What's New for Self-Insurance

SI Compliance Plan for January 2018-December 2019

January 8, 2018.

The Self-Insurance program is pleased to present the SI Compliance Audit Plan for January 2018 December 2019 (656 KB PDF).

Beginning in August 2017 we developed a 2-year audit plan that was designed to provide:

  • earlier client notification of audit,
  • increased Audit Plan stability, and
  • continued commitment to audit reform and services.

Please click on the link above to review the Audit Plan for the upcoming audit cycle. The Self-Insurance program would like to thank the members of the audit governance committee for advising us during the development of this plan. The plan represents a continued collaboration of L&I, business, and labor, to modernize our services so that they are protective of workers and effective for employers.

Report of Tier 2 Pilot Audit results

November 1, 2017.

The tier 2 audit Pilot was completed in July, 2017; Please see the following report of results.

This is the second tier of a 3-tier audit system. It was a great experience working with all 126 employers that participated in the Pilot and some great lessons were learned and future opportunities for improvement were identified.

Tier 3 Entitlement Audit Pilot is currently underway; this is the final tier in our new 3-tier audit system. Estimated completion is December 31, 2017.

In addition, Self-Insurance (SI) Compliance Audit program is close to finalizing the new 2018 to 2019 audit plan. The audit plan will be available soon in the next few weeks. This is a significant milestone as the SI Compliance Audit program will use the new audit model with the new SI Audit Governance Committee (SIAGC) made up of business and labor representatives providing both advice in planning and review of progress throughout the audit plan cycle. We are all excited for this continued success in ensuring what we do is protective of workers and effective for employers, and Making it easier to do business with L&I.

Self-Insurance Audit Section Reaches Midway Point of Pilot of Tier 2, May 1, 2017

June 1, 2017.

With completion of the Tier 1 audit Pilot in January, 2017, 126 employers are now taking part in a Tier 2 Pilot that looks at reviewing Timeliness of Time-Loss and Permanent Partial Disability payments. The goal of the audit team is to complete the review by July 31, 2017.

This is the second tier of a 3-tier audit system. Once Tier 2 is completed the audit team will move to piloting Tier 3. Scope of review for Tier 3 has yet to be determined. L&I and the audit advisory committee are working collaboratively to both evaluate the progress of Tier 2 and design the scope for Tier 3.

Report of Tier 1 Pilot Audit results

May 4, 2017.

The Tier 1 Audit Pilot: A Comprehensive Report (571 KB PDF) provides a comprehensive breakdown of the audit results of 297 self-insured employers. This is the first of the 3 new audit tiers that are being piloted; they were developed by the Self-Insurance Audit Reform Advisory Committee, led by L&I with participation by business and labor.

SIF-5A Total Monthly Wage Calculations

April 10, 2017

An updated version of the form has been published in Self-Insurance Forms & Publications. This version has been published to correct spelling and grammar errors on the form. No substantive form or calculation changes were made.

SIRAS New requirements posted for Medical Bill Electronic Data Interchange

February 1, 2017

Some changes have been made to the Medical Requirements tables for the WA Electronic Data Interchange (EDI). We have published the new WA State Medical Electronic Data Interchange (EDI) tables and change log explaining the reason for each change.

SIRAS Medical Bill Electronic Data Interchange: Register and Test

January 13, 2017

Time Is Running Out for Registration and Testing for the New Electronic Data Interchange.

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