How do I file a workers comp claim in Washington state?

Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)

What is self-insured vs fully insured?

Employers with self-insured employee health programs pay for medical claims and fees out of current revenue?in effect, acting as their own insurers. It's the alternative to a fully insured plan, where employers pay a fixed premium to a third-party commercial insurance carrier that covers the medical claims.

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Washington Self-Insurance Electronic Data Reporting System (SIEDRS):...

Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0

Name: Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.63 (273 reviews)

Category:

Washington Workers Compensation - Official

State:

Washington

Control #:

WA-SKU-3960

Format:

Instant download

This website is not affiliated with any governmental entity

Public form

Description

Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0 Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 is a secure online system for employers and self-insured entities in Washington State to enter and manage their self-insurance data. It allows employers to submit their data electronically and securely to the Washington State Department of Labor and Industries (L&I). This system also provides access to an electronic version of the Self-Insurance Enrollment Package, allowing employers to electronically complete and submit their enrollment package forms. The Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 consists of two packages: the Employer Self-Insurance Enrollment Package and the Self-Insurance Enrollment Package for an Entity. The Employer Self-Insurance Enrollment Package is for employers who wish to self-insure workers’ compensation coverage for their employees. The Self-Insurance Enrollment Package for an Entity is for self-insured entities that are not employers, such as labor unions, associations, or other entities.

Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 is a secure online system for employers and self-insured entities in Washington State to enter and manage their self-insurance data. It allows employers to submit their data electronically and securely to the Washington State Department of Labor and Industries (L&I). This system also provides access to an electronic version of the Self-Insurance Enrollment Package, allowing employers to electronically complete and submit their enrollment package forms. The Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 consists of two packages: the Employer Self-Insurance Enrollment Package and the Self-Insurance Enrollment Package for an Entity. The Employer Self-Insurance Enrollment Package is for employers who wish to self-insure workers’ compensation coverage for their employees. The Self-Insurance Enrollment Package for an Entity is for self-insured entities that are not employers, such as labor unions, associations, or other entities.

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How to fill out Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0?

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FAQ

Someone who is self-insured is taking on the financial risks associated with insuring their vehicle. This means if there is an accident, they are responsible for paying for all the damage they caused to the other driver and their property, as well as any damage to their own vehicle.

Each state regulates who may be self-insured for workers' compensation. Normally, a prospective self-insured submits a required application accompanied by audited financial data, prior workers' compensation loss history, and other information required by each state.

To apply to be self-insured, an employer must complete and submit the following documents: Application for Self-Insurance Certification (F207-001-000) with a nonrefundable fee. Self-Insurance Certification Questionnaire (F207-176-000). Three years of audited financial statements in the name of the applicant.

You'll pay less in premiums every year. If you're self-insured, you're not paying an insurance company every year to carry the risk of replacing your income if something happens to you. That's a huge benefit to you because you're saving money!

Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)

Employers with self-insured employee health programs pay for medical claims and fees out of current revenue?in effect, acting as their own insurers. It's the alternative to a fully insured plan, where employers pay a fixed premium to a third-party commercial insurance carrier that covers the medical claims.

More info

Enrollment Package Changes from Version 1. Self-Insurance Electronic Data.Reporting System (SIEDRS). Download Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2. SIEDRS is a computer system that collects claim data electronically from self-insurers. Self-Insurance Plus, the IWCC's new public web portal, is here! A private employer who is approved for a certificate of authority to selfinsure is called a certified selfinsurer (CSI). Performance Test Reports - The Electronic Reporting Tool (ERT), built in Microsoft Access, is used to generate files containing emissions source test data.

Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0

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