State Contact Info

State Coverage Requirement Employee Eligibility Medical Provider Choice Wage Replacement % Death Benefit Cap Notes Alabama 5+ employees Employees only Employer chooses 66 2/3% AWW $6,500 funeral + dependents Farm/domestic exempt Alaska 1+ employees Employees […]

State Coverage Requirement Employee Eligibility Medical Provider Choice Wage Replacement % Death Benefit Cap Notes Arkansas 3+ employees Employees only Employer chooses 66 2/3% AWW Funeral up to $6,000 + dependents Farm/domestic exempt Louisiana 1+ […]

State Coverage Requirement Employee Eligibility Medical Provider Choice Wage Replacement % Death Benefit Cap Notes Alaska 1+ employees Employees only Employer chooses 80% net spendable wage No max (depends on dependents) Broad coverage Arizona 1+ […]

State Coverage Requirement Employee Eligibility Medical Provider Choice Wage Replacement % Death Benefit Cap Notes Illinois 1+ employees Employees only Employee chooses 66 2/3% AWW Funeral up to $8,000 + dependents Broadest coverage Indiana 1+ […]

State Coverage Requirement Employee Eligibility Medical Provider Choice Wage Replacement % Death Benefit Cap Notes Alabama 5+ employees Employees only Employer chooses 66 2/3% AWW Funeral up to $6,500 + dependents Farm/domestic exempt Florida 4+ […]

State Coverage Requirement Employee Eligibility Medical Provider Choice Wage Replacement % Death Benefit Cap Notes Connecticut 1+ employee Employees only Employer chooses initially, then employee may change 75% of after-tax AWW Funeral up to $4,000 […]

State Offices Board of Industrial Insurance Appeals - Board Division Phone: 360-753-6824Fax:Email: Board of Industrial Insurance Appeals - Dispute Resolution Division Phone: 360-753-6823Fax:Email: Board of Industrial Insurance Appeals - Mailing Address & FaxP.O. Box 42401 […]

State Offices Administrative Law Judge Amy Young - Cape Girardeau Office3102 Blattner, Suite 101 Cape Girardeau 63703Phone:Fax:Email: Administrative Law Judge Angie Heffner - Kansas City1410 Genessee Street, Suite 210 Kansas City 64102-1047Phone:Fax:Email: Administrative Law Judge […]