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Workers' Compensation - Texas Department Of Insurance: What You Should Know

Texas Mutual Insurance Company Employee Benefits Division Austin, TX 78728 (TTY (TTY) Call for the full toll-free information line or send an email. The toll-free telephone number will be staffed by one toll-free number, and one local fax number to report information. If the number listed on the website/fax number does not answer your question, please check back the following day. Additionally, to send an email, select the question and send the most recent information by clicking the “forward” button. All E-mails will be scanned, and replies will be forwarded by Texas Mutual. Texas Mutual's insurance division allows for self-insurance. You may also pay an additional deductible and have insurance coverage on your employee if the accident did not qualify for workers' compensation or a similar system. Texas Mutual has insurance products and services that: Employees' Compensation — Texas Department of Insurance The nation's best care and services for injured employees and their employers. Regulate Texas workers' compensation efficiently, educate system participants,  Division of Workers' Compensation contact information Texas Mutual Health Plan If you have health insurance with Texas Mutual, you will get lower premiums and save on your premiums. Find out more about the plan, including the different product lines available and what your insurance company will pay the first year. The plan is not the same as the health insurance you have through your employer. Tex Mex, Teamed, Teamed Plus, Teamed Preferred and Teamed Premium plans will be available. Find plans and see what they offer. The premium prices shown on the website do not include any premium paid by the State of Texas under the Texas Workers' Compensation Insurance Fund. A health insurance premium is higher if you are a Texan who is not covered under a similar plan in that State;  Health Insurance Information Sheet (PDF) Texas Workers' Compensation Insurance Fund The Texas Workers' Compensation Insurance Fund (WC IIF) is a program established by the Legislature of the State of Texas under the authority of Section 18.06 of the Texas Insurance Code, effective as of December 31, 2011. WC IIF is the State agency responsible for paying the costs of health insurance premiums and other costs associated with the operation of the Health Benefit Plan.

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FAQ - Workers' Compensation - Texas Department Of Insurance

How do I file for workers compensation in Texas?
To start your official claim, you must file an Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease (DWC Form-041) with the DWC. You can file the form in person, by mail, or through the DWC's online filing system.
Who pays for my health insurance while on workers comp Texas?
Although you are pursuing a claim, you are still an employee of this employer and you should continue to receive benefits just as you always have. You should pay the same health insurance premiums, if any, that you are normally required to.
How does workers comp pay work in Texas?
Texas calculates these benefits under a formula. 70% of the difference between your average weekly wages and the wages you are able to earn after your injury, or 75% of the difference if you earned less than $10 an hour.
Are Texas employers required to have workers compensation insurance?
In Texas, private employers can choose to carry workers' compensation insurance coverage, but it is not required in most cases. A workers' compensation insurance policy provides lost wages and medical benefits to employees injured on the job.
How long does it take for workers comp to kick in Texas?
If you are at the beginning of a workers' compensation case after a workplace accident, you may wonder how long reaching a settlement will take. While each case is unique, the average time for the first check is 14 days after you notify your employer of the injury.
Who handles workers comp in Texas?
Call 800-252-7031, option 1. Workers' compensation is an insurance program managed by the State of Texas. It provides pay and medical benefits to employees who have a work-related injury or illness. Not all Texas employers provide workers' compensation insurance, but most do.
Does Texas workers Comp pay for pain and suffering?
Workers' compensation policies provide benefits to cover approved injury-related medical expenses, a certain percentage of lost income, rehabilitation, employee death-related costs, and temporary/partial/permanent disability. It will not cover pain and suffering, all lost income, or other quality of life losses.
When can you file a workers comp claim in Texas?
You must file the form within one year after your accident or after you learned about your work-related occupational illness. Once again, you could lose your right to benefits if you miss the deadline, unless you qualify for one of the limited exceptions.
How much does workers compensation pay in Texas?
Texas calculates these benefits under a formula. 70% of the difference between your average weekly wages and the wages you are able to earn after your injury, or 75% of the difference if you earned less than $10 an hour.
How does workers compensation work in Texas?
Under workers' compensation law, an injury or illness is covered, without regard to fault, if it was sustained in the course and scope of employment, i.e., while furthering or carrying on the employer's business; this includes injuries sustained during work-related travel.
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