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Texas Workers’ Compensation Law Reference Chart for Adjusters, Produced by AI

17 Aug, 2025 Frank Ferreri

                               
CategoryKey Information
Governing LawTexas Labor Code, Title 5; 28 TAC Chapters 102–180
CoverageNot mandatory for private employers; those who opt in must notify employees and post notices
Injury ReportingEmployee must report injury to employer within 30 days
Claim FilingEmployee must file DWC Form-041 within 1 year of injury
Employer ReportingDWC Form-001: within 8 days of injury/illness/fatality
DWC Form-003: within 30 days if income benefits are owed
DWC Form-006: within 3 days for lost time
Income BenefitsTemporary Income Benefits (TIBs): 70–75% of wage loss after 7+ daysImpairment Income Benefits (IIBs): 70% of AWW, 3 weeks per % impairmentSupplemental Income Benefits (SIBs): 80% of wage difference if 15%+ impairmentLifetime Income Benefits (LIBs): 75% of AWW + 3% annual increase
Medical BenefitsPaid by carrier; must be reasonable, necessary, and related to injury. No billing to injured worker
Death & Burial BenefitsDeath: 75% of AWW to eligible beneficiaries
Burial: Up to a statutory maximum
Dispute Resolution1. Benefit Review Conference
2. Contested Case Hearing
3. Appeals Panel
4. Judicial Review
Adjuster LicensingMust be licensed by TDI; adjusters must maintain communication logs and meet staffing requirements
Communication RulesWritten communications must be sent to the most recent address; adjusters must respond to inquiries within 5 working days
Language AccessCarriers must provide translation if the claimant cannot
ResourcesWorkers’ Comp 101 PDF
Rules PDF
Statutes
Publications

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About The Author

  • Frank Ferreri

    Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law. Frank encourages everyone to consider helping out the Kind Souls Foundation and Kids' Chance of America.

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