Note: This information was developed to provide consumers with general information and guidance about insurance coverages and laws. It is not intended to provide a formal, definitive description or interpretation of Department policy. For specific Department policy on any issue, regulated entities (insurance industry) and interested parties should contact the Department.
Workers' compensation insurance is a system of benefits provided by law to most workers who have job-related injuries or illnesses. Workers' compensation benefits are provided by licensed insurance companies, self-insured employers approved by the Illinois Workers' Compensation Commission, or group self-insurers who have pooled their liabilities. Generally, the Illinois Workers' Compensation Commission is the agency that handles problems involving workers' compensation. The Illinois Department of Insurancehas limited involvement. This fact sheet provides an over-view of workers' compensation insurance in Illinois.
Who Must Carry Workers' Compensation Insurance?
Generally, all Illinois employers must provide workers’ compensation coverage for their employees. Please be advised that the Illinois Workers’ Compensation Commission is charged with administering the statutory provisions contained in the Illinois Workers’ Compensation Act. The IWCC may be contacted toll-free at 866.352.3033.
What Does Workers' Compensation Insurance Cover?
You may refer to the Illinois Workers’ Compensation Commission web site for their “Handbook” for injuries and illnesses at http://www.iwcc.il.gov
What Can the Department of Insurance Do?
The Department of Insurancemay be able to assist you in these situations:
- A work comp audit dispute – Increased premiums can cause a dispute between the employer and the insurance company. If you are an employer who needs assistance in this situation, you can file a complaint with the Department of Insurance. We will conduct an investigation to make sure the insurance company is operating in compliance with the laws we govern.
- An insurance company dispute - If the Illinois Workers' Compensation Commission makes a ruling on your workers' compensation claim, but the insurance company doesn't comply with the ruling, contact the Department of Insurance for assistance.
If you would like the Department of Insuranceto assist you with one of the problems explained above, you can file a complaint electronically or obtain a complaint form by calling one of the numbers listed at the bottom of this fact sheet.
Note: These are the only workers' compensation situations we can investigate. All other problems regarding workers' compensation claims, including claim delays, claim disputes, or claim denials, should be directed to the Illinois Workers' Compensation Commission.
How Do I Contact the Illinois Workers' Compensation Commission?
For further assistance with workers' compensation problems, you should contact the Illinois Workers' Compensation Commission via their web site http://www.iwcc.il.gov/, or at one of the following numbers:
Each regional office can explain the Illinois Workers' Compensation Commission's procedures and provide materials to assist with workers' compensation claim problems.
For More InformationCall our Consumer Assistance Hotline Toll Free at (866) 445-5364
or visit us on our website at http://insurance.illinois.gov
I Want to File a Complaint
Worker’s Compensation Preferred Provider Programs Fact Sheet
Contact The Proper Agency - Where to File Medicare, Medicaid, and Other Health Plan Complaints
Usual and Customary Fees in Health Insurance Claims
Illinois Department of Insurance
Workers’ Compensation Fraud Unit
122 S. Michigan Ave., 19th Floor
Chicago, Illinois 60603