Residency and certain criteria are required to receive workers’ compensation in Texas. We designed this guide to explain its essence, and it’s intended for Texas residents. To be eligible for the program, you need to meet specific criteria, and this guide explains all that. 

Compensation for workers may seem complicated, but it’s vital for protecting employees. It ensures payments in case of workplace injuries. This guide simplifies the process and helps you understand all the requirements:

  1. The first rule is residency; you must live in Texas, and this guide clarifies that. 
  2. Then, you need to meet specific criteria related to your job or the nature of the injury. 

This guide explains these aspects. The goal is to expand your options. You’ll learn how to file a claim and what to expect. This guide provides the necessary knowledge, aiming to make the claims process smoother. 

What is Workers Compensation?

Workers’ compensation in Texas benefits offer healthcare coverage. Also, wage replacement and supporting hurt or unwell workers after job accidents. The perks include medical treatment, recovery, incapacity funds, and demise help. Healthcare encompasses treatments. Also, trips to the hospital, prescribed drugs, surgical operations, and therapeutic measures. Rehabilitation assists in the recovery of the pre-injury status. It happens with physical and occupational therapy. Income replacement relies on the worker’s regular weekly pay before the injury. 

When a worker’s life is lost due to job-related incidents, survivor benefits come into play, aiding the family. These advantages involve a section of the worker’s regular weekly earnings and cover funeral expenditures. Timely reporting of workplace injuries to your employer within a month and filing a claim within a year is vital. Delays in these procedures can influence your qualification. Texas employers aren’t bound by law to provide workers compensation in Texas. They have the alternative to get insurance, self-finance, or join a self-insurance consortium. Understanding the concept of employee compensation is helpful for both.

a woman with a bandaged head holds insurance and money in her hands

The Specifics of Workers Compensation in Texas

Texas gives companies the discretion to choose whether to pay their employees. An employee has a workplace accident and files a personal injury lawsuit. So failing to consider this coverage might result in serious financial difficulties. The costs might be more than the cost of insurance. What is worker compensation? If an employer decides to provide worker compensation, they have a variety of possibilities. They can get Texas workers comp insurance, finance themselves, or join a consortium. Private businesses who choose to self-fund must seek approval. It happens from the Workers Compensation Division and follow specific financial guidelines.

Workers Compensation in Texas Benefits

Employee compensation in Texas offers damaged workers a variety of benefits. The company created these benefits to provide financial aid to employees who were ill or got hurt due to their line of work.

  • Health benefits. It is one of the main workers compensation in Texas benefits. These benefits cover the costs of necessary medical care needed to treat an illness or injury sustained on the job. This includes visits to the hospital, surgeries, medicines, and more medical treatments.
  • Employee pay provides money perks besides medical coverage. Due to an illness or injury sustained on the work, these benefits replace a part of the lost wages. There are four types of financial advantages. The severity of an employee’s injury and how it affects their ability to work determine the type of workers compensation in Texas they have a right to.
  • Additionally, employee pay provides benefits upon death. These benefits are also available to the family members of workers who die as a result of an illness or injury sustained on the job. A percentage of the wages lost owing to the employee’s dying gets made up for through death benefits. The amount of death benefits resembles the average weekly wage. Similar benefits for burial are offered as part of employee payment to help offset the cost.
  • Unless they get married again, a surviving husband or wife can get passing benefits for as long as they live. If the employee leaves behind dependent children, the children will get 50% of the benefits. While the husband or wife would receive the remaining 50%. A living spouse receives a lump sum payment equal to two years’ worth of benefits if they remarry. 
  • Children can enjoy passage privileges till they become 18 years old. They are eligible for benefits up until the age of 25 if they are enrolled full-time in an accredited educational institution. If a kid has a physical or mental handicap, they may be eligible for death benefits while they still have the impairment.

Employee payment offers a variety of workers compensation in Texas benefits. They provide help to both the employees’ dependents and those who have become ill or injured owing to their line of work. These benefits include those related to healthcare, finances, passing away, and burial.

Workers Comp Insurance on the table

Texas Workers Comp Insurance

Texas workers comp insurance have many options. They can get protection from a licensed insurance company. Students may opt to raise their own money. The third option is to join a self-funding collective.

The prospect of self-funding exists for big private employers. But, they need to get the Workers Compensation Division’s approval. Additionally, they need to meet certain financial requirements.

  • It’s essential to only buy protection from licensed insurance companies when doing so. For certified insurance companies, the Texas Property and Casualty Guarantee Association pays workers compensation in Texas.
  • You can buy from Texas Mutual Insurance Company if you can’t find a company ready to sell you a contract. As a last resort option for Texas companies, Texas Mutual established the Act. It continues to serve as the state’s primary insurance provider.

Employers that have staff benefits insurance coverage must tell their insurance company. Any workplace losses that cause more than a single day of missed work have to be mentioned. They must also report any illnesses or fatalities connected to their jobs. That is what  worker compensation is.

Private companies in Texas have the option to carry employee compensation insurance. The majority of the time, though, it is not required. Workers wounded on the job might get benefits. Such as healthcare and lost wages through an employee compensation insurance plan.

  • You have reporting responsibilities if you are not required to and do not get Texas workers comp insurance cover. You must disclose specific injuries. Especially if you hire at least five non-exempt workers.
  • You must notify the employer if a work-related injury prevents a worker from reporting to work for more than one day. By the seventh day of the month following the month in which the employee missed work, you must inform the DWC of this.

It’s critical to keep in mind that making false or deceptive statements. The purpose of getting or rejecting workers’ compensation in Texas benefits forms an administrative offense. There may be consequences for this.


Understanding worker’s compensation in Texas might seem complicated. It is a complex construction with many different parts. It is, but a crucial structure. It helps to protect both employers and workers. Compensation for employees offers several benefits. These include the replacement of income and healthcare. It is accessible to workers who become ill or injured on the job. Employees must understand these workers’ compensation in Texas benefits.

Take precautions and maintain safety at the office. Learn more about what worker compensation is. Use safety gear. Observe the safety guidelines. Report dangerous conditions. It’s crucial to use caution! In the event of an occurrence, get medical help. Don’t put off getting therapy. Need for healing. Inform your employer as soon as possible about the injury. It’s an important step!


What should an employee do immediately after an on-the-job injury?

An employee should first seek immediate medical attention. Then, report the injury to the employer as soon as possible. Lastly, file a claim for workers’ compensation.

What benefits can an injured employee expect from workers compensation in Texas?

In Texas, an injured employee can expect several benefits. These include medical care coverage, income benefits, death benefits, and burial benefits. The type and amount of benefits depend on the severity of the injury.

What exactly is workers compensation?

Workers compensation is an insurance program. It provides medical and income benefits to employees. These benefits are for work-related injuries or illnesses. It covers medical care, rehabilitation, and a portion of lost wages.