- Benefit Tables
- Filing Calendar
- Electronic Data Interchange
- In-State Adjuster Change Form
- Out-of-State Check Waivers
- Medical Fee Disputes
- Reporting Injuries
- Surety Audits
- Claims and Benefits Newsletters and Guidance
Benefit Tables (top)
To calculate benefits an injured worker may be entitled to, use the following tables to:
Filing Calendar (top)
IC-36: Outstanding Awards Report
Due quarterly: January 31, April 30, July 31, October 31
IC-211: Self-Insured Employer Report of Total Unpaid Liability
Due July 31 (Jan - Jun payments), January 31 (Jul - Dec payments)
IC2-327: Workers' Compensation Payment on Medical-Only Claims or Indemnity Payments
Due annually: March 3 (Jan-Dec payments).
IC-4008LD: Workers' Compensation Deductible Policy Report
Due annually: March 3
IC-4008: Premium Tax Report Form
Due semi-annually: July 31 (Jan-Jun payments), March 3 (Jul-Dec payments).
Electronic Data Interchange (top)
The Idaho Industrial Commission has established Electronic Data Interchange (EDI) partnerships for first-report of injury data. We have included a table of data elements required for EDI, a sample trading partner agreement and instructions for your reference. Please contact Mary Stumpp (208-334-6039) or Scott McDougall (208-334-6063) for further information.
Use the In-State Adjuster Change Form to either change your Primary in-state adjusting company designation, or the in-state adjuster for policyholders not handled by the Primary adjusting company.
Out-of-State Check Waivers (top)
To apply for an Out-of-State Check-Writing Waiver, submit a completed application and affidavit to the Industrial Commission at PO Box 83720, Boise, ID 83720-0041. Each surety/underwriter must apply for its own waiver. Waivers are not issued to insurance groups, or to third party adjusters.
Upon receipt of the application, we will review and determine whether we will issue the waiver, based upon the information you return to us and independent information available to us regarding your claims management practices.
Medical Fee Disputes (top)
The Commission has prepared some items to help navigate the medical fee dispute process. The Commission has also created a separate page to answer frequently asked questions.
Reporting injuries (top)
If a work-related injury or illness results in lost work time or requires medical treatment, that injury or illness must be reported to the Idaho Industrial Commission. This is done with a First Report of Injury or Illness form. Before completing the form, be sure to read the instructions. The form can be filled out and sent as an email attachment.
Surety Audits (top)
The Industrial Commission Claims and Benefits department conducts compliance audits of insurers and their designated in-state adjustors. Periodic audits are performed to ensure insurer and self-insured employers are in compliance with claims adjusting requirements as required by Statute and Rule. Click to view a list of the primary audit criteria used during the site audit.
For further information or comment, please contact Faith Cox, Surety Claims Audit Coordinator at 208-334-6004 or Faith.Cox@iic.idaho.gov
Claims and Benefits Newsletters and Guidance(top)
- Summer 2013 Newsletter
- Winter 2013 Newsletter
- Industrial Commission Lump Sum Settlement Process Information
- In-State Adjusting Requirements Reminder
- IDAPA Guidance Memorandum 17.02.04.281Conversion of PPI rating to whole person
- Notice of Change of Status Guidance Memorandum
- Audit Criteria
- Reporting of FROI, Initial Payment, and Change of Status via email