Board of Industrial Insurance Appeals' Response to Preliminary Report

STATE OF WASHINGTON
BOARD OF INDUSTRIAL INSURANCE APPEALS


2430 Chandler Court SW  PO Box 42491 * Olympia, Washington 98504-2401 * (360) 753-6823

November 19, 1998

The Joint Legislative Audit and Review Committee
Attn: Mr. Larry Brubaker
506 16th Avenue Southeast
Olympia, Washington 98501-2323
Campus MaiI P.O. Box 40910

Dear Mr. Brubaker;

Thank you for allowing our agency the opportunity to state our position on recommendations made in the Washington State Workers' Compensation System and Performance Audit.

Although we were invited to comment on each of the Study's 32 Recommendations, I feel that it is more appropriate to comment only on Recommendation 17, which directly applies to the Board of Industrial Insurance Appeals and briefly regarding Recommendation 15, which might directly apply to the Board:

Recommendation 17

Superior Court review of decisions by the Board of Industrial Insurance Appeals should be eliminated.AGENCY

POSITION: Neutral

COMMENTS:

This is a recommendation that obviously could have major repercussions for the Board of Industrial Insurance Appeals and the entire Workers' Compensation system. Without more detailed explanation of how the auditors envision the Board's role and the process under this scenario, it is impossible to accurately gauge what the fiscal impact might be. It could be huge.

Although not entirely clear, the analysis for this recommendation implies that in conjunction with the elimination of Superior Court appeals, rules of evidence and procedure would be relaxed at Board proceedings. Because the analysis presents no model for what form and process would exist at the Board, the recommendation presents a myriad of questions without answers.

Eliminating Superior Court review, in and of itself, might have little impact on the Board's caseload. The Board would still be the only forum in which parties get to present evidence. However, if, in conjunction with eliminating appeals to Superior Court, the Legislature changed the Board process and eliminated application of Superior Court civil rules and evidence rules at Board hearings, the result could be a two or three fold increase in appeals filed at the Board. Certainly, making the process less formal and eliminating requirements for presenting live expert testimony would greatly reduce the expense and energy required to take an appeal through the hearing process. Whether increased workloads attributable to increased appeals would be offset by less formal hearings is problematic.

Additional judges and support staff might be required to keep up with increased workloads. If so, it is likely that the Attorney General's office would require additional staffing to represent the Department at the Board. At any rate, fiscal impact is impossible to predict although it could be significant.

Recommendation 15:

The Department should create a system of mediators or ombudsmen to provide assistance to workers and employers.

AGENCY POSITION: Neutral

COMMENTS:

Although this recommendation may have some merit, the suggestion that the office of ombudsman might be a function of the Board could present difficulties in cases appealed to the Board in which an ombudsman has been active prior to the appeal. I can anticipate many situations in which the ombudsman would be called as a witness for either side to testify about aspects of a case and the ombudsman's involvement in the case. This certainly would present appearance of fairness problems for both judges and ombudsmen in many instances as well as potential conflict of interest issues.

Once again, thank you for allowing our agency to respond to the audit.

Sincerely,Thomas E. Egan, Chair


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