Navigating the State Insurance Fund system can be confusing. Our team helps you understand each step of the CFSE claims process from start to finish.
If there's a dispute about your medical evaluation or treatment, we can help you navigate the CFSE administrative review process.
We help ensure your injury is reported promptly and properly documented, which is essential for a successful CFSE claim.
While all care is provided through CFSE, our team stays by your side — helping you understand your benefits and rights every step of the way.
Injured on the job in Puerto Rico? As a no-fault system administered exclusively through the State Insurance Fund (CFSE), you may be entitled to benefits regardless of who caused your injury — but navigating the CFSE process can be complex. Doctors’ Council 22 helps guide injured workers through every step of their CFSE claim, from reporting the injury to understanding their benefits.
Puerto Rico’s workers’ compensation system operates differently from other states, with all care provided through the CFSE. Here’s what every injured worker should know:
You must report your injury to your employer within 30 days of the incident. The formal claim must generally be filed within 2 years from the date of injury.
Generally, your employer or their insurance carrier selects your initial authorized treating physician. However, you may request a change of physician with proper approval — contact Doctors' Council 22 for assistance.
You may be entitled to payment for necessary medical treatment, temporary total disability benefits at 66 2/3% of your average weekly wage, and compensation for permanent partial or total disability if applicable. Temporary total disability benefits are limited to a maximum of 450 weeks.
Either you or your employer's insurance carrier can request an Independent Medical Examination (IME) to resolve disputes about your medical condition. Doctors' Council 22 can assist you with requesting an IME or changing your treating physician if needed.
An injured employee cannot be terminated or discriminated against for filing a workers’ compensation claim.
Your recovery, our mission. Union-affiliated injury care with claims support you can count on.
