RCW 51.14.120
Copy of claim file—Notice of protest or appeal—Medical report.
(1) The self-insurer shall provide, when authorized under RCW 51.28.070, a copy of the employee's claim file at no cost within fifteen days of receipt of a request by the employee or the employee's representative, and shall provide the physician performing an examination with all relevant medical records from the worker's claim file, but only to the extent required of the department under RCW 51.36.070. If the self-insured employer determines that release of the claim file to an unrepresented worker in whole or in part, may not be in the worker's best interests, the employer must submit a request for denial with an explanation along with a copy of that portion of the claim file not previously provided within twenty days after the request from the worker. In the case of second or subsequent requests, a reasonable charge for copying may be made. The self-insurer shall provide the entire contents of the claim file unless the request is for only a particular portion of the file. Any new material added to the claim file after the initial request shall be provided under the same terms and conditions as the initial request.
(2) The self-insurer shall transmit notice to the department of any protest or appeal by an employee relating to the administration of an industrial injury or occupational disease claim under this chapter within five working days of receipt. The date that the protest or appeal is received by the self-insurer shall be deemed to be the date the protest is received by the department for the purpose of RCW 51.52.050.
(3) The self-insurer shall submit a medical report with the request for closure of a claim under this chapter.
[ 2001 c 152 § 1; 1993 c 122 § 2.]
Structure Revised Code of Washington
Title 51 - Industrial Insurance
Chapter 51.14 - Self-Insurers.
51.14.010 - Duty to secure payment of compensation—Options.
51.14.030 - Certification of employer as self-insurer.
51.14.040 - Surety liability—Termination.
51.14.050 - Termination of status—Notice—Financial requirements.
51.14.060 - Default by self-insurer—Authority of director—Liability for reimbursement.
51.14.070 - Payments upon default.
51.14.077 - Self-insurers' insolvency trust—Assessments—Rules.
51.14.080 - Withdrawal of certification—Grounds.
51.14.090 - Withdrawal of certification, corrective action upon employees' petition.
51.14.095 - Corrective action—Appeal.
51.14.100 - Notice of compliance to be posted—Penalty.
51.14.120 - Copy of claim file—Notice of protest or appeal—Medical report.
51.14.130 - Request for claim resolution—Time.
51.14.140 - Violations of disclosure or request for resolution—Order by director.
51.14.160 - School districts, ESDs, or hospitals as self-insurers—Rules—Scope.
51.14.170 - Administration of claims—Third-party administrators.
51.14.300 - Ombuds office created—Appointment—Open and competitive contracting.
51.14.310 - Ombuds—Term of office—Removal—Vacancies.
51.14.320 - Ombuds—Training or experience qualifications.
51.14.330 - Ombuds office—Staffing level.
51.14.340 - Ombuds office—Powers and duties.
51.14.350 - Ombuds office—Referral procedures—Department response to referred complaints.
51.14.370 - Confidentiality of ombuds records and files—Disclosure prohibited—Exception.
51.14.380 - Explaining ombuds program—Posters and brochures.