Rule Updates

Rules Under Development

Workers' compensation self-insurance rules and regulations

Chapter 296-15, WAC

All updates for this rule:

Workers’ Compensation Self-Insurance Rules and Regulations (Chapter 296-15 WAC)

The purpose of this rulemaking is to update Chapter 296-15 WAC, Workers’ Compensation Self-Insurance Rules and Regulations. These changes will promote better communication to injured workers, create greater certainty in rule for employers and to reduce dependency on department adjudication, and improve alignment with existing statutes. The changes were adopted 12/18/2018 and became effective on 7/1/2019.826.


Rule Changes Effective


PDF: Adoption (Rule-Making Order CR-103)

PDF: Adopted Rule Language


Comments Due


Public Hearing


Public Hearing


Public Hearing


PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language


PDF: Preproposal (CR-101)

Self-Insurance Medical Bill Electronic Data Interchange (EDI) (Chapter 296-15 WAC)

The purpose of this proposal is to create standardized medical bill reporting expectations for self-insured employers, to support the collection of quality data, and to create a reporting exemption for qualifying employers. Standardized reporting will build data integrity, improve industry benchmarking, and inform and support policy conversations and decisions. The key proposals are: Self-insured employers are required to report medical bills through the medical bill electronic data interchange (EDI); Self-insured employers are required to report bills accurately and timely; and Under limited circumstances, self-insured employers can be provided an exception, which means that they are exempt from reporting. In 2016, the department and the self-insured employer community partnered to develop the Self-Insurance Risk Analysis System (SIRAS). Part of SIRAS includes the development of an electronic data interchange (EDI) to collect workers’ compensation claims’ medical bill data. Funding for the development of EDI came from the self-insured community, and their expectation has always been that participation would be required once the system was fully implemented. The Washington Self-Insurers Association (WSIA) has been consistently consulted in EDI’s implementation, and they have reviewed and contributed to the EDI rule. To date, approximately 98% of the self-insured employer community has already registered to report medical bill data, and approximately 84% of them have already reported medical bill data. This rulemaking will document standards and requirements for the reporting that is already largely taking place.755.


Comments Due


Public Hearing


PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

PDF: Preliminary Cost Benefit Analysis


PDF: Preproposal (CR-101)

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