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 is the Washington L&I rate calculated? ›

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.

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

A worker receives a percentage of wages based upon family status and number of dependents at the time of injury. A worker is entitled to 60% of their gross monthly wage. An additional 5% is added for a spouse and 2% for each dependent child, up to five children.

Who is exempt from workers' comp in Washington state? ›

While state workers' compensation insurance is recommended for all businesses, there are a few exceptions to the state law: Independent contractors, sole proprietors or limited liability company (LLCs) One domestic worker in a private home with less than 40 hours per week of labor.

Can I sue L&I Washington State? ›

Can You Sue L&I? 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 L&I.

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

The Washington State Department of Labor & Industries (L&I) has adopted a 4.9 percent increase in the average worker's compensation premium rate for 2024.

Do I have to pay taxes on L&I Washington State? ›

No taxes will be withheld.

The IRS considers time-loss compensation to be a disability benefit, not earned income, so income tax laws do not apply.

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

If your worker misses time from work and their doctor certifies they are unable to work, L&I may pay for a portion of their lost wages, which is called "time‑loss compensation." However, the first 3 days immediately following the worker's injury are considered a waiting period.

Who is the highest paid state employee in WA? ›

Connect with a community of local professionals. Kalen DeBoer, who left UW last week to become head coach at the University of Alabama, was Washington's highest-paid public employee in 2022 when he earned $3.32 million. He received a contract extension and a pay bump in 2023, pushing his salary to $4.2 million.

What is the 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.

How much does workers comp cost in Washington state? ›

How much does workers' compensation insurance cost in Washington? Estimated employer rates for workers' compensation in Washington are $1.34 per $100 in covered payroll. Your cost is based on a number of factors, including: Payroll.

Do I need workers' comp in WA? ›

It is mandatory to have workers' compensation insurance for anyone you employ who is defined as a 'worker' under the Act.

Who is responsible for determining if an injury is work-related? ›

If there is a question or doubt about the injury or illness being job-related, the supervisor shall attach a memorandum to SCIF e3067 (STATE) outlining the facts as they are known and request further investigation by State Compensation Insurance Fund.

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.

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 I quit my job while on workers comp in Washington state? ›

In fact, if you are receiving workers' comp benefits for a workplace injury, you should be able to resign from your current job without losing benefits. Leaving a job doesn't automatically end a workers' comp claim.

How is Washington PFML calculated? ›

We will determine your weekly benefit amount based on wages reported by your employer(s). You will receive up to 90 percent of your weekly pay—up to the maximum weekly benefit amount, which is updated yearly. Paid time off (PTO) reduces your weekly benefit amount.

How to calculate the rate of premium? ›

The sum insured is divided by the sum assured to calculate the premium amount. If the sum insured is Rs. 50,000 and the sum assured is Rs. 5,000, then the rate of premium to be paid is 10%.

How does Washington determine the base rate for each classification? ›

Each year, L&I actuaries calculate base rates for each risk classification based on 5 years of claim costs by claim type and hours worked (Risk classifications with insufficient data are combined with larger classes to calculate combined base rates.)

What is the PFML rate in Washington state? ›

Starting Jan. 1, 2024, the premium rate is 0.74 percent of each employee's gross wages, not including tips, up to the 2024 Social Security cap ($168,600). Of this, employers with 50+ employees will pay up to 28.57% and employees will pay 71.43%.

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