COVID-19 Information
COVID-19 & Workers’ Compensation
–Benefits from Labor and Industries
At this point L&I will only provide benefits to healthcare workers and first responders during the time they are quarantined after being exposed to COVID-19 on the job. If a first responder or health care provider then tests positive, time loss and medical expenses will be paid like a normal claim. L&I has determined that COVID-19 claims will not impact rates or retro refunds, for more information please see the FAQ link in the section below.
–Frequently Asked Questions Answered
In response to questions from employers and their representatives, the Department of Labor & Industries (L&I) has made certain policy decisions to provide some financial relief from the impact of allowed COVID-19 claims to state-funded employers. These decisions are outlined in a “Frequently Asked Questions” (FAQ) format. We also want you to be aware of premium reporting requirements under certain circumstances such as when a business has been closed as a result of the pandemic, yet the employer is continuing to pay their workers. And we’ve clarified that injured workers whose temporary, light duty ends are entitled to time-loss compensation. If you have any questions, please contact your account manager or retrospective rating representative.
FAQ / Answers for employers with workers’ compensation insurance through L&I
The Washington State Employment Security Department has put together a helpful visual for employers that give an overview of benefits. COVID-19 Scenarios and Benefits
For healthcare-related incidents or if your employees worked at a site where they are at an increased risk of contracting COVID-19 (e.g. a HVAC company working in a hospital):
- L&I will pay the employee “time loss” for a quarantine period of up to 14 days.
NOTE: The quarantine time loss will not be charged to you as an employer. This is important to companies that have a discounted workers’ compensation rate. - If the employee tests positive, L&I will allow the claim.
–Time-Loss Compensation Benefits
L&I has confirmed, workers who were on temporary light-duty work but are now off due to business closures are eligible for time-loss compensation benefits through L&I. If you have worked with your ERNwest claims manager to offer a reasonable, continuous job rather than a temporary job, you may be protected; but as you can imagine, L&I’s policy has resulted in a drastic increase in benefits being paid through the workers’ compensation system.
There are several federal stimulus programs available to keep workers on the payroll. Utilizing these programs can help ensure that your employees are cared for during this uncertain time, and may also provide future savings in your L&I premiums if you can utilize a kept-on-salary strategy for workers who are otherwise eligible for time-loss compensation benefits. Ideally, the programs will keep your workforce intact and help you avoid an increase in the future cost of your workers’ comp premiums.
If you have any questions about the financial impact of a specific claim, please contact your ERNwest Claims Manager.
–Furloughs and Layoffs
For those companies that may be considering furloughs or layoffs, there are three quick items to consider:
- Have each employee fill out an exit questionnaire so you can document the employee’s physical health at the time of separation.
Download the exit questionnaire. - Let ERNwest know if you are planning a lay off or furlough and if you are planning on laying off an employee on light-duty. NOTE: The good news is, if you followed ERNwest’s practices and offered a reasonably continuous job at the wage during the time of injury and you are doing a larger layoff (not just those on light-duty), these employees are unlikely to receive time loss.
- This is an uncomfortable time for everyone. Do everything in your power to care for your employees. It is everyone’s hope that sometime soon they will return to the workforce and you want your employees back healthy and strong.
–L&I Offering Employers Grace Period to Pay Workers’ Comp Premiums
L&I is providing emergency relief to help employers struggling to pay their workers’ compensation premiums during the coronavirus outbreak. It is offering a grace period for premium payments, along with payment plans for employers facing financial difficulties during the pandemic. Under this new offer, employers can request for their payment to be deferred for up to 90 days or can ask for a 90-day payment plan. Either way, the delayed payments will be penalty- and interest-free.
The agency wants to make sure businesses know about and consider taking advantage of this Employer Assistance Program.
“This is clearly a hard time for everyone. And restrictions and closures are making it very tough for businesses to make financial ends meet,” said Vickie Kennedy, assistant director for L&I’s Division of Insurance Services. “We’re trying to help by allowing employers to delay or spread out their payments at no additional cost to them. This will give businesses more time and allow them to stay in good standing.”
Payments for the first quarter of 2020 are due no later than April 30. To be eligible for this coronavirus-related assistance, employers must contact their L&I account manager if they know they won’t be able to make their quarterly premium payment. Account managers are available by phone at 360-902-4817.
Once employers are approved for the assistance program, L&I will waive late penalties and interest charges as long as qualifying businesses pay their premiums within 90 days. In some cases, the payment plan can be renegotiated if a business goes deeper into financial distress.
As part of the agreement, businesses must file their quarterly report on time, which is no later than April 30, 2020. L&I regional offices are closed to walk-in visits because of the outbreak, however, quarterly reports can be filed online through QuickFile.
For additional services, L&I customers can find the phone numbers for offices in local communities online or call the L&I Office of Information and Assistance at 360-902-5800.
COVID-19 Exposure and Claims
Please download the following guide that will provide information on how to exposure has occurred and employees are sent home for quarantine. This information could change in the future and we will keep you updated. COVID-19 and L&I (PDF)
COVID-19 Online Resources
Safety
Coping with COVID Stress
With the ever-present pressures to adapt to evolving work conditions during a pandemic, some workers experience new fears and anxieties and emotions that can cover a broad range from one day to the next. Coping with these newfound states of mind is important to maintain a safe work environment, and recognizing fatigue and stress is more important than ever. The CDC offers some tips on recognizing and coping with work stress and how best to navigate emotional stress. Learn more.
Great ShakeOut
Shake it up baby! It’s time for the Great ShakeOut. On October 15, we are encouraging all members to practice how to be safe if an earthquake occurs. This is also a great time to review and update emergency preparedness plans and supplies. So, at 10:15 on 10/15, drop, cover, and hold! To register for the Great ShakeOut and learn more about its importance, go to ShakeOut.org.
WHCA Pays You Back!
The association, through the Retro program, will reimburse up to $2,500 per year when you buy equipment needed to keep your staff working safely. Access the Safety Rebate Form for a complete list of covered items and for instructions to get started! Download the 2019-2020 Safety Rebate Form PDF
WHCA Safety Resources
Access WHCA and general safety resources. Learn more.
Upcoming Training
Select the dates below for more information about ERNwest-specific trainings and to register.
September 3, Webinar, 2:00pm | What is Retro*
September 15, Webinar, 10:00am | Fundamentals of Claims Management*
September 17, Webinar, 10:00am | Unified Fall Protection
September 22, Webinar, 10:00am | Using Kept on Salary and Modified-Duty Effectively
View a list of all ERNwest training
Workers’ Comp News
Early Incident Reporting Saves Money
and Headaches
A strong focus and commitment to injury prevention is the most surefire way to improve your safety metrics and reduce your workers’ compensation costs. When prevention activities fail and an injury occurs, it is equally important to have strong claims-handling procedures in place. Our data supports that claims reported within one week are 44% less expensive than those reported at four weeks! Here are some other benefits of early claim reporting:
- Decreases attorney involvement – 31% of claims reported after 4 weeks have attorney involvement
- Closes claims faster – 71% of claims reported after four weeks are still open at 18 months
- Allows an immediate incident investigation which can help your safety team identify cause and avoid similar injuries in the future
- Promotes a caring and helpful atmosphere. When you know an incident occurs, you can help your worker navigate the confusing L&I system and overcome barriers with medical treatment
- Provides critical information for early claims management
- Ensures a level of accountability and helps you avoid fraudulent claims
Our team of dedicated claims managers is here to help you navigate the claims process, and the sooner we know about a claim, the sooner we can help. Please report claims to us immediately by calling your ERNwest Claims Manager, reporting claims through email at claimsreporting@ernwest.com, or reporting claims securely online in our ERNwest Reporting Portal.
L&I News
Beware! Severe Consequences
for Suppressing Claims
Remember the old phrase, “No good deed goes unpunished?” While you may have the best intentions to help your employee, paying their medical bills after a work-related injury can have serious consequences.
Intentionally avoiding claims or paying an injured worker’s medical bills is against the law. The legal term for this is claim suppression. According to RCW 51.28.010 (4), claim suppression means intentionally:
- inducing employees to fail to report injuries,
- inducing employees to treat injuries in the course of employment as off-the-job injuries, or
- acting otherwise to suppress legitimate industrial insurance claims.
In simple terms, you cannot ask an employee to refrain from filing a claim, and you cannot pay for medical expenses out of pocket. Claim suppression is prohibited by law. Not only are there financial penalties for each offense, but L&I can also prohibit the offending employer from participating in a Retrospective Rating (Retro) program.
Activities related to claim suppression can put the entire Retro program at risk. The WHCA program takes this very seriously, and engaging in claim suppression may result in your removal from the Retro program and forfeiture of future refunds. If you have any questions, please contact Stephanie Scheurich at (253) 237-0837.
L&I Extends Workers’ Comp Premium Relief
The Washington State Department of Labor & Industries (L&I) is again extending the deadline for workers’ compensation premium for employers who are struggling to pay during the coronavirus pandemic. L&I is allowing employers to request a 90-day payment plan or request that payments be completely deferred for up to 90 days. The delayed payments will not accrue penalties and interest as long as premium payments are made within 90 days. Read the full article.
In order to take advantage of the L&I Employer Assistance Program, employers should contact the L&I Collections unit by calling (800) 301-1826, or by sending an email to dialercollections@lni.wa.gov.
Administrator / Executive Director Training
Whether you are new to the Washington Health Care Association (WHCA), new to Retro, new to your position or just have questions, you’ll find helpful information about the benefits and requirements of WHCA Retro membership and how ERNwest can help you succeed with Washington Workers’ Compensation. | Welcome to WHCA Retro
Remember to report all incidents on the ERNwest website so that your claims manager is aware and can help guide you through the process. | ERNwest.com/report-an-incident
WHCA Retro Questions?
Stephanie Scheurich, WHCA Group Manager (253) 237-0837 | SScheurich@ernwest.com
WHCA Safety Questions?
Oscar Granger (253) 237-0819 | OGranger@ernwest.com
Darrell Beaman (Central/Eastern WA) (253) 237-0831 | DBeaman@ernwest.com