The bill amends existing laws regarding the handling of industrial insurance claims by self-insurers in Washington State. It establishes that if a self-insurer allows a claim for compensation, they must issue an allowance order within 30 days of receiving notice of the claim. If the self-insurer fails to act within 60 days, they are required to inform the worker and the department that the claim is in provisional status, and the department will then determine whether the claim is allowed or denied. Additionally, if a self-insurer denies a claim, they must request a denial within 60 days of receiving notice of the claim, or the department will intervene to adjudicate the claim.
Further amendments include the requirement for self-insurers to provide written notice of claim denials within 60 days, clearly stating the reasons for denial. The bill also specifies that the first payment of income benefits must be made within 14 days after notice of the claim and that such payments do not constitute a binding determination of the self-insurer's obligations for future payments. The director is granted authority to investigate claims and ensure fair handling by self-insurers, with provisions for enacting rules and regulations to protect the rights of all parties involved.
Statutes affected: Original bill: 51.14.130, 51.32.190