Application, agreements and other required documentation — due dates

All applications, agreement forms and required documentation are due in the Tumwater L&I office by 5:00 p.m. (Pacific time) as indicated below. If the due date falls on a weekend or holiday the required documents are due the next business day.

Note: Documents sent via the U.S. Postal Service will be considered received by L&I on the day they are postmarked.

Coverage period — January 1 through December 31

Individual employer option

• Individual retrospective rating plan agreement — due to L&I no later than December 15th.

Example: For the coverage period January 1, 2003, through December 31, 2003, the agreement would be due December 15, 2002.

Retro group

• Articles of incorporation, bylaws and marketing information — due to L&I no later than October 31st (new group requirement).

Example: For the coverage period January 1, 2003, through December 31, 2003, all documents listed that are due October 31st are due October 31, 2002.

• Workplace safety and accident prevention plan — due to L&I no later than October 31st (new group requirement).
• Application for group — due to L&I no later than October 31st (new group requirement).

Note: This requirement also applies to an existing group when making changes to current plan, MPR or coverage period.

• Cover letter that lists attached documents — due to L&I no later than October 31st (new group requirement).
• Group respective rating agreement — due to L&I no later than December 15th (new and existing group requirement).

Example: For the coverage period January 1, 2003, through December 31, 2003, the documents listed that are due December 15th would be due December 15, 2002.

• Membership verification list — due to L&I no later than December 15th (new group requirement).
• Application for group membership and release of insurance data — due to L&I no later than December 15th (new and existing group requirement).
• Annual safety report — due to L&I no later than December 31st (new and existing group requirement).

Example: For the coverage period January 1, 2003, through December 31, 2003, the annual safety report would be due December 31, 2002.

Coverage period — April 1 through March 31

Individual employer option

• Individual retrospective rating plan agreement — due to L&I no later than March 15th.

Example: For the coverage period April 1, 2003, through March 31, 2004, the agreement would be due March 15, 2003.

Retro group

• Articles of incorporation, bylaws and marketing information — due to L&I no later than January 31st (new group requirement).

Example: For the coverage period April 1, 2003, through March 31, 2004, all documents listed that are due January 31st would be due January 31, 2003.

• Workplace safety and accident prevention plan — due to L&I no later than January 31st (new group requirement).
• Application for group — due to L&I no later than January 31st (new group requirement).

Note: This requirement also applies to an existing group when making changes to current plan, MPR or coverage period.

• Cover letter that lists attached documents — due to L&I no later than January 31st (new group requirement).
• Group respective rating agreement — due to L&I no later than March 15th (new and existing group requirement).

Example: For the coverage period April 1, 2003, through March 31, 2004, all documents listed that are due March 15th are due March 15, 2003.

• Membership verification list — due to L&I no later than March 15th (new group requirement).
• Application for group membership and release of insurance data — due to L&I no later than March 15th (new and existing group requirement).
• Annual safety report — due to L&I no later than March 31st (new and existing group requirement).

Example: For the coverage period April 1, 2003, through March 31, 2004, the annual safety report would be due March 31, 2003.

Coverage period — July 1 through June 30

Individual employer option

• Individual retrospective rating plan agreement — due to L&I no later than June 15th.

Example: For the coverage period July 1, 2003, through June 30, 2004, the agreement would be due June 15, 2003.

Retro group

• Articles of incorporation, bylaws and marketing information — due to L&I no later than April 30th (new group requirement).

Example: For the coverage period July 1, 2003, through June 30, 2004, all documents listed that are due April 30th would be due April 30, 2003.

• Workplace safety and accident prevention plan — due to L&I no later than April 30th (new group requirement).
• Application for group — due to L&I no later than April 30th (new group requirement).

Note: This requirement also applies to an existing group when making changes to current plan, MPR or coverage period.

• Cover letter that lists attached documents — due to L&I no later than April 30th (new group requirement).
• Group respective rating agreement — due to L&I no later than June 15th (new and existing group requirement).

Example: For the coverage period July 1, 2003, through June 30, 2004, all documents listed that are due June 15th are due June 15, 2003.

• Membership verification list — due to L&I no later than June 15th (new group requirement).
• Application for group membership and release of insurance data — due to L&I no later than June 15th (new and existing group requirement).
• Annual safety report — due to L&I no later than June 30th (new and existing group requirement).

Example: For the coverage period July 1, 2003, through June 30, 2004, the annual safety report would be due June 30, 2003.

Coverage period — October 1 through September 30

Individual employer option

• Individual retrospective rating plan agreement — due to L&I no later than September 15th.

Example: For the coverage period October 1, 2003, through September 30, 2004, the agreement would be due September 15, 2003.

Retro group

• Articles of incorporation, bylaws and marketing information — due to L&I no later than July 31st of the previous year (new group requirement).

Example: For the coverage period October 1, 2003, through September 30, 2004, all documents listed that are due July 31st would be due July 31, 2003.

• Workplace safety and accident prevention plan — due to L&I no later than July 31st of the previous year (new group requirement).
• Application for group — due to L&I no later than July 31st of the previous year (new group requirement).

Note: This requirement also applies to an existing group when making changes to current plan, MPR or coverage period.

• Cover letter that lists attached documents — due to L&I no later than July 31st of the previous year (new group requirement).
• Group respective rating agreement — due to L&I no later than September 15th (new and existing group requirement).

Example: For the coverage period October 1, 2003, through September 30, 2004, all documents listed that are due September 15th are due September 15, 2003.

• Membership verification list — due to L&I no later than September 15th (new group requirement).
• Application for group membership and release of insurance data — due to L&I no later than September 15th (new and existing group requirement).
• Annual safety report — due to L&I no later than September 30th (new and existing group requirement).

Example: For the coverage period October 1, 2003, through September 30, 2004, the annual safety report would be due September 30, 2003.

[Statutory Authority: RCW 51.18.010(1) (www.leg.wa.gov). 02-23-089, § 296-17-90438, filed 11/20/02, effective 1/1/03.]

This rule applies to retro coverage period(s) established prior to January 1, 2011.

The courts can take judicial notice of the Washington Administrative Code (WAC) only as published by the Office of the Code Reviser (www.leg.wa.gov). The text contained in this Web page may reflect minor changes when compared with the WAC.

Previous Rule | Index | Next Rule