Having your L&I claim closed can feel like the end of your options, especially when your injury starts causing problems again. You may worry about paying for more treatment or losing benefits you still need. However, Washington allows you to request that L&I reopen a claim when your original condition gets worse. Here is what you need to know before deciding whether to apply.
When you can reopen a closed claim
You may qualify if medical findings show that your original work-related injury or occupational disease has become more severe since L&I closed your claim. This can happen when work activities aggravate an existing injury or other circumstances contribute to its deterioration. For example, repeated lifting might worsen a previously accepted back injury.
The key is showing an actual change in the original condition, supported by medical evidence.
When worsening symptoms may not qualify
Not every increase in pain or discomfort will support a reopening request. L&I may deny your application if medical evidence does not show an actual worsening or if your symptoms come from a new or unrelated condition. Simply needing more treatment or experiencing discomfort during certain activities does not establish that your original injury has deteriorated.
How to determine if your injury qualifies
Start by asking your medical provider to evaluate your current condition and compare it with your earlier medical findings. Updated examination results, test reports or even a second opinion might reveal changes that an earlier evaluation did not detect. These findings can help establish whether your original injury has worsened and whether further treatment or benefits may be necessary.
Under RCW 51.32.160, you may apply for medical benefits at any time if your condition worsens. However, you generally must apply for additional disability benefits within seven years of the first claim closure or 10 years for an eye injury. Special rules apply to certain claims after these periods.
Understand your options for reopening your claim
A closed claim does not always mean you have lost access to further benefits. An attorney can review your medical records and claim history, explain the reopening requirements and help you understand whether your circumstances support an application. Getting legal advice can help you identify the evidence you need and determine the next steps for your situation.