(1) If the
self-insurer denies a claim for compensation, written notice of
such denial, clearly informing the claimant of the reasons therefor
and that the director will rule on the matter shall be mailed or
given to the claimant and the director within thirty days after the
self-insurer has notice of the claim.
(2) Until such time as the department has entered an order in
a disputed case acceptance of compensation by the claimant shall
not be considered a binding determination of his or her rights
under this title. Likewise the payment of compensation shall not
be considered a binding determination of the obligations of the
self-insurer as to future compensation payments.
(3) Upon making the first payment of income benefits, the
self-insurer shall immediately notify the director in accordance
with a form to be prescribed by the director. Upon request of the
department on a form prescribed by the department, the self-insurer
shall submit a record of the payment of income benefits including
initial, termination or terminations, and change or changes to the
benefits. Where temporary disability compensation is payable, the
first payment thereof shall be made within fourteen days after
notice of claim and shall continue at regular semimonthly or
biweekly intervals.
(4) If, after the payment of compensation without an award,
the self-insurer elects to controvert the right to compensation,
the payment of compensation shall not be considered a binding
determination of the obligations of the self-insurer as to future
compensation payments. The acceptance of compensation by the
worker or his or her beneficiaries shall not be considered a
binding determination of their rights under this title.
(5) The director: (a) May, upon his or her own initiative at
any time in a case in which payments are being made without an
award; and (b) shall, upon receipt of information from any person
claiming to be entitled to compensation, from the self-insurer, or
otherwise that the right to compensation is controverted, or that
payment of compensation has been opposed, stopped or changed,
whether or not claim has been filed, promptly make such inquiry as
circumstances require, cause such medical examinations to be made,
hold such hearings, require the submission of further information,
make such orders, decisions or awards, and take such further action
as he or she considers will properly determine the matter and
protect the rights of all parties.
(6) The director, upon his or her own initiative, may make
such inquiry as circumstances require or is necessary to protect
the rights of all the parties and he or she may enact rules and
regulations providing for procedures to ensure fair and prompt
handling by self-insurers of the claims of workers and
beneficiaries.
[1996 c 58 § 2; 1982 1st ex.s. c 20 § 3; 1977 ex.s. c 350 § 54; 1972 ex.s. c 43 § 25; 1971 ex.s. c 289 § 47.]
NOTES:
Effective date -- 1982 1st ex.s. c 20: See note following RCW 51.32.075.