1LAW Logo

Employer Blocked the Injury Report and Filed With the Wrong Insurer

Start a free AI-assisted chat and connect with an experienced Texas attorney, with no obligation.

JV

Reviewed & verified by A. Jason Velez, Esq.*

Founding Attorney, 1LAW · Last reviewed June 12, 2022

Legal Inquiry

Consumer Legal Issue

I got hurt on a job. I fell through a manhole at a truck stop because it was properly secure. 132 stitches and 15 grand in bills. My employer told me not to file an accident report with the company. He then proceeded to start a claim with an entirely different company that had no part in it. I have not been compensated.

Attorney Answer

Your employer telling you not to file a report does not take away your rights — but it also does not stop the clock, and the Texas deadlines on a work injury are short. This needs a lawyer soon.

Start with who has to file what. Tex. Lab. Code § 409.001(a) requires an employee, or a person acting on the employee's behalf, to notify the employer of an injury not later than the 30th day after the date the injury occurs. Tex. Lab. Code § 409.003 requires an employee, or a person acting on the employee's behalf, to file a claim for compensation with the Division of Workers' Compensation not later than one year after the date the injury occurred. Notice the phrasing: the duty is yours, not your employer's. A claim someone else opened, with a company you say had no part in this, is not your claim.

If those deadlines have passed, the door is not necessarily shut. Section 409.002 relieves the employer and its carrier of liability for late notice unless the employer, a person eligible to receive notice, or the carrier had actual knowledge of the injury, the division finds good cause, or the claim is not contested. Section 409.004 gives a similar good-cause and uncontested-claim exception for a late filed claim. On your facts the employer plainly knew — that is exactly the kind of actual knowledge § 409.002 describes.

The next fact to pin down is whether your employer carries workers' compensation at all. If it does, Tex. Lab. Code § 408.001(a) makes benefits the exclusive remedy against the employer for a work-related injury. If it does not — Texas permits that — you can sue in ordinary negligence, and Tex. Lab. Code § 406.033(a) removes the employer's three traditional defenses: contributory negligence, assumption of the risk, and the negligence of a fellow employee. You would still have to prove the employer's negligence under § 406.033(d). And under § 406.033(e), a pre-injury waiver of that claim is void and unenforceable, so paperwork signed at hiring does not end it.

Separately, you were hurt on someone else's property. The exclusive-remedy provision is written to protect the employer and the employer's agents and employees. It does not by its terms cover a truck stop owner or whoever was responsible for that manhole cover, so a claim against that party can be a second route running alongside the comp claim.

Finally, Tex. Lab. Code § 451.001 prohibits a person from discharging or in any other manner discriminating against an employee because the employee has filed a workers' compensation claim in good faith or has hired a lawyer to represent the employee in a claim. Given what you were told, remember it exists.

What you can do

1. Give your employer written notice of the injury now, dated, and keep a copy. Section 409.001(a) sets the 30-day period, and § 409.002's actual-knowledge exception is easier to argue when there is a paper trail.

2. Contact the Texas Division of Workers' Compensation, ask whether any claim exists in your name and who the carrier is, and file your own claim. Section 409.003 puts that filing duty on you.

3. Ask your employer in writing for its workers' compensation coverage information, and keep whatever it sends.

4. Keep every medical record and bill from the stitches and the follow-up care, and request copies of anything you do not already have.

5. Find out who owned and maintained the truck stop and that manhole cover, and photograph the location if it is still accessible.

6. Ask a Texas work injury lawyer to look at all of it together — the comp claim, the claim someone opened with an unrelated company, and the property owner. That combination is not a do-it-yourself problem.

Most lawyers offer a brief initial call at no cost, and a few minutes on your specific facts is worth more than any general guidance, including this page.

⏱ Time limits apply. Tex. Lab. Code § 409.001(a) and § 409.003 set the 30-day notice and one-year claim periods for workers' compensation, and Tex. Civ. Prac. & Rem. Code § 16.003(a) generally requires a personal injury suit to be brought not later than two years after the day the cause of action accrues — which is the deadline that would govern a claim against the property owner or a non-subscribing employer. Which of these applies to you depends on your facts, so have a Texas attorney review your dates immediately rather than working them out yourself.

*Attorney review is supported by AI-assisted drafting and legal research algorithms. Use of this Chat does not create an attorney-client relationship.

By using this service you agree to our Terms of Use and our Privacy Policy.

Courts & Legal Aid in Texas

Frequently Asked Questions

Who is responsible for filing a Texas workers' compensation claim, the worker or the employer?

The worker. Tex. Lab. Code § 409.001(a) requires an employee, or a person acting on the employee's behalf, to notify the employer within 30 days of the injury, and § 409.003 requires that employee, or someone acting on their behalf, to file the claim with the Division of Workers' Compensation not later than one year after the injury. An employer's decision not to open a claim does not satisfy either duty.

What happens if a work injury is reported late in Texas?

Late notice or a late claim is serious but not always fatal. Tex. Lab. Code § 409.002 relieves the employer and its carrier of liability for late notice unless the employer, a person eligible to receive notice, or the carrier had actual knowledge of the injury, the division determines good cause exists, or the claim is not contested. Section 409.004 gives a comparable good-cause or uncontested-claim exception for a late claim.

Can a Texas employer punish a worker for filing a workers' compensation claim?

No. Tex. Lab. Code § 451.001 provides that a person may not discharge or in any other manner discriminate against an employee because the employee has filed a workers' compensation claim in good faith, hired a lawyer to represent the employee in a claim, instituted or caused to be instituted a proceeding in good faith under the subtitle, or testified or is about to testify in such a proceeding.

Privacy Policy Terms of Use Your Privacy Choices