(1) Whenever any active member, or any member
hereafter retired, on account of service, sickness, or
disability, not caused or brought on by dissipation or abuse, of
which the disability board shall be judge, is confined in any
hospital or in home, and whether or not so confined, requires
medical services, the employer shall pay for the active or
retired member the necessary medical services not payable from
some other source as provided for in subsection (2) of this
section. In the case of active or retired firefighters the
employer may make the payments provided for in this section from
the *firemen's pension fund established pursuant to RCW 41.16.050 where the fund had been established prior to March 1,
1970. If this pension fund is depleted, the employer shall have
the obligation to pay all benefits payable under chapters 41.16 and 41.18 RCW.
(a) The disability board in all cases may have the active or
retired member suffering from such sickness or disability
examined at any time by a licensed physician or physicians, to be
appointed by the disability board, for the purpose of
ascertaining the nature and extent of the sickness or disability,
the physician or physicians to report to the disability board the
result of the examination within three days thereafter. Any
active or retired member who refuses to submit to such
examination or examinations shall forfeit all rights to benefits
under this section for the period of the refusal.
(b) The disability board shall designate the medical
services available to any sick or disabled member.
(2) The medical services payable under this section will be
reduced by any amount received or eligible to be received by the
member under workers' compensation, social security including the
changes incorporated under Public Law 89-97, insurance provided
by another employer, other pension plan, or any other similar
source. Failure to apply for coverage if otherwise eligible
under the provisions of Public Law 89-97 shall not be deemed a
refusal of payment of benefits thereby enabling collection of
charges under the provisions of this chapter.
(3) Upon making the payments provided for in subsection (1)
of this section, the employer shall be subrogated to all rights
of the member against any third party who may be held liable for
the member's injuries or for payment of the cost of medical
services in connection with a member's sickness or disability to
the extent necessary to recover the amount of payments made by
the employer.
(4) Any employer under this chapter, either singly, or
jointly with any other such employer or employers through an
association thereof as provided for in chapter 48.21 RCW, may
provide for all or part of one or more plans of group
hospitalization and medical aid insurance to cover any of its
employees who are members of the Washington law enforcement
officers' and firefighters' retirement system, and/or retired
former employees who were, before retirement, members of the
retirement system, through contracts with regularly constituted
insurance carriers, with health maintenance organizations as
defined in chapter 48.46 RCW, or with health care service
contractors as defined in chapter 48.44 RCW. Benefits payable
under any the [under the] plan or plans shall be deemed to be
amounts received or eligible to be received by the active or
retired member under subsection (2) of this section.
(5) Any employer under this chapter may, at its discretion,
elect to reimburse a retired former employee under this chapter
for premiums the retired former employee has paid for medical
insurance that supplements medicare, including premiums the
retired former employee has paid for medicare part B coverage.
[1992 c 22 § 3; 1991 c 35 § 22; 1987 c 185 § 12; 1983 c 106 § 23; 1974 ex.s. c 120 § 11; 1971 ex.s. c 257 § 10; 1970 ex.s. c 6 § 10; 1969 ex.s. c 219 § 4; 1969 ex.s. c 209 § 15.]
NOTES:
*Reviser's note: The "firemen's pension fund" was changed to the "firefighters' pension fund" by 2007 c 218 § 22.
Intent -- 1991 c 35: See note following RCW 41.26.005.
Intent -- Severability -- 1987 c 185: See notes following RCW 51.12.130.
Severability -- 1974 ex.s. c 120: See note following RCW 41.26.030.
Purpose -- Severability -- 1971 ex.s. c 257: See notes following RCW 41.26.030.