Workers who, in the course of employment, are injured or disabled are entitled to workers' compensation benefits. Depending on the injury or disability, workers are entitled to medical, temporary time-loss, and vocational rehabilitation benefits, as well as benefits for permanent disabilities.
Once closed, a workers' compensation claim may be reopened due to a change in circumstances warranting an adjustment of compensation. When granted, a reopened claim allows for compensation and other benefits up to 60 days before receipt of the reopening application.
The Department of Labor and Industries (L&I) provides a form for workers to use as a reopening application, with the first page to be filled out by the worker and the second page to be filled out by the medical provider. In addition to other parameters, the medical provider information page includes notices that benefits will not be paid for services more than 60 days before the application is received, and that benefits may be delayed for incomplete forms. The worker information page does not include similar notices.
A claimant may receive compensation and other benefits more than 60 days, subject to a maximum of 120 days prior to the receipt of the application, before submission of the reopening application when the following applies:
The L&I or self-insurer must provide notice of the submission deadlines on any forms it provides for use as claim reopening applications.
The committee recommended a different version of the bill than what was heard. OTHER: L&I worked with Representative Schmick to perfect the bill. A claimant needed to have an emergency surgery related to an injury suffered at work that L&I had allowed benefits for. The worker recovered and the claim was closed. The condition worsened and the worker needed to reopen the claim and have another emergency surgery. Unfortunately, the provider didn’t get the paperwork into L&I. Under current law, L&I was not allowed to cover the surgical costs. This rarely happens. This would allow those costs to be covered. This would be a small but reasonable cost that should be covered by the system.