What's New for Self-Insurance


L&I is Proposing a New Rule Related to the Reporting of Medical Billing Data

June 07, 2019.

The CR-102 for proposed rulemaking was filed on June 4, 2019. We anticipate filing the CR-103 for adoption on August 20, 2019. The anticipated effective date is January 1, 2020.

You can review the proposed rule (WAC 296-15-232) at Workers' Compensation Self-Insurance Rules and Regulations (Chapter 296-15 WAC).

The public hearing is Monday, July 15, 2019 at 10 a.m.

Washington State Department of Labor & Industries
Auditorium
7273 Linderson Way SW
Tumwater, WA 98501

Discontinued Worksheets for Rating Spinal Impairments, Effective June 1, 2019

May 16, 2019.

L&I is discontinuing 2 worksheets used by health-care providers for rating spinal impairments, Effective June 1, 2019

Adobe PDF file Spinal Impairment Letter (439 KB PDF)

Adobe PDF file Spinal Impairment WAC (270 KB PDF)


July 1, 2019 WAC Changes: Forms & Templates finalized

May 01, 2019.

The new forms and templates are now available for use beginning July 1, 2019. The matrix has links to the forms and templates, and gives information on when they should be used. View the matrix below to see a list of the requirements in more detail.

Adobe PDF fileUpdate on Rules Changes Effective July 1, 2019 (633 KB PDF)

Adobe PDF fileTraining Matrix (855 KB PDF)


Changes Coming to Interpreter Services by 2020

April 29, 2019.

Legislation in 2018 (SSB 6245) required Labor & Industries to review its procurement process for interpreter services for injured workers and crime victims. After reviewing our options and gathering feedback from interpreters, providers, and workers, L&I has decided to contract with one or more scheduling organizations. This means we will be purchasing in-person spoken language interpreter services through a new scheduling system.

There are still more decisions to make, including the functions of the scheduling system. To help us answer these questions, we will be reaching out to interpreters, providers, and workers.

Adobe PDF fileMore information on the upcoming changes. (312 KB PDF)


2019 Occupational Health Best Practices Colloquium

April 29, 2019.

SAVE THE DATE! Wednesday, November 13, 2019.

This Years Theme: Moving Forward Together

Adobe PDF file2019 Occupational Health Best Practices Colloquium (209 KB PDF)


Mandatory Training: Update 2019. New date added

March 1, 2019.

The Washington State Department of Labor and Industries (L&I) Self-Insurance Section will revise a number of Washington Administrative Codes (WACs) effective July 1, 2019. L&I will provide training to help self-insurers prepare for the changes. Due to the significant changes to the WACs, this training is mandatory for all certified administrators.

Adobe PDF file Self-Insurance Training 2019 (344 KB PDF)


Washington Administrative Codes (WAC): Update Effective July 1, 2019

March 1, 2019.

Adobe PDF file 2019 WAC Updates (344 KB PDF)


Hanford Presumption Law

September 14, 2018.

Adobe PDF file Hanford Presumption Law - Frequently Asked Questions: (618 KB PDF)

For details read the complete law at: Hanford Presumption Law RCW 51.32.187 (leg.wa.gov)


Report of Tier 3 Pilot Audit results

April 30, 2018.

A two-year audit reform pilot was completed December 31, 2017. The results of the final tier may be found in the Tier 3 Audit Pilot Report. All nine employers reviewed went through all three performance-based audit tiers of the pilot. The pilot process helped refine improvements to the new audit model. There were some great lessons learned and future opportunities identified to ensure Self-Insurance oversight processes continue to be protective of workers and effective for employers.

The Self-Insurance program would like to thank the self-insured business community and labor representatives for their support and input during this process. We look forward to continued collaboration as we move into the 2018-19 audit cycle.

Adobe PDF file Tier 3 Audit Pilot Report (380 KB PDF).


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.


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