Subsequent Injury Fund

What is the Subsequent Injury Fund (SIF)?

The Subsequent Injury Fund was created on a state-by-state basis after World War II  to encourage the hiring of injured veterans by providing Lifetime Income Benefits (LIBs) to employees with pre-existing injuries. Today, the fund continues to help encourage employers to hire employees with pre-existing conditions, by reducing the liability employers face should the employee receive a new injury while at work that would entitle them to LIBS. The SIF has also expanded to include reimbursement of over paid, unrecoupable, workers’ compensation benefits under specific circumstances prescribed by statute. 

Dan Paschal serves as the SIF Administrator.

The primary contact for the SIF is:

Blaise Gerstenlauer, Team Lead
SIF@tdi.texas.gov
512-804-4418 phone
512-804-4759 fax

How is the SIF funded?

The SIF is funded, by law, from death benefits that insurance carriers must pay on fatal workers’ compensation claims where there are no eligible beneficiaries.

Related information: Actuarial Analysis of the Texas Workers’ Compensation Subsequent Injury Fund

What can the insurance carrier request reimbursement for?

The SIF reimburses the insurance carrier or self-insurer for all benefits paid to an injured employee that qualify. A carrier can be reimbursed for:

• pharmaceutical services
• over payment of benefits
• death benefits paid
• benefits paid to employees who are claiming multiple employment

I’m an insurance carrier and I want to:

Be reimbursed for benefits paid to an eligible employee.

• • DWC Form-095, SIF Reimbursement Request Form - Overturned Order or Designated Doctor Opinion
    
  • DWC Form-096, SIF Reimbursement Request Form – Refund of Death Benefits
  • DWC Form-097, SIF Reimbursement Request Form – Multiple Employment
    
  • DWC Form-098, SIF Reimbursement Request Form – Pharmaceutical

  Electronic submission of requests for reimbursement to the SIF is encouraged. Completed forms can now be submitted through secure electronic file transfer or faxed to 512-804-4759.

  Make a death benefit payment to the SIF.

  Please contact the SIF at SIF@tdi.texas.gov to allow the SIF staff to calculate the amount owed before submitting payment.