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What's New for Self-Insurance

The latest news

SIRAS Medical Bill Reporting Requirements Now Available

June 23, 2016

Find out how to change your computer systems (56 KB PDF) so that you can successfully submit medical billing data through the new electronic data interchange (EDI). After July 1, 2017, self-insurers or their third-party administrators will be required to report medical billing data through the new EDI.

News from SIRAS project: Medical data now, claims data later

March 11, 2016

Find out how one focus of the project has changed, and why. Check out the SIRAS project update and schedule (260 KB PDF).

2015 Ombuds Office Report

September 30, 2015

The Ombuds report was recently completed and is posted here to highlight important issues concerning self-insurance. The 2015 Ombuds Report to the Governor is required annually by RCW 51.14.400 for the reporting period July 1 through June 30. It summarizes Ombuds Office events, including:

  • Issues addressed during the past year, along with case scenarios.
  • Ombuds monitoring activities.
  • Deficiencies identified in the self-insured workersí compensation system, and recommendations for improvements.

The Ombuds Office is committed to L&Iís mission to keep Washington safe and working. The Ombudsí initiatives described in this report are geared toward ensuring fair and equitable benefits for injured workers and continual process and system improvements.

Travel Reimbursement Rule Change

July 31, 2015

Effective August 1, 2015, the rule addressing mileage reimbursement for worker pre-approved travel changed. For details, refer to WAC 296-20-1103 - Travel Expense (

What changed?

Previously: Workers participating in vocational retraining were excluded from receiving mileage reimbursement for the first fifteen miles of an authorized one-way trip and the first and last fifteen miles of an authorized round trip.

Now: Workers who are participating in a vocational retraining plan are entitled to reimbursement for all authorized travel associated with the retraining, with no reduction of mileage.

Workers who are or have been in an approved vocational plan may request reimbursement for the 30 miles (or less) per round trip that previously went unpaid. These mileage requests are payable for any dates of travel that occurred within one year of the date the request for reimbursement is received.

Workers with questions should be referred to their vocational rehabilitation counselors.

Coston Penalty Rule Matrix

June 17, 2015

Learn about L&I Penalty Rule Matrix for the Coston Penalty Rule Matrix (116 KB PDF).

Coston Penalty Rule FAQ

April 16, 2015

Learn about L&I guidelines for the Coston Penalty Rule (246 KB PDF).

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