Claims Kit

    Washington

    State Compliance Information

    Physician Selection

    Physician Selection RCW 51.36.010

    For the initial office or emergency room visit only, the employee may choose any health care provider who is qualified to treat their injury. For any additional or ongoing care, the employee must be treated by a provider who is a part of the L&I Medical Provider Network. If the employees regular provider is not in the network and does not want to enroll, the employee must transfer to a network provider

    Reporting of Claim by Employer

    Reporting of Claim by Employer  51.28.010 (1)  51.28.025

    An employer who has notice or knowledge of an injury or occupational disease of their employee and who has received treatment from a physician, or has been hospitalized, disabled from work, or who has died must immediately report this information to the Department. 

    A workplace fatality or in-patient hospitalization of any employee must be reported to L&I within 8 hours of the incident. Any non-hospitalized amputation or loss of an eye(s) must be reported within 24 hours of the incident. Note: This applies to all employers with workers working in Washington no matter what industry they work in and regardless of workers’ compensation coverage

    Penalties for Late Reporting

    Penalties for Late Reporting RCW 51.28.025  

    An employer found to have engaged in claim suppression is subject to a penalty of at least $250, not to exceed $2,500, for each offense.

     

    Posting Requirements

    Posting Requirements

    Employers are legally required to display 3 free posters in their workplace to inform employees of their rights and responsibilities. 

    Certificate of coverage required RCW 51.04.120

    Employers are required to obtain a certificate of insurance coverage and post it conspicuously in their place of business. They must have a separate certificate of coverage in each business location they operate. 

    L&I will send three posters that inform employees of their rights and responsibilities as workers. They must be displayed where employees can see them 

    Does a construction company have to post the posters at every job site or just in the construction office?

    The key consideration is where the employees report for work. If your employees report to a central office, posting in the office is fine. If they report to a job shack, post them there. You may want to do both as the posters are free. You are not required to post them in a truck.

    As an employer, you are required to make the posters available to your employees where they can see and read them.

    If I the employer has one or more employees in Washington State who work from their home or vehicle, do they have to post the posters in their home or vehicle?

    No. As the employer, you are required to make the posters available to your employees where they can see and read them. To comply with this requirement for employees working from their home or vehicle, you may:

    Send each employee a set of posters. You can order them at no cost by visiting Lni.wa.gov/Posters. You may want to document that you sent the posters to your employees.

    AND/OR

    Send each employee an email with a link to Lni.wa.gov/Posters. Instruct your employees to read the posters and print them for their records. They do not have to post them in their home or vehicle.

    1.  Notice to Employees — If a Job Injury Occurs  F242-191-909 
    2.  Job Safety and Health Law (F416-081-909).  
    3. Your Rights as a Worker ( F700-074-000). F700-074-999 SP

     

     

     

    Injured Worker Guide

    The worker's compensation system can be complicated, and each state has its own laws regarding workers' compensation. 

    The information contained in your state's guide provides a general guide for workers injured or made ill on the job.

    This state-issued publication will assist you in navigating the workers' compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers' compensation benefits, deadlines and who to contact for additional assistance.

    If you have questions about the workers' compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.

    Publications

    Injured Workers' Guide

    Washington

    State Compliance Informationssss