FAQ
Application for lifetime income benefits (LIBs)

Learn more about LIBs in Texas Labor Code Sections 408.161(a) and (b), 408.1615, and Texas Penal Code Section 1.07, and at tdi.texas.gov/wc/employee/lifetimeben.html.

What is the accrual date for LIBs?
This is the date that an injured employee becomes eligible to get LIBs based on one of the conditions in Part 2 of this form.

How do I apply for LIBs?
Send this form to your insurance carrier. The insurance carrier has up to 60 days to approve or deny your benefits. If the insurance carrier approves your benefits, you should get your first LIBs payment within 15 days.
If the insurance carrier does not approve your application, it must send you a notice explaining why. If you don’t agree, you can ask for a benefit review conference (BRC) to talk about their decision. A BRC is an informal meeting to talk about disputes. Learn more at www.tdi.texas.gov/wc/idr/brc.html.

Where do I send this form?
Send this form to the insurance carrier. Contact your insurance carrier adjuster for mailing address, fax number, or email address.

Questions?
Call 800-252-7031, Monday through Friday, 8 a.m. to 5 p.m., Central time.
Go to www.tdi.texas.gov/wc to learn more about workers’ compensation.

Note: With few exceptions, on your request, you are entitled to:

• be informed about the information DWC collects about you;
• receive and review the information (Government Code Sections 552.021 and 552.023); and
• have DWC correct information that is incorrect (Government Code Section 559.004).

For more information, contact [email protected] or go to the Corrections Procedure section at www.tdi.texas.gov.