Workers' Compensation in Tennessee
Tennessee workers' compensation provides medical benefits and wage replacement when a work-related injury or illness takes you off the job. The 2013 Reform Act overhauled the system, replacing civil court litigation with an administrative Bureau of Workers' Compensation and a new Court of Workers' Compensation Claims.
By Find Local Law Editorial Team · Last reviewed: May 26, 2026
Researched and drafted with AI assistance and verified against primary sources (statutes, Judicial Council forms, and official court websites). This is general information, not legal advice.
This is general information, not legal advice. A Tennessee workers’ compensation attorney can help with your specific situation.
When a work injury or occupational illness keeps you off the job, Tennessee’s workers’ compensation system — governed by T.C.A. § 50-6-101 et seq. — provides medical treatment and partial wage replacement without requiring you to prove your employer was negligent. In exchange, workers’ comp is your exclusive remedy against your employer: you generally cannot sue your employer in civil court for the same injury (T.C.A. § 50-6-108).
Who must carry workers’ compensation insurance
Most Tennessee employers with 5 or more employees must carry workers’ compensation coverage. Part-time workers, minors, and working family members all count toward that threshold. The rules are stricter for the construction industry: all construction employers must cover workers regardless of size, even a one-person operation (T.C.A. § 50-6-902).
Independent contractors are generally not covered, but the Bureau of Workers’ Compensation applies a 7-factor test (T.C.A. § 50-6-102(10)(D)) to determine whether a worker was truly independent or was, in substance, an employee. If your employer misclassified you as a contractor, you may still be entitled to benefits.
What injuries are covered
A covered injury must arise primarily out of and in the course of employment. Under the 2013 Reform Act standard (T.C.A. § 50-6-102(13)), the work activity must be more than 50% responsible for the injury compared to all other causes. This “primarily” standard is stricter than pre-2013 law and can matter in cases involving pre-existing conditions.
The 2013 Reform Act and the administrative system
Before July 1, 2014, most workers’ comp disputes were resolved in regular civil courts, often taking years. The 2013 Reform Act (Public Chapter 280) replaced that system with a streamlined administrative process:
- Bureau of Workers’ Compensation — the state agency that oversees claims, operates a help line at (800) 332-2667, and provides mediators.
- Bureau Mediation — when a benefit dispute arises, either party can file a Petition for Benefit Determination; a Bureau mediator attempts to resolve it.
- Dispute Certification Notice (DCN) — if mediation fails, the Bureau issues a DCN certifying the dispute.
- Court of Workers’ Compensation Claims (CWCC) — a specialized administrative court that holds hearings and issues orders.
- Workers’ Compensation Appeals Board — reviews CWCC decisions.
- Tennessee Court of Appeals — final judicial review.
Benefits at a glance
- Medical benefits: Your employer provides a panel of at least three physicians; you select your Authorized Treating Physician (ATP). Authorized treatment is covered for the life of the injury.
- Temporary Total Disability (TTD): 66⅔% of your average weekly wage while you are unable to work.
- Permanent Partial Disability (PPD): A benefit based on your impairment rating and whether you return to work, up to a 450-week maximum.
- Permanent Total Disability (PTD): If you cannot return to any employment, benefits continue until you are eligible for full Social Security retirement.
- Death benefits: Surviving dependents receive 66⅔% of the deceased worker’s average weekly wage; burial expenses are covered up to $10,000 for deaths on or after May 19, 2017 (T.C.A. § 50-6-210).
Third-party claims
Workers’ comp bars lawsuits against your employer, but if a third party — a negligent driver, a defective equipment manufacturer, a careless subcontractor — caused your injury, you can pursue workers’ comp benefits and sue that third party in civil court (T.C.A. § 50-6-112). The employer’s insurer holds a subrogation lien against any third-party recovery.
The guides
Each guide below covers a key part of Tennessee workers’ comp in detail. To connect with a Tennessee workers’ compensation attorney, get help now.
Guides
- Choosing Your Doctor in Tennessee Workers' Comp
In Tennessee's workers' compensation system, your employer or insurer must provide a panel of at least three independent physicians within three business days of your injury report. You choose your Authorized Treating Physician (ATP) from that panel. The ATP's opinions about your injury, treatment, and impairment rating typically govern your claim.
- Filing a Workers' Comp Claim in Tennessee
In Tennessee, filing a workers' comp claim starts with notifying your employer within 15 days of the injury (T.C.A. § 50-6-201). If a dispute arises, you file a Petition for Benefit Determination with the Bureau of Workers' Compensation, proceed through Bureau mediation, and if unresolved, to the Court of Workers' Compensation Claims.
- Independent Contractors & Workers' Comp in Tennessee
Independent contractors are generally excluded from Tennessee workers' compensation coverage. But the Bureau of Workers' Compensation applies a 7-factor test under T.C.A. § 50-6-102(10)(D) to determine whether a worker was genuinely independent or was misclassified. If you were misclassified, you may be entitled to full workers' comp benefits.
- Third-Party Claims When You're Hurt at Work in Tennessee
When a third party — a negligent driver, a defective product manufacturer, or a property owner — causes your work injury, you may pursue workers' compensation benefits from your employer AND bring a civil lawsuit against the third party under T.C.A. § 50-6-112. Your employer's insurer holds a subrogation lien against any third-party recovery.
- Workers' Comp Benefits in Tennessee
Tennessee workers' compensation provides medical benefits (lifetime, for authorized treatment), temporary total disability (TTD) at 66⅔% of your average weekly wage, and permanent partial disability (PPD) benefits based on your impairment rating and whether you return to work. Maximum TTD rate changes annually; always verify the current rate at tn.gov/workforce/injuries-at-work.
- Settling a Workers' Comp Claim in Tennessee
Tennessee workers' compensation claims can be resolved through a court-approved settlement. Settlements typically close both the indemnity (wage replacement) and medical benefits portions of the claim. All settlements must be approved by the Court of Workers' Compensation Claims to be enforceable.
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