Annual claim submissions: Attaching payment ledgers to increase accuracy and efficiency

May 8, 2026

When submitting annual claims for supplementary benefits or second-injury fund reimbursements, stakeholders are required to include supporting documentation, such as “proof of life” or “proof of death” to verify the injured worker remained eligible for benefits during the reimbursement period.

Although not required, including itemized payment ledgers (medical and/or indemnity) that show the date range paid, identify the type of payment (or corresponding code) and show the amount paid is recommended. Ledgers provide the detailed information needed to validate the amount and type of benefits being requested for reimbursement. For further detail about annual claims submissions, view our training videos about submitting an annual claim for reimbursement of supplementary benefits and submitting an annual claim for reimbursement of second-injury fund benefits.

If a Department of Labor and Industry (DLI) team member has questions about your annual claim submission, they will contact you to ensure accuracy and support our shared goal of timely and correct reimbursement. If you have any questions about annual claims submissions, contact us at si.and.sb.dli@state.mn.us or 651-284-5097.