What's New for Self-Insurance

The latest news

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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