Claims Kit

Reporting of Claim by Employer 72-602

A report must be made in writing by the employer to the Industrial Commission no later than10days after the occurrence of:

a) An injury or occupational disease, requiring medical treatment by a physician; or

b) resulting in absence from work for 1 day or more

 Extended disability 60 day supplemental and final reports. If the disability extends beyond a period of sixty 60 days, the employer must make a supplemental report to the commission at the end of the period that the employee is still disabled.

Supplemental report on termination of disability.  After the disability of the employee, the employer will make a final supplemental report to the commission

Summary of compensation and medical services, paid and payable. Within 60 days after the termination of the disability, the employer will file with the commission a summary showing the total compensation payments made or to be made for the employee. The time prescribed by the commission for the filing  may be different for medical and related benefit cases in which monetary benefits have been made to the employee.

Failure to file report a misdemeanor.  An employer who willfully fails or refuses to make any report required by this section shall be guilty of a misdemeanor.

Penalties for Late Reporting 72-602(5)  72-604

An employer who willfully fails or refuses to make any report under this statute is guilty of a misdemeanor.

Failure to report the notice or change of disability status will not run against the claim of the employee requesting the benefits until the report has been filed. 

Emergency Orders ORDER RESCINDING EMERGENCY ORDERS: Effective March 29, 2023, the Idaho Industrial Commission deemed it appropriate to rescind its June 9, 2021, emergency order in response to the COVID-19 pandemic, except for the revisions to the Judicial Rules of Practice and Procedure ( JRP) and the Rules of Appellate Practice and Procedure ( RAPP) providing for e-filing shall remain in effect; which allows for Commission Referees to have the discretion of holding hearings remotely with the parties agreement. Order Rescinding Emergency Order Judicial Rules of Practice and Procedure – Effective March 29, 2023 Rules of Appellate Practice and Procedure – Effective March 29, 2023

The Idaho Industrial Commission and Crime Victims Compensation Program have limited its access to the public in response to the COVID-19 outbreak. All Commission services are available to our customers through scheduled appointments, telephone services, and the Commissions website. Please refer to our agency public notice for information on how to contact the Idaho Industrial Commission, or submit electronic documents.Idaho Industrial Commission Public NoticeAviso de la Comisión Industrial de Idaho Re: Servicios electrónicos y entrega de documentos

• For general questions, please contact the Commission’s main line at (208) 334-6000, email atwebmaster@iic.idaho.gov.
• For questions related to the Crime Victims Compensation Program, call (800) 950-2110 or visithttps://crimevictimcomp.idaho.gov.

Idaho has approved NCCI Item B-1441 related to NCCI codes during COVID-19 Pandemic. Wages paid to furloughed employees may be coded to NCCI Code 0012 and will be excluded from the premium and experience rating calculations. Code 0012 is effective as of March 1, 2020 through December 31, 2020. The ending date may be adjusted later as circumstances warrant. Self-Insured companies may submit a revised Semi-Annual Worker’s Compensation Tax Report reflecting any reductions for paid furlough employees. When submitting a revised report, please include the supporting documentation demonstrating wages reported as Code 0012. Additional information is available in Circular CIF-2020-26, Announcement of Item B-1441, Revisions to NCCI Manual Rules Related to the COVID-19 Pandemic.

October 7, 2020

When an employer believes that it is possible that an employee was infected with COVID-19 at work, or when an employee claims to have incurred COVID-19 at work, a notice of injury or occupational disease must be filed. The claims administrator may then investigate and determine compensability

Idaho has approved NCCI Item B-1441 related to NCCI codes during COVID-19 Pandemic. Wages paid to furloughed employees may be coded to NCCI Code 0012 and will be excluded from the premium and experience rating calculations. Code 0012 is effective as of March 1, 2020 through December 31, 2020. The ending date may be adjusted later as circumstances warrant.

Self-Insured companies may submit a revised Semi-Annual Worker’s Compensation Tax Report reflecting any reductions for paid furlough employees. When submitting a revised report, please include the supporting documentation demonstrating wages reported as Code 0012.

Additional information is available in Circular CIF-2020-26, Announcement of Item B-1441, Revisions to NCCI Manual Rules Related to the COVID-19 Pandemic.

The Idaho Industrial Commission and Crime Victims Compensation Program have limited its access to the public in response to the COVID-19 outbreak.

All regular Commission meetings with the public have been indefinitely closed to the public, postponed, or canceled.

For the shared safety of Idaho Industrial Commission customers and staff, the Commission will not be accepting any paper documents through reception at this time. All correspondence is required to be submitted via email, fax, or postal delivery. All Commission services are available to our customers through telephone services and the Commissions website.

Please refer our agency public notice for information on how to contact the Idaho Industrial Commission, or how to submit electronic documents.

Changes to Electronic Filing and Lump Sum Settlement Processing

With the support of ITS, the Commission is drafting emergency procedures to handle additional electronic filing and processing of lump sum settlements. We will keep the public advised of any new procedures to handle matters to minimize any interruptions in services.

The WCIO has updated the Injury Description Tables that are used by the IAIABC to reflect specific coding in response to COVID-19. A new Cause of Injury Code (DN0037) - 83 for “Pandemic” and a new Nature of Injury Code (DN0035) - 83 for “COVID-19” were approved. The codes are anticipated to be used for the reporting for any claim effective December 2019 or later. The IAIABC recommends that EDI reporting and collection systems be modified to recognize these new codes by April 1, 2020. The new Injury Description Tables may be found on the WCIO website, Injury Description Table page at: https://www.wcio.org/Document%20Library/InjuryDescriptionTablePage.aspx.

IIC will be ready to accept these new codes as recommended by the IAIABC on 4-1-2020.

For the shared safety of Idaho Industrial Commission customers and staff, the Commission will not be accepting any paper documents through reception at this time. All correspondence is required to be submitted via email, fax, or postal delivery.

If you have any questions, please contact us at (208) 334 – 6000.

Please submit your electronic documents through one of the following options:

Fax – (208) 334 – 2321

Lump Sum Settlements - settlements@iic.idaho.gov

Attorney Fee Memos - attorneyfeememo@iic.idaho.gov

Legal Documents – efiling@iic.idaho.gov

Records Requests – recordsmanagement@iic.idaho.gov

Changes to Electronic Filing and Lump Sum Settlement Processing

With the support of ITS, the Commission is drafting emergency procedures to handle additional electronic filing and processing of lump sum settlements. They will keep the public advised of any new procedures to handle matters to minimize any interruptions in services.

Posting Requirements 72-312

Idaho law requires that every employer who has complied with section 72-301 must post and maintain in a conspicuous place or places in and about his place or places of business typewritten or printed notices in form prescribed by the commission, stating the fact that he has complied with the law as to securing the payment of compensation to his employees and their dependents in accordance with the provisions of this law. Such notice must contain the name and address of the surety, if any, with which the employer has secured payment of compensation.

An employer who fails to post and keep such notice conspicuously displayed is guilty of a misdemeanor.

Poster

Poster - Spanish

There are no firm rules on exactly what this notice must look like. It is normally printed on an orange or salmon card stock so that it will be noticed.

Physician Selection IC 72-432 (4) Rule 20

Under the Idaho workers’ compensation system, the employer/surety may assign a medical provider to treat the injured worker. However, the worker may appeal that assignment to the Idaho Industrial Commission.

The employee upon reasonable grounds, may petition the commission for a change of physician to be provided by the employer; however, the employee must give written notice to the employer or surety of the employee's request for a change of physicians to give the employer the opportunity to fulfill its obligations. If proper notice is not given, the employer is not obligated to pay for the services obtained. The attending physician is authorized to allow for consultation, referral or specialized care without permission of the employer. Upon receiving written notice, the employer will render its written decision on the claimant's request within 14 days. If any dispute arises over the issue of a request for change of physician, the industrial commission will conduct a hearing to determine whether or not the request should be granted, and will render a decision within 14 days after the filing of the response by the employer.

 Petition for Change of Physician 

 Response To Petition For Change Of Physician