Minnesota Workers' compensation Poster Required

Workers’ compensation pays for	
What the insurer must do	
If you are injured	
Workers’ compensation	
Collecting workers’ compensation 
benefits you are not entitled to is 
theft. Call 1-888-372-8366 to report 
workers’ compensation fraud.	
 ■	Report any injury to your supervisor as soon as possible, no 
matter how minor it may appear. You may lose the right to 
workers’ compensation benefits if you do not make a timely 
report of the injury to your employer. The time limit may be 
as short as 14 days.	 	
 ■	Provide your employer with as much information as 
possible about your injury.	 	
 ■	Get any necessary medical treatment as soon as possible. 
If you are not covered by a certified managed care 
organization (CMCO), you may treat with a doctor of your 
choice. Your employer must notify you in writing if you are 
covered by a CMCO.	
 ■	Medical care for your work injury, as long as it is 
reasonable and necessary.	 	
 ■	Wage-loss benefits for part of your lost income.	 	
 ■	Compensation for permanent damage to or loss of 
function of a body part.	
 ■	The insurer must investigate your claim promptly. If you 
have been disabled for more than three calendar-days, the 
insurer must begin payment of benefits or send you a denial 
of liability within 14 days after your employer knew you 
were off work or had lost wages because of your claimed 
injury.	 	
 ■	If the insurer accepts your claim for wage-loss benefits and 
you have been disabled for more than three calendar-days: 	 	
The insurer will notify you and must start paying wage-loss 
benefits within the 14 days noted above. The insurer must 
pay benefits on time. Wage-loss benefits are paid at the 
same intervals as your work paychecks.	 	
 ■	Cooperate with all requests for information concerning 
your claim. 	 	 
The law allows the workers’ compensation insurer to 
obtain medical information related to your work injury 
without your authorization, but they must send you 
written notification when they request the information. 	 	 
The insurer cannot obtain other medical records unless 
you sign a written authorization.	 	
 ■	Get written confirmation from your doctor about any 
authorization to be off work. The note should be as 
specific as possible.	
 ■	Vocational rehabilitation services if you cannot return to 
your pre-injury job or to your pre-injury employer due to 
your work injury.	
 ■	Benefits to your spouse and/or dependents if you die as a 
result of a work injury.	
 ■	If the insurer denies your claim for wage-loss benefits 
and you have been disabled for more than three 
calendar-days:	  The insurer will send notice to you within 	
14 days. The notice must clearly explain the facts and 
reasons why they believe your injury or illness did not 
result from your work or why the claimed wage-loss 
benefits are not related to your injury.	 	 
If you disagree with the denial, talk with the insurance 
claims adjuster who is handling your claim. If you are 
not satisfied and still disagree with the denial, 	call the 	
Minnesota Department of Labor and Industry’s Workers’ 
Compensation Hotline at 1-800-342-5354.	
Insurer name and contact information	
(651) 284-5032 • 1-800-342-5354 • [email protected] • www.dli.mn.gov	
August 2017	Posting required by law in a location where employees can easily see this notice.	
Fraud