27 Dec, 2021

Workers’ Compensation PPP

Author Todd A. Strong

In January of 2012, the Illinois Department of Insurance announced the first round of companies that have been approved as Preferred Provider Program (PPP) administrators under the recently enacted Illinois Workers’ Compensation Act.​

Businessman stamped the approved document while sitting at the table in the office
Businessman stamped the approved document while sitting at the table in the office

​If an employee reports an on-the-job injury to his or her employer, the employer must notify the injured worker if the company uses an approved PPP for Illinois workers' compensation claims. An injured worker in Illinois may select two medical providers. If an employer has an approved PPP, an employee may select two doctors from within that network.

Workers' Compensation PPP

What if i decline participation in the workers compensation PPP?

​If an employee wishes to "opt out" of the PPP network, he or she must notify the employer in writing. The "opt-out" is then technically considered the employee's first choice, so he or she is then limited to only one choice of the medical provider.

If an employer does not use a PPP, injured workers still have two choices for medical providers, just as they did under the previous Illinois workers' compensation regulations.

Approval of Preferred Provider Programs

In early January 2012, the Illinois Department of Insurance announced its approval of the first three PPP administrators. The companies were HFN Inc., CorVel Healthcare, and Coventry Health Care. For an updated list of approved administrators visit the Illinois Department of Insurance website. Employers who wish to use PPP administrators must select from those on this list.

​Potential Problems of Preferred Provider Programs

PPPs essentially limit and control an injured worker's choice of doctor. Employers will likely select medical providers that line up with their interests. Therefore, there is a risk that companies may choose PPPs they feel will minimize costs by offering more minimal treatment and by urging injured employees to return to work before they are truly ready. In sum, PPPs may offer employers some cost savings while risking harm to injured workers.

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​Consult an Illinois Workers' Compensation Attorney

If you have suffered a work-related illness or injury, the advice of an experienced Illinois workers' compensation attorney can be very valuable. Especially since PPPs are new to Illinois, a knowledgeable lawyer can help guide you through the process and advise you of your rights.

About The Author

Photo of Todd A. Strong
Illinois workers’ compensation and personal injury lawyer Todd A. Strong is the founder of Strong Law Offices in Peoria, Illinois. Todd brings considerable legal knowledge, experience, and skill to the table to ensure injured victims throughout the state are treated with respect, dignity, and fairness.