Time Loss is wage replacement money while you are off work. Learn how L&I calculates time loss and how to improve your time loss rate.
Time loss is the wage replacement money L&I/SI pays you every two weeks while you’re not working. RCW 51.08.178 & 51.32.090.
To get time loss you must:
- have an open claim and
- be certified as unable to work by your doctor (Worker Verification Form)
- because of a medical condition
- causally related to your injury.
Time loss rate is determined by multiplying wages times a percentage. Wages include:
- your date of injury wages
- contractual bonus
- wages from a second job, if any
- reported tips
- board, housing, fuel, or other consideration of like nature,
- the employers cost of health care insurance, if any, you may have lost since the injury.
% of wages
Family status determines the %
- Single = 60%
- Married = 5% more
- Children = 2% more each up to 10% maximum
- The addition for children includes only your children in your custody.
- Childs 2% only to age 18 or 23 if in school full time.
Maximum Time Loss Rate
The above percentage of wages figures are limited for high income earners. There is a dollar maximum per month, which is set for your claim as of your date of injury. For new claims, this maximum changes yearly. For details see http://www.lni.wa.gov/ClaimsIns/Files/SelfIns/ClaimMgt/MaxTimeLossRates.pdf
Minimum Time Loss Rate
The percentage of wages figures don’t apply to persons who earn very low wages. Their time loss rates are set at http://www.lni.wa.gov/ClaimsIns/Files/SelfIns/ClaimMgt/MinTimeLossRates.pdf
To get a fair time loss rate you pay attention to the order setting your wage rate. Make no mistake about this: the wage rate set in that order, once it becomes final, is the wage rate you will be stuck with, for the life of your claim. If it isn’t right, then timely protest the order in writing and insist the claims manager get it right. Continue to protest as necessary. If L&I doesn't get it right, then get a lawyer, before it’s too late.