Workers' Compensation. Workers who, in the course of employment, are injured or disabled from an occupational disease are entitled to workers' compensation benefits, which may include medical, temporary time-loss, vocational rehabilitation benefits, and permanent disabilities benefits. Occupational disease means a "disease or infection as arises naturally and proximately out of employment under the mandatory or elective adoption provisions of this title." The Department of Labor and Industries (L&I) administers the state's workers' compensation system.
Claim Settlements. Eligible workers have the option to settle parts of their workers' compensation claims through structured settlements. Settlements are available for injured workers who are age 50 and older. Medical benefits may not be settled. The parties may only initiate claim resolution structured settlements if at least 180 days have passed since the claim was received by L&I or self-insurer and the order allowing the claim is final and binding.
The claim resolution structured settlement agreements must:
An unrepresented worker seeking to settle a claim must submit the agreement to an industrial appeals judge (IAJ) for approval. The IAJ can approve the settlement only if the settlement is in the best interest of the worker. If the IAJ approves the agreement, the agreement is forwarded to the Board of Industrial Insurance Appeals (BIIA) for approval. A worker who is represented by an attorney can submit the settlement agreement directly to the BIIA for approval. The BIIA must approve the agreement unless it finds that the parties have not entered into the agreement knowingly and willingly; the agreement does not meet the requirements of a settlement; the agreement is the result of a material misrepresentation of law or fact; the agreement is the result of harassment or coercion; or the agreement is unreasonable as a matter of law.
Offsets. Federal and state laws address the coordination of Social Security disability benefits and workers' compensation.
The term "structured settlement agreement" is modified to "claim resolution settlement agreement."
At the option of the parties, a claim resolution settlement may either be paid out in a single lump sum or be paid on a structured basis. If the parties opt to have the settlement paid on a structured basis, the agreement must meet the payment schedule provisions of the law.
The BIIA must provide to L&I copies of all final claim resolution settlement agreements.