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Form 668-W(c)(DO) Texas Collin: What You Should Know

Texas Workers' Compensation Act — Overview If you receive this document please forward this to others who might need to know about the changes described in the document. What is a Worker's Compensation Insurance Plan? Workers' compensation insurance plans provide a way for working Texans to protect the money they earn. Each state has its own system. A person must meet certain requirements to be covered under a workers' compensation insurance plan. They must provide a reasonable explanation of the accident and injury in question and submit a completed claim form to the claim adjuster. The claims' adjuster will file a written decision to the claimant. The claim adjuster will then tell the claimant what to do. If the case progresses to a hearing the claim adjuster will either award a claim, deny the claim, or determine that the claimant is not entitled to benefits under the plan. How do I file for a claim, or what will happen if I don't win? You must fill out a claim form and pay the claim form fee. The claim form will tell you what you need to do. When you pay the fee the court will decide what to do with your case. When you file you should include proof showing that you suffered a work-related accident. This is done by filling out a written statement describing the accident. The statement must identify the accident, any injuries, the place of injury, and the work activities at the time of the accident. It must also include a description of any medical care you received after you are injured. This is important to note. To learn more about how to submit documentation, please see below. You will then have one or more court dates. You will be asked to provide evidence with your completed claim form. These include medical records; physical evidence (such as X-rays, photographs, medical bills, etc.); and letters from doctors certifying that you were injured. These statements will be used to decide if you qualify for workers' compensation benefits. What if I don't qualify for workers' compensation? The court will decide if you are eligible for benefits under the workers' compensation plan. This will depend on whether your claim was completed after you filed it, and what other evidence was submitted. If you don't qualify for benefits, you may only keep half of your lost wages and your medical bills. You could be paid either 10% of damages or 20% of lost compensation.

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