PENSIONS

The following documentation is required for the department to make a determination regarding pension.  If any of these elements are missing, it may significantly delay the decision-making process.


  • The complete claim file - or all documentation not previously sent to the department.

 

  • The complete vocational workup done for the claim.  If there is a vocational summary, please be sure that every document quoted in the vocational summary is provided to the department.

 

  • A final SIF-5 showing all time loss periods paid, with an explanation for any unpaid time loss periods.

 

  • Current medical showing that the accepted conditions are fixed and stable, including
    • any life sustaining treatment needs;
    • treatment required to alleviate chronic pain from the industrial injury;
    • a complete list of the necessary prescriptions; and
    • frequency needed for medical monitoring.

 

  • If you are contending entitlement to second injury relief, please submit
    • documentation of the pre-existing disabling conditions and how they were materially affecting the worker's life on the date of injury; and
    • permanent partial disability (PPD) ratings for the accepted conditions.

  

If you have any questions regarding documentation needed for pensions, please call the Self Insurance Pension Desk at 360-902-6917.

 

 









Washington
Self-Insurers Association

1401 Fourth Ave. East
Suite 200
Olympia, WA 98506
Phone: (800) 736-7296
            (360) 352-8172

Email:
info@WSIASSN.org

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