South Carolina Workers’ Compensation: Deadlines and Benefits

If you’re hurt on the job in South Carolina, workers’ compensation pays your medical bills and roughly two-thirds of your wages while you recover, no matter who caused the accident, as long as your employer was required to carry coverage. In exchange, you generally can’t sue your employer for negligence. For accidents on or after January 1, 2026, weekly wage benefits are capped at $1,189.94.1South Carolina Workers’ Compensation Commission. Compensation Rates Two deadlines drive everything else: 90 days to tell your employer, two years to file with the state.

Which Employers Have to Carry Coverage

Any business that regularly has four or more people working in it must carry workers’ compensation insurance.2South Carolina Legislature. South Carolina Code 42-1-360 – Exemption of Casual Employees and Certain Other Employments Part-time workers and family members count toward that four. A separate trigger applies too: an annual payroll of $3,000 or more in the prior calendar year requires coverage regardless of headcount.3South Carolina Workers’ Compensation Commission. Coverage and Compliance FAQs

Some workers sit outside the system:

  • Agricultural employees
  • Casual employees whose work is both occasional and outside the employer’s usual business
  • Railroad and railway express workers, who are covered by federal law
  • State and county fair association employees
  • Federal employees, covered by the Federal Employees’ Compensation Act

Sole proprietors and partners aren’t automatically covered but can opt in through their insurer.4South Carolina Workers’ Compensation Commission. Employer FAQs

If You’ve Been Called an Independent Contractor

True independent contractors don’t get workers’ compensation. But employers sometimes label workers as contractors to duck coverage, and the label doesn’t control. The Commission looks at how much control the business has over your work: who sets your schedule, provides tools, reimburses expenses, and whether the relationship is ongoing or project-based. No single factor decides it. If you were called a contractor but the arrangement looked like employment, file anyway. The Commission can reclassify you.

The Two Deadlines That Can End Your Claim

Notify your employer within 90 days of the accident. The statute says to give notice “as soon as practicable,” so do it in writing the same day if you can.5South Carolina Legislature. South Carolina Code 42-15 – Notice of Accident, Filing of Claims, Medical Attention and Examination Late notice is one of the easiest reasons for an insurer to deny a claim. There are exceptions when the employer already knew about the accident or you had a legitimate reason for the delay, but don’t count on them.

Then file a formal claim with the South Carolina Workers’ Compensation Commission within two years of the accident, or within two years of the date of death for a fatal injury.6South Carolina Workers’ Compensation Commission. Injured Worker FAQs After that, the right to compensation is gone even if you reported the injury on day one.

For repetitive trauma like carpal tunnel, the 90-day clock starts when you knew or reasonably should have known the condition was work-related, not from your first symptom.5South Carolina Legislature. South Carolina Code 42-15 – Notice of Accident, Filing of Claims, Medical Attention and Examination

What You’re Entitled To

Medical Treatment

The insurer must pay for all reasonable and necessary care tied to the injury: doctor visits, surgery, hospital stays, prescriptions, prosthetics, and other necessary devices. The surprise for most injured workers is that your employer picks the doctor, not you.7South Carolina Legislature. South Carolina Code 42-15-60 – Time Period During Which Employer Shall Furnish Medical Treatment and Supplies Refusing treatment from that physician can suspend your benefits. You can ask the Commission to order a change “for good cause,” but personal preference won’t be enough.

Wage Replacement While You Recover

If you can’t work at all during recovery, temporary total disability pays two-thirds of your average weekly wage.8South Carolina Legislature. South Carolina Code 42-9-10 – Amount of Compensation for Total Disability, What Constitutes Total Disability The floor is $75 per week unless your average wage was lower. The ceiling for injuries on or after January 1, 2026, is $1,189.94 per week.1South Carolina Workers’ Compensation Commission. Compensation Rates

You get nothing for the first seven calendar days out of work. If the disability runs longer than 14 days, the insurer pays retroactively to the date of the accident.9South Carolina Legislature. South Carolina Code 42-9 – Compensation and Payment So a 10-day absence gets you paid for three days; a 15-day absence gets you paid for all of it.

Permanent Disability

Once you reach maximum medical improvement, meaning your condition has stabilized and further treatment won’t produce significant gains, a physician assigns an impairment rating. Compensation then comes off a statutory schedule: a fixed number of weeks at two-thirds of your average weekly wage, prorated by your rating.10South Carolina Legislature. South Carolina Code 42-9-30 – Schedule of Period of Disability and Compensation Some representative values:

  • Thumb: 65 weeks
  • Index finger: 40 weeks
  • Hand: 185 weeks
  • Arm: 220 weeks
  • Shoulder: 300 weeks
  • Foot: 140 weeks
  • Leg: 195 weeks
  • Eye: 140 weeks
  • Hearing (both ears): 165 weeks

Back injuries are also on the schedule, covering up to 300 weeks. Permanent total disability, reserved for catastrophic losses such as both hands, both feet, both eyes, or any combination of two, pays at the total disability rate for the full statutory period.8South Carolina Legislature. South Carolina Code 42-9-10 – Amount of Compensation for Total Disability, What Constitutes Total Disability

Death Benefits

If the accident is fatal, dependents receive two-thirds of the deceased worker’s average weekly wage for up to 500 weeks from the date of injury, subject to the same $75 floor and state maximum. Burial expenses are covered up to $12,000.11South Carolina Legislature. South Carolina Code 42-9-290 – Amount of Compensation for Death of Employee Due to Accident Children between 19 and 23 enrolled full-time in an accredited school keep receiving benefits, and a dependent child unable to support themselves receives benefits for the full 500 weeks regardless of age.

How to File

The claim form is Form 50, the Employee’s Notice of Claim. You can submit it through the Commission’s website or by mail. There’s no fee to file a notice of claim; a $25 fee applies only if you’re also requesting a hearing on the same form.12South Carolina Workers’ Compensation Commission. Employee’s Notice of Claim and/or Request for Hearing

Form 50 asks for:

  • The date and location of the injury
  • How it happened and which body parts were affected
  • Your weekly wages at the time of injury
  • Your current medical treatment status
  • Your employer’s name and contact information

Your employer separately files Form 12-A, the First Report of Injury or Illness, with the Commission and their insurer. Confirm they actually did it. Some don’t, and that stalls everything. Once the Commission processes your Form 50, you’ll get a file number that tracks all future correspondence.13South Carolina Workers’ Compensation Commission. Forms

If Your Claim Is Denied

Request a hearing by checking the hearing box on Form 50 and paying the $25 fee.12South Carolina Workers’ Compensation Commission. Employee’s Notice of Claim and/or Request for Hearing A single Commissioner hears testimony from both sides and issues a written decision.

If you lose there, file Form 30 (Request for Commission Review) within 14 days of receiving the order, with a $150 filing fee. A panel of Commissioners reviews the decision. Miss the 14-day deadline and the original ruling stands.14South Carolina Workers’ Compensation Commission. Single Commissioner Decision and Order Further review is available through the South Carolina courts.

If Your Employer Doesn’t Have Insurance

If your employer was required to carry coverage and didn’t, you still have options. Uninsured employers face fines and penalties from the Commission, and you can file your claim with the Commission’s Uninsured Employers Fund. You may also have the right to sue your employer directly in civil court, because the no-fault trade-off that shields employers from lawsuits only holds when they maintain insurance. Report an uninsured employer to the Commission’s Coverage and Compliance Division.

Protection Against Retaliation

Your employer cannot fire or demote you for filing a workers’ compensation claim, testifying in a proceeding, or being about to testify.15South Carolina Legislature. South Carolina Code 41-1-80 – Prohibition Against Discharge or Demotion of Employee for Filing Workers Compensation Claim If they do, you can bring a civil action for lost wages and reinstatement. The burden is on you to show the adverse action was motivated by your claim rather than a legitimate business reason, so document everything: keep copies of your filings, note the timing of any discipline or termination, and preserve communications that suggest your claim was a factor.

Hiring an Attorney

You can hire an attorney for your workers’ compensation case. Any fee arrangement must be approved by the Commission before the attorney is paid, and fees come out of your award or settlement rather than as a separate charge. Get the fee agreement in writing before work begins, and make sure you know exactly what percentage will be deducted from your recovery.