WAC 296-17-90484

Direct pay of medical bills - Prohibited

Payment of medical services on behalf of state fund insured employers is the sole responsibility of Labor & Industries. Employers insured by the state fund are prohibited from paying a medical service provider directly for treatment of any work-related injury or illness sustained by one or more of their workers.

Our responsibility

If we discover that you have paid a medical service provider directly for medical services related to an industrial injury or work related illness

We will:

• Remove you from the retrospective rating program effective the date of our notification to you.

Note: Any employer that has been removed because of this practice will be barred from ever participating in the retro program. If the employer was entitled to a retro refund for any coverage period, it will be forfeited. If an organization that sponsors a retro group participates in this activity or encourages members to pay a medical service provider directly for a work related injury or illness sustained by one or more of their workers, the organization will be barred from ever sponsoring a retro group and will forfeit all retro group refunds not yet distributed by L&I.

---

[Statutory Authority: RCW 51.18.010(1) (www.leg.wa.gov). 02-23-089, § 296-17-90484, filed 11/20/02, effective 1/1/03. Statutory Authority: RCW 51.18.010 (www.leg.wa.gov). 00-11-060, § 296-17-90484, filed 5/12/00, effective 7/1/00.]

 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