US Legal Forms
Washington Self-Insurance Electronic Data Reporting System (SIEDRS):...

Siedrs

Name: Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.63 (273 reviews)

Category:

Washington Workers Compensation - Official

State:

Washington

Control #:

WA-SKU-3960

Format:

Instant download

This website is not affiliated with any governmental entity

Public form

Description

Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0 Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 is a secure online system for employers and self-insured entities in Washington State to enter and manage their self-insurance data. It allows employers to submit their data electronically and securely to the Washington State Department of Labor and Industries (L&I). This system also provides access to an electronic version of the Self-Insurance Enrollment Package, allowing employers to electronically complete and submit their enrollment package forms. The Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 consists of two packages: the Employer Self-Insurance Enrollment Package and the Self-Insurance Enrollment Package for an Entity. The Employer Self-Insurance Enrollment Package is for employers who wish to self-insure workers’ compensation coverage for their employees. The Self-Insurance Enrollment Package for an Entity is for self-insured entities that are not employers, such as labor unions, associations, or other entities.

Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 is a secure online system for employers and self-insured entities in Washington State to enter and manage their self-insurance data. It allows employers to submit their data electronically and securely to the Washington State Department of Labor and Industries (L&I). This system also provides access to an electronic version of the Self-Insurance Enrollment Package, allowing employers to electronically complete and submit their enrollment package forms. The Washington Self-Insurance Electronic Data Reporting System (SIDES): Enrollment Package 2.0 consists of two packages: the Employer Self-Insurance Enrollment Package and the Self-Insurance Enrollment Package for an Entity. The Employer Self-Insurance Enrollment Package is for employers who wish to self-insure workers’ compensation coverage for their employees. The Self-Insurance Enrollment Package for an Entity is for self-insured entities that are not employers, such as labor unions, associations, or other entities.

View Chapter 13 Plan) Word Format

View this form

View Chapter 13 Plan Analysis

View this form

View Adversary Proceeding Cover Sheet

View this form

View Application for Mediation or Voluntary Arbitration

View this form

View Fee Application/Attachment B

View this form

How to fill out Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0?

Coping with official paperwork requires attention, precision, and using well-drafted blanks. US Legal Forms has been helping people countrywide do just that for 25 years, so when you pick your Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0 template from our library, you can be sure it complies with federal and state regulations.

Working with our service is easy and fast. To get the required document, all you’ll need is an account with a valid subscription. Here’s a quick guideline for you to obtain your Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0 within minutes:

Make sure to attentively check the form content and its correspondence with general and law requirements by previewing it or reading its description.
Search for an alternative official blank if the previously opened one doesn’t suit your situation or state regulations (the tab for that is on the top page corner).
Log in to your account and download the Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0 in the format you prefer. If it’s your first time with our website, click Buy now to continue.
Register for an account, select your subscription plan, and pay with your credit card or PayPal account.
Decide in what format you want to save your form and click Download. Print the blank or upload it to a professional PDF editor to submit it electronically.

All documents are created for multi-usage, like the Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0 you see on this page. If you need them in the future, you can fill them out without re-payment - simply open the My Forms tab in your profile and complete your document whenever you need it. Try US Legal Forms and accomplish your business and personal paperwork rapidly and in full legal compliance!

Form Rating

4.63

Satisfied(273)

Form popularity

FAQ

Someone who is self-insured is taking on the financial risks associated with insuring their vehicle. This means if there is an accident, they are responsible for paying for all the damage they caused to the other driver and their property, as well as any damage to their own vehicle.

Each state regulates who may be self-insured for workers' compensation. Normally, a prospective self-insured submits a required application accompanied by audited financial data, prior workers' compensation loss history, and other information required by each state.

To apply to be self-insured, an employer must complete and submit the following documents: Application for Self-Insurance Certification (F207-001-000) with a nonrefundable fee. Self-Insurance Certification Questionnaire (F207-176-000). Three years of audited financial statements in the name of the applicant.

You'll pay less in premiums every year. If you're self-insured, you're not paying an insurance company every year to carry the risk of replacing your income if something happens to you. That's a huge benefit to you because you're saving money!

Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)

Employers with self-insured employee health programs pay for medical claims and fees out of current revenue?in effect, acting as their own insurers. It's the alternative to a fully insured plan, where employers pay a fixed premium to a third-party commercial insurance carrier that covers the medical claims.

More info

Enrollment Package Changes from Version 1. Self-Insurance Electronic Data.Reporting System (SIEDRS). Download Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2. SIEDRS is a computer system that collects claim data electronically from self-insurers. Self-Insurance Plus, the IWCC's new public web portal, is here! A private employer who is approved for a certificate of authority to selfinsure is called a certified selfinsurer (CSI). Performance Test Reports - The Electronic Reporting Tool (ERT), built in Microsoft Access, is used to generate files containing emissions source test data.

Siedrs

Description

Related forms

How to fill out Washington Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0?

Show more info

Form Rating

Form popularity

FAQ

What does it mean for a vehicle to be self-insured?

How do you become self-insured?

How do I become self insured in Washington state?

Is it better to be self-insured?

How do I file a workers comp claim in Washington state?

What is self-insured vs fully insured?

More info

Trusted and secure by over 3 million people of the world’s leading companies