A Complete Guide To Washington L&I (2024)

What is L&I? L&I stands for the Department of Labor and Industries in Washington State, the government agency responsible for workers’ compensation.

In this guide, you’ll learn how L&I works and how to get benefits for an injury you sustained from work. Our lawyers have 15 years of experience on the topic and are readily available to answer any questions.

Read below to find out how to open your claim, prepare for the medical exam, and how much compensation you can earn!

How Much Do You Get Paid on L&I?

The compensation you get from L&I insurance depends on the “rating” your injury will receive. Whenever you make a claim, the department will give a rating to your injury depending on its severity.

This rating is heavily impacted by the diagnosis the doctor gives you, which is why it’s essential to go to a personal doctor and not one recommended by HR or your employer.

Doctors recommended by your company can downplay the severity of your injury to reduce the compensation you receive. And it’s important you describe in full detail the pain you feel from your injury—this isn’t the time to act tough.

But when it comes to how much you get paid, it depends on the benefits you’ll receive from your claim.

If you get wage replacement (also known as time loss compensation), you’ll earn 60 – 75% of your earnings prior to the injury. The same applies to pensions if you are unable to work anymore.

But if you aim for a settlement, the sum can vary dramatically according to the injury. Based on the rating you get, earnings can vary in the 6-figures for compensation.

What Is The Difference Between Workers’ Comp And L&I?

L&I stands for the Department of Labor and Industries. It is the entity responsible for workers’ comp for most Washington State workers.

In other words, workers’ comp is a right you have access to via L&I. It’s the entity that will pay the benefits, as well as settlements or pensions.

This isn’t the case for workers at companies that are self-insured, however. Instead of paying premiums to L&I, these employers opt for an insurance company to pay workers’ comp.

And since these employers hired an insurance provider, making your workers’ comp claim with them is more difficult. They have lawyers who will actively do their best to dismiss your case and provide the least compensation possible.

That’s why if you’re dealing with a self-insured employer, you definitely need the help of an experienced workers’ comp attorney.

If you don’t know if your company is affiliated with L&I or not, our team can find out for you.

How Does L&I Work In Washington State?

In Washington, a workers’ comp claim can be filed via the L&I website, through their phone line (877) 561-3453, or with a doctor.

If you contact L&I yourself, you’ll need to hand in reports and forms about your injury. If you do this with the doctor, they’ll fill out the paperwork for you.

After you’ve made your claim, you may need to go through an independent medical examination (IME).

How To Prepare For The IME

The IME is an important step in your claim, which will impact how much compensation you get.

Even though you’ve been diagnosed by a doctor, L&I (or insurers) may require that you get an independent check-up with one of their doctors. The IME consists of an interview of around 30 minutes, in which questions will be asked about your injury.

Be careful that some IME doctors will have “gotcha” questions to catch you off-guard, or even create scenarios (such as dropping something on the floor) to test your injury. Read more about IME tips from Emery | Reddy.

You can go to your exam with a family member or nurse to help back your claim. It’s important that one of them takes detailed notes of the exam (this can help you later in a hearing).

Also, do not agree to go through exams you have already done with your personal doctor. You don’t have to waste time or go through invasive procedures you’ve already gone through.

Who Pays Washington L&I?

L&I is funded by premiums paid by companies in Washington. By law, all companies must fund workers’ compensation either via L&I or a certified insurer.

Premiums (L&I tax) paid by the companies vary according to their industry and the hours worked by their staff.

You can learn more about how L&I works through its official workers’ compensation guide.

Is L&I Pension Taxable?

No. Pensions issued by L&I are non-taxable. That means you won’t need to fill in 1099 or W-2 forms for your workers’ comp pension.

However, keep in mind that if you start receiving Social Security benefits, your may be affected.

Our lawyers will gladly explain how this could happen and what to do if you’re eligible for a pension due to your work injury.

Hiring An L&I Attorney

Do you need help with your L&I workers’ compensation claim?

The Emery | Reddy team has over 15 years of experience helping Washington State workers fill in their forms correctly, prepare for the IME, and even how to answer questions in a hearing.

We will gladly help you out on every step towards the compensation you deserve and work hard to achieve it. Get in touch with our legal team attorneys today.

A Complete Guide To Washington L&I (2024)

FAQs

How much is the L&I injury payout in Washington state? ›

The benefit amount is 60 to 75% of the wage you were earning, depending on how many dependents you have. The minimum and maximum L&I can pay is set by the state legislature. You may have better options available - ask your employer if there are other jobs you can do to earn your wage or salary while you recover.

What does Washington L&I cover? ›

L&I will pay for all medical bills that are directly related to the industrial injury. L&I will only pay for medical care that is related to your accepted workplace injury or occupational illness. Proper and necessary services may be either curative or rehabilitative.

How do you calculate Washington L&I? ›

Here's how L&I calculates the premium rate for each of the business's risk classifications: Multiplying the business's experience factor by the sum of the Accident Fund, Medical Aid Fund, and Stay at Work base rates, and then. Adding the base rate for the Supplemental Pension Fund.

Who is exempt from workers' comp in Washington? ›

Workers' Comp Exemptions in Washington

Business owners, partners, members and officers are generally excluded from workers' comp coverage in Washington.

How is pain and suffering calculated in Washington? ›

A jury may multiply the actual medical expenses incurred by some factor (often between three and seven) in order to arrive at a number. For instance, if medical expenses were $5,000 and a jury determined that a factor of five should be used, pain and suffering would be equal to $25,000.

What is an example of permanent partial disability? ›

Some examples of the types of conditions that could result in permanent partial disability benefits include: Amputation of certain body parts. Nerve damage. Carpal tunnel.

Which of the following is an example of an injury that is generally not covered? ›

Injuries Not Covered by Workers' Compensation

Self-inflicted injuries. Injuries caused by fighting or horseplay. influence of drugs or alcohol, or while violating company policies.

What are the rights of injured workers in Washington state? ›

Right to get medical care needed for treatment at no cost. Right to get time loss benefit payment if unable to work for more than 3 days. Right to turn down (decline) “light duty” work offer unless approved by your doctor. Right to get a permanent partial disability payment if your injury is permanent.

Can I see my own doctor for workers' comp in Washington state? ›

You may see a company doctor if you wish, but you have the right to choose your doctor and also to decide who, if anyone, you want to accompany you to the doctor. You have the right to decline to have the company nurse or any employer representative accompany you to the hospital, doctor, or any other medical visit.

Can you sue L&I in Washington state? ›

You cannot sue L&I, even if you are unhappy with how they handle your claim. Washington state workers injured on the job cannot sue their employer for negligence, instead, they must file a workers' compensation claim with Labor and Industries.

What is the L&I for 2024 in Washington state? ›

The L&I COLA for 2024 -2025 will be 5.9%.

This yearly L&I COLA increase is determined by the yearly change in the Washington State average weekly wage (AWW). The Average Weekly Wage increased more than normal this year because over the past 12 months many employers increased the wages they pay their workers.

How much does workers' comp pay in Washington state? ›

If you're completely unable to work, time-loss benefits are based on your average monthly gross income at the time of your injury, including wages, health benefits, bonuses, and tips. You'll receive 60% to 75% of that income, depending on your marital status and number of dependents.

Is L&I mandatory in Washington state? ›

Coverage is mandatory. In return, your worker ordinarily cannot sue you for damages when a work-related injury or illness occurs. Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund.

How much does L&I pay in Washington state? ›

In such cases, the Washington State Department of Labor and Industries (L&I) will reimburse you for lost time and wages — typically between 60-75% of the worker's earnings prior to the injury or illness up to a maximum cap.

Can you be fired while on L&I Washington state? ›

It is legal in Washington except in limited situations such as where the worker has a union or contract protections. Being fired for no reason does not negatively affect employment securities or L&I time loss benefits. Being laid off is a reduction in work force, usually based on the employer's business considerations.

What is a structured settlement with L&I? ›

L&I claim structured settlement

This option is available for work injury claimants who are 50 years old or over. To qualify, your claim must be at least 6 months old. Doing a structured settlements means that you get some money and you agree to close your claim. You might get a lump sum.

What is the money paid for injury? ›

The basis of all personal injury claims are the general damages a person has experienced due to being in an accident that wasn't their fault. These general damages are in relation to the specific injuries and any physical and mental harm suffered, and how their life has been affected as a result of the accident.

What is the second injury fund in Washington state? ›

(1) There is in the office of the state treasurer a fund to be known and designated as the "second injury fund," which may be used only for the purpose of defraying charges against employers and for supporting return-to-work outcomes for injured workers as provided in RCW 51.16. 120, * 51.32. 095(4), and 51.32. 250.

What is a L&I pension in Washington state? ›

A Labor and Industries disability pension is a special category of pension only awarded to the most severely injured workers in Washington state. If you are eligible for an L&I disability pension, you will receive a non-taxable payment every month for the rest of your life.

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