Insurance Information
- Benefit Tables
- Filing Calendar
- Electronic Data Interchange
- In-State Adjuster Change Form
- Out-of-State Check Waivers
- Medical Fee Disputes
- Reporting Injuries
- Surety Audits
Benefit Tables (top)
To calculate benefits an injured worker may be entitled to, use the following tables to:
STEP 1: Convert the Average Weekly Gross Wage to a benefit percentage
STEP 2: Convert your benefit percentage to a Weekly Dollar Amount
Filing Calendar (top)
IC-36: Outstanding Awards Report
Due quarterly: January 10, April 10, July 10, October 10
IC2-327: Workers' Compensation Payment on Medical-Only Claims or Indemnity Payments
Due annually: March 3 (Jan-Dec payments).
IC-4008: Premium Tax Report Form
Due semi-annually: July 31 (Jan-Jun payments), March 3 (Jul-Dec payments).
IC-4010: Premium Tax Report Form, Self-Insured
Due semi-annually: July 31 (Jan-Jun payments), March 3 (Jul-Dec payments). (Also IC-4010a, computation form.)
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, and a sample trading partner agreement for your reference. Please contact Mary Stumpp (208-334-6039) or Scott McDougall (208-334-6063) for further information.
In-State Adjuster Change Form
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 conducts regular compliance audits of insurers and their designated in-state adjusters. The Commission solicits public comments in advance of Commission audits.