Tennessee workers' comp does not pay lost wages for the first seven days unless the disability lasts 14 days.

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By Preston Stewart, All Seasons Insurance Group  ·  October 26, 2026

When someone gets hurt on the job in Tennessee, one of the first questions is when the wage checks start. Tennessee Code § 50-6-205 answers that with a short waiting period, a look-back rule, and a payment deadline. Medical care runs on a different track under § 50-6-204.

RuleWhat the statute says
Waiting periodNo compensation for the first 7 days of disability, not counting the day of injury
Disability longer than 7 daysCompensation starts on the 8th day after the injury
Disability of 14 days or moreCompensation is allowed back to the 1st day after the injury
Medical benefitsNot subject to the waiting period; furnished free of charge (§ 50-6-204)
First paymentDue within 15 days after the employer knows of the disability; then semimonthly
Late temporary disabilityIf not paid within 20 days of knowledge, a judge may assess a 25% penalty
Medical travelReimbursed on request if the required provider is more than 15 miles away

Sources: Tennessee Code §§ 50-6-205 and 50-6-204.

The seven-day waiting period

The statute says no compensation is allowed for the first seven days of disability resulting from the injury, excluding the day of injury. If disability goes beyond that period, compensation starts with the eighth day after the injury.

The 14-day look-back

If the disability lasts as long as fourteen days, compensation is allowed beginning with the first day after the injury. In practice, a worker who is off two weeks or more is paid for the first week too; a worker who is off ten days is not.

Days of disability (after injury day)Wage benefit days paid
5None
10Days 8 through 10
14 or moreFrom day 1

The weekly amount depends on the worker's wages and the state's minimum and maximum rates: Tennessee raised its workers’ comp weekly benefit caps for injuries on or after July 1, 2026.

Medical care is not on hold

The waiting period excludes the benefits in § 50-6-204. That section says the employer or its agent must furnish medical and surgical treatment, medicine, and supplies free of charge to the employee. If the employer requires travel to an authorized provider more than 15 miles from the worker's home or workplace, the worker is reimbursed for reasonable travel expenses on request. Choosing a doctor starts with the panel and notice rules here: Tennessee workers generally have 15 days to report a job injury, and most employers then owe them a choice of three doctors.

The first payment: within 15 days

Compensation must be paid promptly. The first payment is due within fifteen days after the employer has knowledge of any disability or death, and after that it is paid semimonthly. The carrier, or the employer if self-insured, must notify the Bureau's administrator when income benefits begin, stop, or change.

The 25% penalty for late temporary disability

If an employer, trust, pool, or insurer fails to pay, or pays late, temporary disability benefits within twenty days after the employer has knowledge of a qualifying disability, a workers' compensation judge has authority to assess a civil penalty. The penalty equals 25% of the temporary disability benefits that were not paid on time. Before assessing it, the judge must send a written request asking why it should not be assessed.

Attorney fees for unreasonably denied claims are covered separately: Tennessee’s workers’ comp court can now award attorney fees when an employer unreasonably denies a claim.

Payments are not a final decision

The statute says an employee's acceptance of compensation is not a binding determination of the employer's obligations for future payments, and evidence that payments started or were denied is inadmissible later on whether the injury is compensable. Deadlines for asking the Bureau to decide a dispute are here: Most injured Tennessee workers have one year to file a Petition for Benefit Determination before the claim is barred.

For Tennessee employers

  1. Report injuries to your carrier the same day you learn of them; the 15-day and 20-day clocks run from your knowledge.
  2. Confirm your policy is active and listed with the state: TDCI’s workers’ comp page says verify coverage online — a certificate may not warn you of cancellation.
  3. Expect medical bills from day one, paid under the state fee schedule: Tennessee’s Workers Comp Medical Fee Schedule Reset April 1 — 31 Days After the 2% Loss-Cost Cut
  4. If you have employees and no coverage, read Tennessee’s Uninsured Employers Fund caps benefits at $40,000 for workers hurt on the job without coverage.

This article is informational only. It summarizes Tennessee statutes and is not legal advice. It does not promise coverage, eligibility, or any benefit amount; your policy, the facts, and the Bureau of Workers' Compensation control.

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All Seasons Insurance Group offers a free personal policy review. Call 865-263-1400 or visit asigtn.com/get-a-quote/. This article is informational only and does not promise coverage or eligibility; your policy forms control. Seasons change. So should your coverage.

Is there a waiting period for Tennessee workers' comp?

Yes. Tennessee Code § 50-6-205 says no compensation is allowed for the first seven days of disability, not counting the day of injury.

When do workers' comp wage benefits start?

If disability lasts longer than seven days, compensation starts on the eighth day after the injury.

Do I get paid for the first week?

If the disability lasts as long as 14 days, compensation is allowed beginning with the first day after the injury.

Does the waiting period apply to medical care?

No. The waiting period excludes medical benefits under § 50-6-204, which the employer must furnish free of charge.

When is the first workers' comp check due?

The first payment is due within 15 days after the employer has knowledge of the disability, and then semimonthly.

What happens if temporary disability is paid late?

If it is not paid within 20 days after the employer has knowledge, a workers' compensation judge may assess a penalty equal to 25% of the late benefits.

Does accepting a check settle my claim?

No. The statute says accepting compensation is not a binding determination of the employer's obligations for future payments or of the employee's rights.

How can All Seasons help after reading this?

Call 865-263-1400 or visit asigtn.com/get-a-quote/ for a free personal policy review. Informational only; no coverage promises. Seasons change. So should your coverage.

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