Description: In this brief we review a once-narrow workers' compensation supplemental payment, known as the Subsequent Injury Benefit Trust Fund (SIBTF), that has looser standards, broader eligibility, and more generous benefits than the standard workers' compensation system. The program pays generous lifetime benefits to injured workers who also have pre-existing health issues. The program's use and associated employer costs have risen dramatically now that injured workers are able to access the state's most generous benefit ($1,700 per week for life) with claims that are often based on common pre-existing conditions such as hypertension, sleep apnea, diabetes, headaches, allergies, or sexual dysfunction.