Claims are closed when:
If you, your doctor or your employer disagree with any decision L&I makes about your claim, all of you have the right to protest the decision or appeal directly to the Board of Industrial Insurance Appeals (BIIA).
L&I must receive your written protest within 60 calendar days of the date you received the decision. (You may not phone in your protest.) If we do not receive a protest by this time, our decision is final and you lose your right to be heard. (RCW 51.52.060) Read protest instructions.
You have the right to appeal L&I's decision to the Board of Industrial Insurance Appeals (BIIA). Read appeal instructions.
Yes. They receive copies of our decisions and have the same protest/appeal rights and instructions that you have.
Do not cash it. You are required to send it back to L&I.
No. Your protest must be in writing. It must clearly state what you are protesting and why.
No. You have the right to be represented by an attorney, but you are not required to have one.
You can get more information from the BIIA Web site (www.biia.wa.gov) about protesting and filing an appeal or, you may call L&I.
You and your doctor may apply to reopen your claim. However, there must be objective medical evidence that the condition caused by the same workplace injury has worsened and needs more medical attention.
You may apply to reopen your claim (for medical treatment only) at any time.
You are eligible to receive both time-loss and medical benefits. However, if your claim has been closed for more than seven years, you need special permission from the director of L&I to receive time-loss benefits.
Your rights, benefits, and responsibilities for your claim will remain the same. Washington laws will always apply to your claim regardless of where you live.
Many doctors and health-care providers in other states don't accept workers' compensation cases. Find a Doctor in your area.
If your reopening application seeks time-loss as well as medical benefits, you must apply within seven years of the date your claim was first closed (10 years for eye injuries).
When you have completed treatment but have suffered a permanent disability, you may qualify for a Permanent Partial Disability (PPD) award. PPD must be rated by a qualified doctor.
This means you can still work, but your physical ability has been impaired.
No. Permanent partial disabilities are based on the degree of your impairment, not on whether you can work.
No. After the claim is closed, these benefits end (unless the claim is reopened).
There are two types of pension:
Learn about disability awards in the Worker's Guide to Industrial Insurance (F242‑104‑000). The information is on pages 13 through 15. Learn about pensions in L&I's Pension Benefits brochure (F242‑352‑000).
Sometimes, a claim manager will authorize an independent medical exam for an injured worker. This means another doctor will be evaluating your medical condition.
These exams (called "IMEs") are performed when:
Doctors or panels of doctors who regularly give impartial medical opinions about a worker's condition or medical treatment. A claim manager will request it for you, if needed.
L&I pays for the cost of the exam, as well as any expenses you may have traveling to the exam or missing work.
More IME information is contained in the pamphlet Your Independent Medical Examination (F245‑224‑000).
An IME Comments Form (F245‑053‑000) is available online or you may call 1‑888‑784‑8059 to request a comment form. You can specify your preferred language.
If you do not attend your scheduled Independent Medical Exam, you may be charged a no-show fee. Also, you may jeopardize any benefits you are receiving.
There are many resources available to help you return to work or receive training for a new job once your claim is closed:
L&I cannot close your claim if there is an outstanding protest from you, your employer or your provider.
More about workers' comp claims
Claim information online in Claim & Account Center