3.4 Tennessee Workers' Compensation Insurance

Key Takeaways

  • Tennessee requires workers' compensation for most employers with 5 or more employees; construction and trades employers must cover even 1 employee, and coal mining requires coverage for all
  • Workers' compensation is a no-fault, exclusive-remedy system: employees get statutory benefits regardless of fault and generally cannot sue the employer for negligence
  • Temporary total disability pays 66 2/3% of the average weekly wage after a 7-day waiting period (retroactive if disability exceeds 14 days), subject to annual state max/min
  • The standard policy has Part One (statutory WC benefits) and Part Two (employers liability for suits outside the WC system)
  • The Tennessee Bureau of Workers' Compensation, under TDCI, administers the program, certifies self-insureds, and resolves disputes through mediation and compensation hearings
Last updated: June 2026

Who Must Carry Coverage in Tennessee

Tennessee workers' compensation is governed by Title 50, Chapter 6 of the Tennessee Code and administered by the Bureau of Workers' Compensation within the Tennessee Department of Labor and Workforce Development (note: older materials place it under TDCI; the operating Bureau today sits within Labor and Workforce Development).

Employer typeCoverage requirement
General employers5 or more employees
Construction / trades (construction service providers)1 or more employee - coverage required regardless of count
Coal miningAll employees, no minimum
State and local governmentRequired
Agricultural / farm laborGenerally exempt unless coverage is voluntarily elected

Exam trap: Do not apply the 5-employee threshold to construction. A construction company with 3 workers must carry coverage. The 5-employee floor is only for general (non-construction) employers.

When counting employees, Tennessee generally includes part-time and family-member employees, and corporate officers count unless they properly elect out. Sole proprietors and partners are excluded by default but may elect coverage on themselves.

No-Fault and Exclusive Remedy

Workers' compensation is a no-fault system - the injured worker need not prove the employer was negligent, and benefits are not reduced because the worker was careless (absent willful misconduct or intoxication).

In exchange, the exclusive remedy doctrine applies:

  • The employee gives up the right to sue the employer for negligence.
  • The employee gains prompt, guaranteed statutory benefits.
  • Exceptions: intentional/egregious employer conduct may permit suit; and third-party suits (against a negligent manufacturer or another contractor) remain available, with the WC insurer holding subrogation rights against any recovery.

Benefit Types

BenefitWhat it pays
MedicalAll reasonable and necessary treatment, from an authorized panel of physicians
Temporary Total Disability (TTD)Weekly wage replacement while wholly unable to work
Temporary Partial Disability (TPD)Partial wage loss while on light/restricted duty
Permanent Partial Disability (PPD)Compensation for a permanent impairment rating, by body part
Permanent Total Disability (PTD)Long-term/lifetime benefits when the worker cannot return to any work
DeathBurial allowance plus weekly benefits to dependents

Medical care in Tennessee is directed through an authorized panel - the employer/insurer offers a panel of physicians, and the employee selects a treating doctor from it; going off-panel can mean the bills are not covered.

Indemnity Benefit Details

Temporary Total Disability (TTD)

FeatureDetail
Waiting period7 days before benefits start
RetroactiveThe first 7 days are paid back if disability lasts more than 14 days
Rate66 2/3% of the worker's average weekly wage (AWW)
CapsSubject to a maximum and minimum weekly amount tied to the state average weekly wage, adjusted annually (each July 1)
EndsAt maximum medical improvement (MMI) or return to work

TTD example. A worker with a $900 AWW is off work 6 weeks. TTD pays 66 2/3% x $900 = $600/week, so 6 weeks = $3,600 - assuming $600 falls within that year's statutory max/min. The first week is paid because disability exceeded 14 days.

Permanent Partial Disability (PPD)

  • Based on the physician's impairment rating using the AMA Guides to the Evaluation of Permanent Impairment.
  • The rating is multiplied by a statutory number of weeks for that body part, then by the comp rate.
  • PPD is calculated after the worker reaches MMI; original-award multipliers and "resulting-in" increases apply if the worker cannot return at the pre-injury wage.

Death Benefits

BenefitDetail
Burial allowanceStatutory amount toward funeral costs
Weekly benefits66 2/3% of AWW to surviving dependents
DurationCapped by statute, based on number/type of dependents

The Standard Workers' Compensation Policy

The WC policy is split into two coverage parts the exam loves to contrast.

PartCoverage
Part One - Workers' CompensationPays statutory benefits the law requires; no dollar limit - it pays whatever the state schedule mandates
Part Two - Employers LiabilityPays for lawsuits that fall outside the WC statute (e.g., third-party-over actions, consequential injury, dual-capacity); has dollar limits

Typical Employers Liability (Part Two) Limits

  • $100,000 bodily injury by accident, each accident
  • $500,000 bodily injury by disease, policy limit
  • $100,000 bodily injury by disease, each employee

The Bureau and the Claims Process

The Bureau of Workers' Compensation certifies self-insured employers, maintains statistics, runs an ombudsman program for unrepresented workers, and resolves disputes through mediation and then a Compensation Hearing before a workers' compensation judge at the Court of Workers' Compensation Claims.

  1. Employee reports the injury to the employer (Tennessee generally expects notice within 15 days).
  2. Employer files the First Report of Injury with the insurer/Bureau.
  3. Authorized treatment begins from the physician panel.
  4. Benefits paid or formally denied.
  5. Mediation (Benefit Review Conference) attempts settlement.
  6. Compensation hearing resolves anything still disputed.
Test Your Knowledge

A Tennessee construction company employs 3 workers. What is its workers' compensation obligation?

A
B
C
D
Test Your Knowledge

Tennessee temporary total disability benefits are paid at what rate of the worker's average weekly wage?

A
B
C
D
Test Your Knowledge

Which part of the standard workers' compensation policy responds to a lawsuit that falls outside the workers' compensation statute?

A
B
C
D
Test Your Knowledge

Under the exclusive remedy doctrine, an injured Tennessee employee generally:

A
B
C
D
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