Wa state lni payment agreement

To make the process easier, we suggest having your monthly account statement available.

What Amounts You Can Pay

Retro (Retrospective Rating program): Unpaid balances for Retro premium
Right to Know: Unpaid annual assessment for worker and community Right to Know program
Self-insurance: Unpaid penalties assessed on an order
Workers' compensation: Unpaid balance for industrial insurance premiums

Boilers: Fees or fines from boiler safety inspections. Examples: Hot water heaters, air tanks, and CO2 tanks.
Contractors: Construction or non-licensed contractor infractions
Electrical: Electrical citations or tickets
Factory-assembled structures: Factory-assembled structures infractions or tickets
Manufactured home installers: Manufactured home installer infractions
Plumbing: Plumbing tickets or infractions
Workplace safety and health (Division of Occupational Safety & Health (DOSH)): Penalties from safety/health inspections

Medical billing audit: Overpayments made to a provider as determined by an audit
Medical expense overpayment: Travel expense or other miscellaneous expense overpayment
Medical Information Payment Systems (MIPS) providers: Overpayments made to a provider
Medical Information Payment Systems (MIPS) p rovider fraud program: Overpayments made to a provider as a result of fraud
Stay At Work: Overpaid reimbursements for Stay At Work program
Time-loss overpayment: Time-loss or other disability benefit overpayment
Vocational audit: Overpayments made to a vocational provider as determined by an audit

Child labor: Unpaid penalties assessed for violations of child labor laws and rules
Farm labor: Unpaid penalties assessed for violations of the Farm Labor Contractor Act
Wage payment: Unpaid or underpaid employee wages for violations of the Wage Payment Act