What's New for Self-Insurance

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)

2018 Meeting of the Minds

September 7, 2018.

Use this form to register: Workers Compensation Conference 2018 - Meeting of the Minds (681 KB PDF)

Need to Determine the Payable Status of a Provider?

July 5, 2018.

Good news! Weve released an updated lookup, the Medical Provider Network Status Report (MPNSR).

Adobe PDF file Self Insurance MPNSR (243 KB PDF).

COLA Update to Benefits Schedule

July 5, 2018.

COLA Update to Benefits Schedule For the Period July 1, 2018 through June 30, 2019

Adobe PDF file COLA Mailer 2018 (263 KB PDF).

Colloquium 2018 Save the Date!

May 15, 2018.

Thursday November 15, 2018 (8:45 am 3:30 pm)

The Department of Labor and Industries, Washington Self-Insurers Association and Swedish Medical Center, are hosting an Occupational Health Best Practices Colloquium for the Self Insurance industry.

Theme: Empowering Workers Compensation Professionals to Improve Care and Reduce Harm

Adobe PDF file Colloquium 2018 Save the Date (291 KB PDF).

VOLUNTEERS NEEDED for Curriculum Review Committee

May 7, 2018.

Course materials submitted for credit are reviewed by the Continuing Education Curriculum Review Committee. All credit decisions are made by this committee, which is composed of representatives from the self-insured business community, the labor community, and L&I.

The term of two committee members expire July 31st, one each representing:

  • Self-Insured business.
  • Labor.
  • We need new members to participate in this vital function. As a member, you will have an active role in ensuring a well-trained claims manager community.

    Adobe PDF file CRC 2018 recruitment (254 KB PDF).

    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.

    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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