Wash. Admin. Code § 296-15-272

Current through Register Vol. 24-23, December 1, 2024
Section 296-15-272 - When intentional behavior is deemed a violation of the duty of good faith and fair dealing
(1) If a self-insured employer (SIE) or third-party administrator (TPA) subject to the duty of good faith and fair dealing intentionally engages in any of the following actions, the SIE/TPA is in violation of its duty to engage in good faith and fair dealing if it fails to:
(a) Provide a worker or beneficiary a SIF-2 or ability to file a claim pursuant to WAC 296-15-320 and 296-15-405, with the intent to interfere with the worker's ability to pursue benefits under Title 51 RCW.
(b) Forward an application to reopen a claim within five working days of receipt pursuant to WAC 296-15-470, with the intent to interfere with the worker's ability to reopen a claim or pursuing further benefits.
(c) Forward a protest or appeal to the department within five working days of receipt pursuant to RCW 51.14.120(2) and WAC 296-15-480, with the intent to interfere with the worker's ability to pursue a request for reconsideration, appeal, or further benefits.
(2) It is a violation of the duty to engage in good faith and fair dealing to coerce a worker to accept less than the compensation due under Title 51 RCW.
(3) Errors or delays that are inadvertent or minor are not a violation of the duty of good faith and fair dealing.

Wash. Admin. Code § 296-15-272

Adopted by WSR 24-11-121, Filed 5/21/2024, effective 7/1/2024