Employment Law Aid

Washington Workers' Comp Benefits: Time-Loss, PPD & Medical (2026)

Updated 2026-01-05
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Complete guide to Washington L&I workers' compensation benefits including time-loss compensation, permanent partial disability, and medical coverage.

Washington L&I provides medical treatment and wage replacement benefits for work-related injuries.

Medical Benefits

Coverage: All proper and necessary medical treatment Duration: For life as needed Provider: L&I-approved providers No cost: Worker pays nothing Includes: Doctors, hospital, surgery, medications, therapy, equipment, travel reimbursement (59ยข/mile for 2026)

Time-Loss Compensation (TLC)

When: Cannot work due to injury

Rate:

  • With spouse/dependent: 75% of gross monthly wage
  • No spouse/dependent: 60% of gross monthly wage

Maximum monthly (2026): Approximately $7,364.45 Minimum monthly: Varies based on wage

Waiting period: First 3 working days unpaid (unless disability exceeds 14 calendar days, then retroactive) Duration: Until return to work or claim closure Payment: Biweekly

Loss of Earning Power (LEP)

When: Return to work at reduced wages due to injury Calculation: Percentage of wage loss ร— time-loss rate Ongoing: May continue indefinitely if permanent wage loss

Permanent Partial Disability (PPD)

When: Permanent impairment after maximum medical improvement

Award based on:

  • Impairment rating (Category 1-4)
  • Age
  • Occupation

Categories:

  • Category 1: Minor impairment (lowest award)
  • Category 2: Minor to moderate
  • Category 3: Moderate to marked
  • Category 4: Marked to total (highest award)

Payment: Monthly or lump sum (if under 10 years of payments)

Example: Category 3 award for 40-year-old laborer might be 36-60 months of time-loss

Permanent Total Disability (PTD)

When: Permanently unable to work in any gainful employment Benefits: Monthly time-loss compensation for life Cost-of-living adjustments: Annual COLA increases Difficult standard: Must prove total unemployability

Scheduled Injuries

Specific losses with set awards:

  • Loss of arm, leg, hand, foot, eye, hearing
  • Fixed number of months of time-loss compensation
  • Independent of ability to work

Death Benefits

Beneficiaries: Spouse, children, dependents Amount:

  • Spouse: 60% of worker's wages
  • Children: Additional percentages Duration:
  • Spouse: Until remarriage (lump sum = 60 months upon remarriage)
  • Children: Until age 18 (age 23 if student) Burial: Up to $7,927 (2026)

Vocational Services

When: Cannot return to previous job Services: Job placement, training, education Plan for Achieving Reemployment (PAR): Individualized plan Training benefits: May receive time-loss during approved training

Reopening Claims

Aggravation: Within 7 years of claim closure if condition worsens New injury: Can file new claim if new work-related injury

FAQs

Q: Are L&I benefits taxable? A: No, all benefits are tax-free.

Q: Can I receive L&I and Social Security Disability? A: Yes, but L&I may offset to prevent total exceeding 80% of pre-injury wages.

Q: How is PPD calculated? A: Based on impairment category, age, and occupation using statutory formula.

Q: Can I get a lump sum? A: PPD can be lump sum if under 10 years. Time-loss typically monthly but may settle.

Q: What if I can work part-time? A: May receive Loss of Earning Power benefits for wage difference.

Related Topics

Last updated: January 5, 2026

Frequently Asked Questions

What is medical Benefits?
Coverage: All proper and necessary medical treatment Duration: For life as needed Provider: L&I-approved providers No cost: Worker pays nothing Includes: Doctors, hospital, surgery, medications, therapy, equipment, travel reimbursement (59ยข/mile for 2026)
What is time-Loss Compensation (TLC)?
When: Cannot work due to injury Rate: With spouse/dependent: 75% of gross monthly wage No spouse/dependent: 60% of gross monthly wage Maximum monthly (2026): Approximately $7,364.
What is loss of Earning Power (LEP)?
When: Return to work at reduced wages due to injury Calculation: Percentage of wage loss ร— time-loss rate Ongoing: May continue indefinitely if permanent wage loss
What is permanent Partial Disability (PPD)?
When: Permanent impairment after maximum medical improvement Award based on: Impairment rating (Category 1-4) Age Occupation Categories: Category 1: Minor impairment (lowest award) Category 2: Minor to moderate Category 3: Moderate to marked Category 4: Marked to total (highest award) Payment: Month...
What is permanent Total Disability (PTD)?
When: Permanently unable to work in any gainful employment Benefits: Monthly time-loss compensation for life Cost-of-living adjustments: Annual COLA increases Difficult standard: Must prove total unemployability

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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.