Rules Under Development

Workers' compensation self-insurance rules and regulations

Chapter 296-15, WAC

All updates for this rule:

Self-Insurance Electronic Data Interchange (EDI) (WAC Chapter 296-15)

Labor & Industries and the self-insured employer community have agreed to partner in the development of a Self-Insurance Risk Analysis System. L&I is proposing that one component of this system feature the collection of medical bill data using an Electronic Data Interchange with national standards established by the International Association of Industrial Accident Boards and Commissions. Existing rules must be modified, and a new rule adopted, in order to make reporting requirements clear to all self-insurers and to ensure a uniform standard of reporting is established.755.

4/19/2016

PDF: Preproposal (CR-101)

Workers' Compensation Self-Insurance Rules and Regulations (WAC Chapter 296-15)

At the request of members of the self-insured employer community, Labor & Industries has agreed to change the existing method of self-insured claim data reporting. Instead of the current internally developed Self-Insurance Electronic Data Reporting System (SIEDRS), which is unique to Washington, we are proposing that self-insurers submit claim data using an Electronic Data Interchange (EDI) with national standards established by the International Association of Industrial Accident Boards and Commissions. Existing rules govern the requirements for data submittal to SIEDRS. These rules must be modified in order to establish the reporting requirements for this EDI method of data submittal.745.

12/22/2015

PDF: Preproposal (CR-101)

Self-Insurance Option 2 Benefits (Chapter 296-15 WAC, Workers’ Compensation Self-Insurance Rules and Regulations)

The purpose of this rulemaking is to modify WAC 296-15-4316, What must the self-insurer do when the worker declines further vocational rehabilitation services and elects option 2 benefits? The existing language must be changed to conform to the provisions of RCW 51.32.096, a new statute enacted through Chapter 137, Laws of 2015 (Substitute House Bill 1496). The current language in WAC 296-15-4316 states that workers who are eligible for vocational retraining have fifteen calendar days from the date the rehabilitation plan is approved, to decline further services and elect Option 2 benefits instead. This language conflicts with the time frame established by RCW 51.32.096. The proposed language change will align this rule with the requirements of the new law.739.

8/2/2016

PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

10/6/2015

PDF: Preproposal (CR-101)

Self-Insurance Penalty for Delay of Medical Benefits (Section 296-15-266 WAC - Penalties)

The Self-insurance Section within the Department of Labor and Industries is amending Section 296-15-266 WAC. The amendments define the circumstances under which the department will consider assessing a penalty for an unreasonable delay of benefits, and the process of this penalty request.693.

12/23/2014

PDF: Adoption (Rule-Making Order CR-103)

PDF: Adopted Rule Language

12/1/2014

Public Hearing

9/30/2014

Comments Due

9/30/2014

Public Hearing

8/19/2014

PDF: Proposed Rulemaking (CR 102)

PDF: Supplemental Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

PDF: Proposed Rule Language Supplement

PDF: Small Business Economic Impact Statement (SBEIS)

11/19/2013

PDF: Preproposal (CR-101)

Self-Insurance Housekeeping (Chapter 296-15 WAC)

Currently, Chapter 296-15 WAC contains several errors, including referencing other sections which were repealed in other rulemaking and incorrect form numbers. Also, legislative changes now conflict with some current rules. Modifications will be made to ensure compliance with statute. We will also modify rules per current agency standards, replacing all references to “physician” with “provider”.531.

8/20/2008

PDF: Preproposal (CR-101)

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