voluntary and the decisions on whether to enter into negotiations or settlements is up to the Idaho Labor and Industries organization and worker.

To secure a structured settlement for workers compensation insurance Idaho the employer should call the Idaho Labor and Industries organization at 360-902-6101. In the application the employer should state why a structured settlement is more appropriate than continuing benefits. In the application—Idaho workers compensation laws—asserts why the employer believes it would be in the worker’s best interest to settle via a structured agreement. The employer is required—according to Idaho workers compensation laws—to submit any supporting documentation that has not already been shared with the Idaho State Department of Labor & Industries.