Employment Law Aid

Texas Workers' Comp Benefits: TIB, IIB, SIB & Medical Coverage (2026)

Updated 2026-01-05
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Complete guide to Texas workers' compensation benefits including Temporary Income Benefits, Impairment Income Benefits, Supplemental Income Benefits, death benefits, and medical treatment coverage.

Texas uses a unique income benefit system different from most states. Understanding the four types of income benefits—Temporary Income Benefits (TIB), Impairment Income Benefits (IIB), Supplemental Income Benefits (SIB), and Lifetime Income Benefits (LIB)—ensures you receive all benefits you're entitled to.

Medical Benefits

Coverage: All reasonable and necessary medical treatment related to your injury

No time limit: Medical care continues for life as long as needed

Includes:

  • Doctor visits
  • Hospital care
  • Surgery
  • Medication
  • Physical therapy
  • Medical equipment (crutches, wheelchair, etc.)
  • Mileage reimbursement

Doctor selection: Choose from insurance carrier's network

No co-pays or deductibles: Insurance pays all approved treatment

Temporary Income Benefits (TIB)

When you qualify: Cannot work or have reduced earnings due to injury

Waiting period: First 7 days of disability (no benefits)

Exception: If disabled more than 14 days, retroactive payment for first 7 days

Benefit amount: 70% of average weekly wage (AWW)

Maximum weekly benefit (2026): $1,239 (capped)

Minimum: $154/week

Duration: Until you reach Maximum Medical Improvement (MMI)

Example: AWW $1,500/week → TIB = $1,050/week (70% of $1,500)

Example: AWW $2,000/week → TIB = $1,239/week (hits maximum cap)

Impairment Income Benefits (IIB)

When you qualify: Permanent impairment rating assigned at MMI

Duration: 3 weeks for each 1% of impairment rating

Benefit amount: 70% of average weekly wage (same as TIB)

Maximum: $1,239/week (2026)

Calculation:

  • 10% impairment → 30 weeks of IIB (10 × 3)
  • 25% impairment → 75 weeks of IIB (25 × 3)
  • 40% impairment → 120 weeks of IIB (40 × 3)

Example: 15% impairment, AWW $1,200/week → $840/week × 45 weeks = $37,800 total

Payment schedule: Bi-weekly

No lump sum: Texas generally doesn't allow lump sum settlements for income benefits

Supplemental Income Benefits (SIB)

When you qualify: After IIB ends, if both conditions met:

  1. Impairment rating 15% or greater
  2. You cannot earn 80% of pre-injury wages due to impairment

Benefit amount: 80% of difference between pre-injury wages and current earnings

Maximum: $1,239/week (2026)

Duration: 13-week periods, renewable if continue to qualify

Lifetime maximum: Total of 401 weeks (about 7.7 years)

Work search requirement: Must document efforts to find work within restrictions

Calculation:

  • Pre-injury wages: $1,000/week
  • Current earnings: $400/week
  • Difference: $600/week
  • SIB: 80% × $600 = $480/week

Quarterly reapplication: Must file SIB-04 form every 13 weeks to continue

Lifetime Income Benefits (LIB)

When you qualify: Total and permanent loss of:

  • Both hands
  • Both feet
  • Both eyes
  • One hand and one foot
  • One hand and one eye
  • One foot and one eye
  • Paralysis
  • Third-degree burns over 40% of body
  • Traumatic brain injury with permanent vegetative state

Benefit amount: 75% of average weekly wage

Maximum: $1,239/week (2026)

Duration: For life (until death)

Rare: Very few injuries qualify for LIB

Death Benefits

When payable: Employee dies from work-related injury

Eligible beneficiaries:

  • Surviving spouse
  • Children under 18 (or older if disabled)
  • Other dependents

Benefit amount: Spouse and children: 75% of deceased's AWW

Maximum: $1,239/week (2026)

Duration:

  • Spouse: Until death or remarriage
  • Children: Until age 18 (25 if full-time student)

Burial expenses: Up to $10,000

Lump sum option: Spouse may request one-time payment

Find Out If You Have a Case

Not sure if your employer broke the law or what your claim is worth? Get a free, no-obligation evaluation from an experienced employment attorney.

Average Weekly Wage (AWW) Calculation

What it is: Your average earnings used to calculate income benefits

Calculation: Total wages in 13 weeks before injury ÷ 13

Includes: Regular wages, overtime, bonuses, commissions

Excludes: Tips, expense reimbursements

Part-time workers: AWW based on actual part-time wages, not full-time equivalent

Multiple jobs: May include wages from all jobs

Example:

  • Total wages last 13 weeks: $19,500
  • AWW: $19,500 ÷ 13 = $1,500/week

Maximum Medical Improvement (MMI)

Definition: Condition has stabilized, unlikely to improve significantly

Who decides: Treating doctor assigns MMI date

Triggers: End of TIB, beginning of impairment rating and IIB

Impairment rating: Doctor assigns permanent impairment percentage (0-100%)

Uses: AMA Guides to Evaluation of Permanent Impairment

Learn more: Maximum Medical Improvement in Texas

Vocational Rehabilitation

Not a cash benefit: Services to help return to work

When available: If cannot return to previous job

May include:

  • Job search assistance
  • Resume writing
  • Interview training
  • Skills assessment

Not mandatory: Insurance carrier discretion

No tuition/retraining: Texas doesn't provide retraining benefits (unlike California)

Return to Work Programs

Modified duty: Employer may offer light duty within restrictions

Can refuse if: Doctor says you cannot work at all

Cannot refuse if: Doctor clears you for light duty and employer offers suitable work

Benefit reduction: If refuse suitable work, may lose income benefits

Learn more: Returning to Work in Texas

Benefits Comparison Table

Benefit Type When Payable Amount Duration
TIB Cannot work, before MMI 70% AWW Until MMI
IIB Permanent impairment at MMI 70% AWW 3 weeks × impairment%
SIB After IIB, 15%+ rating, can't earn 80% 80% of wage loss 13-week periods, max 401 weeks
LIB Catastrophic permanent injury 75% AWW Lifetime
Death Death from injury 75% AWW Until spouse death/remarriage

Maximum weekly benefit (all types): $1,239 (2026)

What Benefits Don't Cover

Pain and suffering: Not compensable in workers' comp

Punitive damages: Not available

Full wage replacement: Only 70-80% of wages

Retraining: No tuition or education benefits

Non-subscriber option: If employer doesn't have workers' comp, can sue for full damages

FAQs

Q: How much will I receive in Texas workers' comp? A: 70% of your average weekly wage for TIB/IIB, up to maximum $1,239/week (2026).

Q: How long do workers' comp benefits last in Texas? A: Temporary benefits until MMI. Impairment benefits for 3 weeks per 1% impairment. Supplemental benefits up to 401 weeks if qualify.

Q: Can I get a lump sum settlement in Texas? A: Generally no for income benefits, but possible for medical in some cases.

Q: What if I can never work again? A: May qualify for Lifetime Income Benefits if meet catastrophic injury criteria, or long-term SIB.

Q: Do I pay taxes on workers' comp benefits? A: No, income benefits are not taxable.

Q: What's the maximum workers' comp benefit in Texas? A: $1,239/week maximum for all income benefit types (2026).

Q: Can I get benefits if I work part-time? A: Yes, but AWW based on actual part-time wages.

Q: What if I have a pre-existing condition? A: You can still receive benefits, but impairment rating may be apportioned.

Related Topics

Legal Disclaimer

This guide provides general information about Texas workers' compensation benefits. Benefit calculations are complex and depend on your specific circumstances. Consult a qualified Texas workers' compensation attorney to ensure you receive all benefits you're entitled to.

Last updated: January 5, 2026

Frequently Asked Questions

What is medical Benefits?
Coverage: All reasonable and necessary medical treatment related to your injury No time limit: Medical care continues for life as long as needed Includes: Doctor visits Hospital care Surgery Medication Physical therapy Medical equipment (crutches, wheelchair, etc.
What is temporary Income Benefits (TIB)?
When you qualify: Cannot work or have reduced earnings due to injury Waiting period: First 7 days of disability (no benefits) Exception: If disabled more than 14 days, retroactive payment for first 7 days Benefit amount: 70% of average weekly wage (AWW) Maximum weekly benefit (2026): $1,239 (capped)...
What is impairment Income Benefits (IIB)?
When you qualify: Permanent impairment rating assigned at MMI Duration: 3 weeks for each 1% of impairment rating Benefit amount: 70% of average weekly wage (same as TIB) Maximum: $1,239/week (2026) Calculation: 10% impairment → 30 weeks of IIB (10 × 3) 25% impairment → 75 weeks of IIB (25 × 3) 40% i...
What is supplemental Income Benefits (SIB)?
When you qualify: After IIB ends, if both conditions met: 1. Impairment rating 15% or greater 2. You cannot earn 80% of pre-injury wages due to impairment Benefit amount: 80% of difference between pre-injury wages and current earnings Maximum: $1,239/week (2026) Duration: 13-week periods, renewable ...
What is lifetime Income Benefits (LIB)?
When you qualify: Total and permanent loss of: Both hands Both feet Both eyes One hand and one foot One hand and one eye One foot and one eye Paralysis Third-degree burns over 40% of body Traumatic brain injury with permanent vegetative state Benefit amount: 75% of average weekly wage Maximum: $1,23...

Legal Disclaimer

The information on this website is for general informational purposes only and does not constitute legal advice. Employment laws vary by state and change frequently. For advice specific to your situation, consult a licensed employment attorney in your state. Employment Law Aid is not a law firm and does not provide legal representation. No attorney-client relationship is created by using this website.