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One more thing to consider - if you're dealing with both L&I and a third-party claim (against the other driver), make sure you understand how these interact. If you receive a settlement from the third-party claim, L&I may place a lien on part of that settlement to recover what they paid for your medical treatment. This is standard practice, but many people are surprised by it. Your attorney should be explaining this to you. As for finding a surgeon who takes L&I, ask your claim manager for a list of approved specialists. They should be able to provide you with options within your area that are approved providers.
Yes, my attorney did mention the lien situation. I'm more concerned about paying for surgery up front and then waiting for reimbursement - I simply don't have thousands of dollars available right now. I'll definitely ask my claim manager for that list of approved providers tomorrow.
Based on everything you've shared, here's what I recommend: 1. Contact your L&I claim manager tomorrow and request a list of approved spine surgeons in your area 2. Have your primary doctor submit detailed documentation about why you need a specific surgical approach 3. If your claim manager isn't responsive, contact the L&I Ombuds office 4. Withdraw your ESD application for now to avoid potential overpayment issues 5. Ask your L&I claim manager about getting your time-loss rate reassessed if it's not sufficient Don't agree to pay for the surgery out-of-pocket with the promise of reimbursement later - that's risky and not how the system is supposed to work. L&I should cover approved medical treatment directly.
Thank you so much for laying this out so clearly. This gives me a solid plan to follow starting tomorrow. I'll withdraw my ESD application and focus on getting the L&I claim handled properly. Really appreciate everyone's help here!
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one more thing make sure u keep doing ur job search activities!!! now that ur fully unemployed u need to do all 3 job contacts every week. ESD is super strict about that
Good reminder! I was still doing the 3 job search activities even with my part-time job (my WorkSource advisor told me I had to), but it's definitely important to keep up with those.
Final tip: After you submit your weekly claim with the job separation, call ESD within 2-3 business days to confirm everything looks good on their end. This proactive approach can save you weeks of waiting if there is an issue. The earlier you catch any potential problems, the faster they can be resolved. You'll want to have your separation details and last day of work ready when you call.
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have u tried going to worksource in person? sometimes they can help with stuff like this when the phone people wont
WorkSource staff don't have access to your submitted forms in the system. They use a different database than the claims center. They might be able to help with general questions but not retrieving documents. I used to work there.
Thanks for the suggestion. There's a WorkSource office not too far from me - I might try that tomorrow if I can't get through on the phone. At this point I'm willing to try anything!
Quick tip: you can sometimes see part of your application info if you start a new claim but don't submit it. The system pre-fills some fields with your last application data. I did this when I needed to check what start date I used for my disability claim. Not a perfect solution but might help in a pinch!
Oh that's clever! I'll give that a try right now and see what information I can find. Thanks for the creative solution!
Let me know if it works! It helped me in a similar situation, but I know the ESD website gets updated sometimes so fingers crossed it still works this way.
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Thanks everyone for the helpful responses! I feel much better knowing that the interest should eventually come back too. I'll keep an eye on my account and give it about 6 weeks before I start trying to contact them. Fingers crossed it all goes smoothly!
Smart plan. And congrats again on the waiver approval - that's not always easy to get!
just wondering.....how long did it take for them to approve your waiver? i submitted mine 7 weeks ago and haven't heard anything yet. getting scared they'll deny it.
Mine took almost 9 weeks to get approved, so you might still have a couple weeks of waiting. I know it's stressful! I called once around week 8 just to make sure they had received everything and was told it was "in process" whatever that means. Hang in there!
Mei Zhang
Why is everyone saying to apply for standby?? I thought standby was only for temporary layoffs when you're going back to the SAME employer? This person has a NEW job, not going back to their old one.
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Jamal Brown
•You're partially right. Standby was originally designed for temporary layoffs, but ESD has expanded its use. The current policy allows standby for new employment with a definite start date within 4 weeks. It's not widely advertised, but it is in their official documentation. I've helped several clients successfully use standby in this exact situation.
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AstroAce
Update: I applied for standby yesterday and just got approved! It shows in my eServices account now. Thanks everyone for your help - I'll still keep good records just in case, but it's a relief not to worry about job searches when I'm already set to start my new position.
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