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The Idaho workers comp process: From injury to compensation

February 9th

The Idaho workers comp process: From injury to compensation

Filing a workers compensation claim in Idaho isn’t as difficult as you might think.

However, there are deadlines and procedures you need to be aware of before you seek compensation. If you’ve been hurt at work, here’s how you file a workers comp claim in Idaho.

How does workers comp work in Idaho?

After an injury, here are the basic steps that lead to workers comp benefits:

  1. Report your injury
  2. Seek medical attention
  3. Employer reports injury to insurance
  4. Gather evidence
  5. Speak with a lawyer
  6. File a claim
  7. Receive benefits or appeal

1. Report your injury

If you’re wondering how to file for workers comp in Idaho, one of the most important things to remember is that you must report your injury to your employer within 60 days.

This is one of the only hard deadlines in Idaho workers compensation law. Failure to meet the reporting deadline could prevent you from recovering any compensation.

2. Seek medical attention

Get your injury or illness treated ASAP. It’s not just about your health—the sooner you seek treatment, the less likely your claim will be denied.

There’s no reason not to get treated the day of your accident.

Choosing a doctor

Your employer may have a preferred doctor. If you believe the doctor’s diagnosis doesn’t have your best interests in mind, you can seek a second opinion.

Your doctor’s opinion is worth its weight in gold.

Find out why “independent” medical evaluations are anything but independent

Read more

Ideally, you will pick your primary doctor. But whatever you do, don’t rely on the opinion of any doctor recommended by the insurance company.

Adjuster-recommended physicians care about the insurance company. Not you.

3. Employer reporting

After you report your injury to your employer, your employer must notify their insurance company and file a form called First Report of Injury and Claim for Benefits with the Idaho Industrial Commission.

If your employer doesn’t file the form, you must do it yourself. Your attorney can help you fill out the form accurately.

4. Gather evidence

If possible, try your best to gather evidence from the scene of your injury.

Take as many pictures as possible, and try to get the contact information of any witnesses to your accident.

Every piece of information regarding your injuries is important.

5. Hire an attorney

If you’re wondering how to file a workers compensation claim in Idaho, the best place to start is with an experienced lawyer.

You may hire a lawyer at any point in this process—immediately after you’re injured, before you file a claim, or even after your claim is denied.

If you face any type of issue or believe you’ll have problems getting compensation, contact an experienced lawyer immediately.

Recorded statements

This is especially true for recorded statements. Your lawyer will coach you on what to say so that you don’t permanently damage your claim during recorded statements.

Anything you say can be used against your claim.

But that doesn’t mean you should lie—always be honest about previous injuries and questions about your accident.

6. File a workers compensation claim

Your lawyer will help you take care of any paperwork needed to file your claim. Luckily, Idaho has no time limit on filing claims—assuming you’ve reported your injury within 60 days.

Your lawyer will help you navigate the workers comp claim process.

7. Receive your benefits (or appeal)

After your claim is approved, you’ll be able to receive workers compensation benefits for your injuries.

Insurance companies may ask for additional information before approving your claim. This is normal.

Your claim could also be denied. If so, it’s not the end of the road—your attorney can help you file an appeal.

What kind of workers comp benefits can I receive in Idaho?

You could be eligible to receive numerous types of benefits depending on your injury.

Medical

Medical benefits include reasonably necessary medical care, such as:

  • Doctor’s bills
  • X-rays
  • Medications

Total disability

These benefits work as wage replacement if you’re required to miss work for more than five days.

Partial disability

Compensates you in situations where you are able to work, but only in a part-time capacity.

Permanent impairment or disability

These benefits compensate you for permanent disabilities, even in situations where you can return to work.

Death

If a worker dies because of injuries sustained at work, his or her decedents will receive death benefits for 500 weeks.

Up to three minor, dependent children are eligible for benefits.

Hire an attorney for help filing your claim

Workers compensation law is complicated, and mistakes can cause you to miss out on the benefits you deserve.

Avoid mistakes and work with an experienced workers compensation lawyer instead.

Davis & Sanchez has years of combined experience helping hurt Idaho workers get paid for their work-related injuries. Contact us today, and let’s get started.

Idaho workers compensation FAQ

Still have questions about Idaho workers comp? We have answers.

1. What is workers compensation in Idaho?

Workers compensation laws in Idaho are designed to compensate workers for injuries sustained at their place of work, or while performing job-related duties.

2. Which injuries are covered?

Virtually any injury or illness sustained at work could qualify for workers comp benefits.

Just a few examples include:

  • A fall in the office break room that requires an emergency room visit
  • A thrown out back caused by lifting heavy boxes in the company warehouse
  • Lung issues caused by regular exposure to dangerous chemicals or irritants
  • Carpal tunnel syndrome after years of typing

The list goes on and on. Suffice it to say that if you were hurt at work, then you’re likely eligible for workers comp benefits.

3. Who has coverage?

If you’re an employee at an Idaho business who works full-time, part-time, seasonally, or occasionally, then you are most likely covered by workers compensation laws.

In fact, almost every business in Idaho—with few exceptions—must have workers comp coverage before hiring their first employee.

4. What do workers comp benefits offer?

Idaho workers compensation benefits can cover costs involving:

  • Injuries and accidents that happen at work
  • Repetitive stress injuries that develop over time
  • Illnesses caused by harmful substances
  • Ongoing care, such as physical therapy, that you need to recover from a workplace injury
  • Lost wages, if you’re required to miss work
  • Funeral costs
  • Disability benefits

5. Do employees pay for workers compensation?

No. Your employer is not allowed to push any of their workers comp insurance costs onto their employees.

6. Is Idaho a no-fault workers compensation state?

Yes. “No fault” means that you do not need to prove negligence in your injury—meaning you can receive workers compensation benefits without filing a lawsuit against your employer.

7. Do I need an attorney to get workers compensation benefits in Idaho?

Short answer? It depends.

While many workers compensation claims are straightforward, there’s always a chance that insurance companies will deny a perfectly valid claim.

In these situations—or whenever you need guidance in filing a claim—it’s best to contact a workers compensation attorney.

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*The information provided on this website does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available on this site are for general informational purposes only.

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