WAC 296-15-4314. What must the self-insurer do if the vocational rehabilitation plan is not successfully completed?

When a vocational rehabilitation plan ends before successful completion, the vocational rehabilitation provider will submit a closing report to the self-insurer. (1) Plan not completed due to causes outside the worker's control. Within ten working days of receiving the vocational closing report, the self-insurer must: (a) Continue time-loss benefits; and (b) Submit a Self-Insurance Vocational Reporting Form to the department. The form must include: (i) The total cost and time expended for the approved plan; (ii) The total time-loss compensation benefits paid during the plan implementation; (iii) The total vocational services costs and time-loss days paid since the date the worker was found eligible for services; and (iv) A closing report with a copy to the worker or the worker's representative. The closing report must meet the requirements in WAC 296-19A-120 (2). (2) Plan not completed due to worker's actions. Within ten working days of receiving the vocational closing report, the self-insurer must: (a) Submit a request for suspension of benefits with supporting documentation. (b) Submit a Self-Insurance Vocational Reporting Form to the department. The form must include: (i) The total cost and time expended for the approved plan; (ii) The total time-loss compensation benefits paid during the plan implementation; (iii) The total vocational services costs and time-loss days paid since the date the worker was found eligible for services; and (iv) A closing report with a copy to the worker or the worker's representative. The closing report must meet the requirements in WAC 296-19A-120 (2). (3) Worker is employable. When the worker is employable based on an assessment of the training completed to date, the self-insurer must: (a) Notify the worker or the worker's representative of the time-loss termination as required in WAC 296-15-420 (9). (b) Submit a Self-Insurance Vocational Reporting Form to the department within five working days of the date time-loss benefits ended. (c) The Self-Insurance Vocational Reporting Form must include: (i) The total cost and time expended for the approved plan; (ii) The total time-loss compensation benefits paid during the plan implementation; (iii) The total vocational services costs and time-loss days paid since the date the worker was found eligible for services; and (iv) A closing report with a copy to the worker or the worker's representative. The closing report must meet the requirements in WAC 296-19A-120 (2).