Employers' Guide To Workers' Compensation Insurance In Washington State Page 18
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40Chapter 5:
Employee Benefits
Employees are eligible for workers’ compensation
Some automobile and home modification costs are
benefits when a work-related injury or
covered for employees suffering amputation or
occupational illness occurs. Benefits also are paid
paralysis. These employees also receive lifetime
if an employee is injured during a meal period
prosthesis maintenance, including replacements
at the job site, even though the person was not
needed because of normal wear-and-tear of the
working at the time.
prosthesis or related physical changes.
Benefits are not paid for intentional self-inflicted
Travel expenses.
L&I can reimburse pre-approved
injuries or for injuries to an employee who is
out-of-pocket travel expenses when the injured
committing or attempting to commit a felony.
worker must travel more than 15 miles from his or
her home to receive adequate health care services,
All benefit levels and the conditions for benefits
vocational training or fitting for a prosthetic device.
are normally set by the state Legislature.
Time-loss compensation payments (wage-
replacement benefits).
Employees receive a
Types of Benefits
percentage of their regular wages if they are
unable to work because of a work-related
Medical services.
If your employee’s claim is
injury or illness. These are known as time-loss
accepted, L&I pays for all approved health-care
compensation payments.
providers, hospital, surgical, pharmacy and
other health-care services necessary for the
The employee is not paid for the day of injury.
treatment of your employee’s workplace injury
Benefits are not paid for the first three calendar
or occupational disease.
days following the injury unless he or she is unable
to work for a period of 14 or more consecutive
Injured employees may select a health-care
calendar days from the date of injury. An
provider who is qualified to treat their injury or
unsuccessful attempt to return to work within the
occupational disease.
14-day period will not affect eligibility for payment
Injured workers must get ongoing care from a
for the first three days following the day of injury.
medical provider who is part of the L&I Medical
If the employee becomes disabled later than three
Provider Network. They may see a non-network
days after an injury, time-loss compensation
provider for the initial visit, but for additional
payments begin on the first day he or she is
or ongoing care, they will need to transfer to a
unable to work.
network provider.
Other services may include, but are not limited
Time-loss compensation payments range from
60% to 75% of the injured worker’s gross wage
to, emergency ambulance service, special or home
nursing care, dental repair, convalescent center
depending upon the worker’s marital status
care, crutches, braces, artificial limbs, glasses and
and number of children at the time of injury.
hearing aids.
These benefits cannot exceed 120% of the state’s
14
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