Illinois workers' compensation insurance: Your ultimate guide

Understanding Illinois workers' compensation insurance

Illinois is steeped in history and natural splendor, from the vibrant city of Chicago to the enchanting vistas of Starved Rock State Park. The Prairie State offers a thriving business environment with ample prospects for entrepreneurs and business proprietors.

Whether situated in the heart of Illinois' technological hub or nestled along the picturesque shores of Lake Michigan, ensuring the protection of your business and employees through workers’ compensation insurance is paramount.

What is workers' compensation?

Workers' compensation is a state-mandated insurance program for all employers, including those with part-time employees. It’s designed to provide employees who suffer work-related injuries or illnesses with medical treatment and indemnity benefits.

Without workers’ compensation, the cost of a work-related injured or ill employee’s medical treatment could become the responsibility of your business.

Illinois workers' compensation rules and laws

The Illinois Workers’ Compensation Commission oversees the workers’ compensation law in Illinois. The law requires employers to provide workers’ comp insurance, with limited exemptions . 

Part-time, seasonal and temporary workers, minors, trainees, immigrants and working family members are considered employees under Illinois workers’ compensation law. 

Employees can verify online if their employer has coverage through an online search tool. 

Coverage and benefits

Who is covered?

Policies include protection for full-time and part-time workers, seasonal and temporary employees.

Exemptions from Illinois workers’ compensation may include, for example:

  • Sole proprietors
  • Corporate officers
  • Business partners
  • Limited liability company (LLC) members

Covered injuries and illnesses

Workers' compensation covers a range of work-related injuries and illnesses, including physical injuries resulting from an accident and occupational diseases that may develop over time due to job conditions.

Benefits provided

Illinois workers’ comp insurance provides several types of benefits for work injuries, which include:

  • Medical benefits
  • Lost wages and other monetary compensation
  • Death and funeral benefits

These benefits include:

  • Medical treatment for work-related accidents, injuries and/or illnesses 
  • Mileage reimbursement for travel to and from an authorized doctor
  • Temporary disability benefits 
  • Permanent disability benefits
  • Death benefits to surviving dependents 

Benefits received rely on many factors, such as the employee’s: 

  • Average weekly wage before the injury 
  • Injury severity
  • Length of recovery and ability to continue working

Illinois workers’ compensation rates

In Illinois, the weekly compensation rate is 66 ⅔% of a person’s average weekly wage based on the 52 weeks prior to the injury or illness. 

This amount is subject to a statewide maximum reimbursement amount. Injured workers will not receive lost wages for the first three days unless they need at least 14 days of work off. The state maximum compensation (that change bi-annually) is $1,897.92 as of January 15, 2024. 

Find more information on annual Illinois’ workers’ compensation rates.

Illinois workers' compensation insurance process

Filing a workers' compensation claim

In the event of a work-related injury or illness, employees must promptly notify their employer and seek medical attention.

Step 1: Seek treatment

It is crucial for workers to seek medical immediately when suffering a work-related injury for diagnosis and treatment. All care is covered by your employer and their workers’ comp partner with no cost to you. 

Step 2: Report injury to employer

Employers must be made aware of the worker’s injury no more than 45 days after the incident. 

Step 3: Work restrictions

When first treated, the medical provider should issue work restriction documentation that workers are to make their employer aware of with a copy.

Step 4: Claim

Employers are required by law to report accidents that result in more than three lost work days to the Workers’ Compensation Commission. 

Once the accident is reported, the worker should receive a handbook that explains the law, benefits, and procedures. Handbooks can also be found on the Commission’s website. 

If the worker loses time from work due to the work injury or illness, they may be entitled to receive weekly payments and necessary medical care until they are able to return to work safely.

It’s against the law for an employer to harass, discharge, refuse to rehire or in any way discriminate against an employee for exercising their rights under the Workers' Compensation or Occupational Diseases Acts. 

If a fraudulent claim is filed it may result in legal repercussions.

Step 5: Ongoing treatment

Employers and their insurance partners must pay for all medical treatment connected to the work injury. Treatment is to continue until the worker reaches maximum medical improvement (MMI). MMI means that no further medical treatment would benefit the worker, as the medical condition has plateaued.

Step 6: Return to work

Following their recovery, a worker is expected to resume work safely. If an employee is unable to return to their previous position or any other type of work due to their work-related injury, they may be entitled to permanent total disability benefits.

Choosing a healthcare provider 

If the workers’ compensation insurance partner accepts the claim, benefits will be issued immediately to ensure timely care.

Employers in Illinois should provide the injured worker with a panel of providers from which to choose a treating physician. The physician chosen becomes the authorized treating physician.

Employees must seek medical treatment from these designated providers to ensure coverage.

Compensation for missed work

If an employee is off work for more than 14 days, they are eligible for lost time benefits.

How to get workers' compensation

Insurance requirements for employers

Generally, employers in Illinois with two or more employees must carry workers' compensation insurance or qualify for self-insurance, depending on their size and industry. Compliance with these requirements is essential to protect both the employer and employees.

Choosing the right insurance provider

When selecting a workers' compensation insurance provider, consider factors such as the provider's experience in the industry, financial stability, coverage options, claims process, customer service, and cost.  

We recommend requesting multiple quotes and comparing the offerings before making a decision.

Covering your business and employees with a trusted insurance partner — like EverPeak — brings peace of mind so you can focus on your bottom line.

Insurance regulations, laws, and available coverages can change. The information provided on this website is for general informational purposes only. Please consult the
Illinois
Departments of Insurance and/or Labor for the most up-to-date and detailed information.

Information updated as of January 1, 2024
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Frequently asked questions

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What are the penalties for non-compliance with workers' compensation laws in Illinois?

In Illinois, employers who fail to procure or sustain the appropriate workers' compensation coverage for their employees may be fined up to $500 for every day of noncompliance, with a minimum fine of $10,000.

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Can an employee sue their employer for a work-related injury or illness?

In most cases, employees in Illinois are barred from suing their employers for work-related injuries or illnesses. The workers' compensation system provides an exclusive remedy, meaning that employees typically cannot file a lawsuit against their employers. Instead, they must pursue a workers' compensation claim to receive benefits for their injuries or illnesses.

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Are independent contractors covered by workers' compensation insurance?

Generally, independent contractors aren’t covered by workers' compensation insurance in Illinois. Workers' compensation laws typically apply to employees rather than independent contractors.

However, it's important to note that the classification of a worker as an independent contractor or an employee can be complex, and misclassification can lead to legal disputes. If you’re unsure about your classification, we recommend seeking legal guidance.

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How long do I have to report a work-related injury or illness?

Ideally, the incident should be reported immediately or within a few days of the occurrence. Prompt reporting helps ensure the necessary steps are taken to initiate the workers' compensation claims process.

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How do I verify an employer’s coverage?

Employees can verify online if their employer has coverage through an online search tool.

Expert assistance and resources