Southwest Washington Workers' Compensation Trust (SWWCT)

>>Workers’ Compensation Trust
Workers’ Compensation Trust2018-10-19T08:55:32+00:00

Working Together to Serve You.

About

About SWWCT

The Southwest Washington Workers’ Compensation Trust provides industrial injury accident insurance coverage for its membership. Twenty nine school districts and ESD 112 are part of the Trust, which is administered through ESD 112. As a self-insurer, the Trust is fully funded by member school district participants.

SWWCT History

The Trust was formed January 1, 1983 when school districts in southwest Washington joined together by signing an Interlocal Governmental Agreement to pool their self-insured losses and jointly purchase excess insurance and administrative services. An agreement to form a pooling arrangement was made pursuant to the provisions of RCW 39.34, the Interlocal Cooperation Act and RCW 51.14, Industrial Insurance, Self-Insurance.

The Trust is an Enterprise Fund established for the purpose of providing  group self-funding, group purchase of excess insurance, claims management and loss control services for industrial injury accident liabilities of its members.

The Southwest Washington Workers’ Compensation Trust is governed by a Board of Directors, which is comprised of one designated representative from each participating member, with delegated authority to a five member Executive Committee. The Executive Committee is responsible for conducting the business affairs of the Trust.

Have an accident? Near Miss? Click here to freport it using the new online employee incident report

Claims

How to Submit a Workers’ Compensation Claim

To Report a Workers Compensation Claim please fill out the on-line form and call the ESD 112 Workers’ Compensation Department at 800-749-5861 or 360-750-7504.

What to do if an employee is injured at work

1. Inform the employee’s supervisor

If an employee is injured on the job or diagnosed with an occupational disease, the employee must inform his/her supervisor immediately.

2. Complete an employee incident report

Not all incidents become workers’ compensation claims, but all employee incidents need to be recorded to retain the facts of the injury and to gather information for loss prevention purposes. Complete the on-line Employee Incident Report form. Paper copies of the previous employee incident form will still be accepted.

3. If the employee requires medical attention

If medical attention is required contact ESD 112 Workers’ Compensation Claims Department at 1-800-749-5861 to report the incident. If medical care is provided you must obtain a claim number to submit a claim.

4. What the employee needs to tell the medical provider

Inform the medical provider that this is a work related incident and that the district is self-insured as a member of the Southwest Washington Workers’ Compensation Trust. A Provider’s Initial Report (PIR) should be completed at the medical provider’s office. Provide the medical provider with the assigned claim number. If a claim number has not been assigned, contact ESD 112 Workers’ Compensation Claims Department immediately. Instruct the medical provider to forward all claim information and authorization requests to:
ESD 112 Workers’ Compensation Claim Department
2500 NE 65th Avenue, Vancouver WA 98661-6812
Phone: 360-750-7504 | Fax: 360-750-9836

5. What to do after each medical provider visit

Contact ESD 112 Workers’ Compensation Claims Department following each visit to report medical and return to work status. Copies of all work status notes must be provided to both the employee’s supervisor and ESD 112 Workers’ Compensation Claims Department within 24 hours of receipt.

6. Expect a follow up phone call from ESD 112 Workers’ Compensation Claims staff

ESD 112 Workers’ Compensation Claims Department will investigate each claim within 24 hours of notification of an injury. A three point contact will be completed with:

  • The injured employee
  • The injured employee’s supervisor
  • The attending medical provider

The purpose of these calls is to gather the legally mandated information to submit and process a workers’ compensation claim.

Reporting Forms/Tools

ESD 123 Workers' Comp

ESD 123 Workers’ Compensation

ESD 123 has contracted with ESD 112 in Vancouver to perform claims handling services for the member districts of the Southeast Washington Workers’ Compensation Trust. This partnership is a great example of how ESDs are truly working together to serve Washington schools.

To Report a Workers Compensation Claim please call the ESD 112 Workers’ Compensation Department at 800.749.5861 and follow the claim instructions.

Who to Contact

D’Ann Monge

Workers' Comp Claims Adjuster

Contact

Phone: 360-952-3576

Email: dann.monge@esd112.org

Karen Pederson

Senior Workers' Comp Claims Adjuster

Contact

Phone: 360-952-3580

Email: karen.pederson@esd112.org

Christine Poirier

Loss Control Specialist- ESD 123

Contact

Phone: 509-544-5720

Email: cpoirier@esd123.org

Reporting Forms/Tools

Additional Resources

Asotin-Anatone
Clarkston
College Place
Columbia
Dayton
Dixie
ESD 123
Finley
Kahlotus
Kiona-Benton City
North Franklin
Othello
Pasco
Pomeroy
Prescott
Prosser
Touchet
Waitsburg
Walla Walla

Return to Work Program

Return to Work (RTW) Reimbursement Program

The Southwest Washington Workers’ Compensation Trust Executive Committee recognizes the importance of encouraging member districts to return injured employees to transitional duty job assignments while they recover from a work-related injury. The US Bureau of Labor Statistics indicates that workers absent for more than six (6) months due to a work-related injury have approximately a 50% probability of not returning to work of any kind and those absent for more than a year a less than a 25% chance of returning to gainful employment. Those workers absent for more than two (2) years have virtually no chance of returning to work of any kind (US Department of Labor, Industry Injury & Illness Data 2002).

While many member districts return their injured employees to transitional duty job assignments, there are additional opportunities that could be taken advantage of to help reduce workers’ compensation expenses for all member districts. The most common reason given by districts for not returning their injured employees to transitional work is due to a lack of funds to pay for both the injured employee and the substitute. To offset this concern as well as the impact time away from work has on injured employees, the Trust Executive Committee approved a  Workers’ Compensation Return-to-Work Reimbursement Program, effective September 1, 2014.

The Workers’ Compensation Trust Executive Committee designated funds for a Return-to-Work Reimbursement Program earmarked specifically to partially reimburse wages paid to injured employees working transitional duty jobs. Reimbursements will be for 50% of the employee’s regular rate of pay for up to 90 calendar days, capped at $10,000 per claim. Reimbursement covers half of the salary only – benefits are not included.  Districts will complete and submit a one-page reimbursement form with required documentation within 45 days of the transitional duty start date. The Workers’ Compensation Trust will reimburse the district for half of the qualifying wages.

Contacts

Who to Contact

Karen Pederson

Senior Workers' Comp Claims Adjuster

Contact

Phone: 360-952-3580

Email: karen.pederson@esd112.org

D’Ann Monge

Workers' Comp Claims Adjuster

Contact

Phone: 360-952-3576

Email: dann.monge@esd112.org

Tracey Usher

Workers' Comp Claims Adjuster

Contact

Phone: 360-952-3584

Email: tracey.usher@esd112.org

Lisa K. Alexander

Claims Specialist

Contact

Phone: 360-952-3582

Email: lisak.alexander@esd112.org

Denise Heindel

Insurance Specialist II

Contact

Phone: 360-952-3577

Email: denise.heindel@esd112.org

Mayra Najera

Claims Specialist

Contact

Phone: 360-952-3581

Email: myra.najera@esd112.org

Submit an Employee Incident Report

Have an accident? Near Miss? Click here to freport it using the new online employee incident report

This online tool is for reporting work-related injuries/illnesses/near misses (this is NOT a Workers’ Compensation benefits claim form).

Insurance Questions

If you have a question about any of our insurance programs or services, please reach out to:

Peggy Sandberg

Director of Insurance Programs

Contact

Phone: 360-952-3573

Email: peggy.sandberg@esd112.org

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