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Workers' Compensation Cooperative

The ESD 105 Workers' Compensation Cooperative operates in the districts' benefit in lieu of making payments to the state of Washington for workers' compensation insurance.

Member districts are assessed a rate based on: total payroll hours and claims history over a three year period and and the pension rate set by Washington State Department of Labor & Industries. The Co-Op manages and invests these premiums. Claims are managed and paid internally up to reinsurance levels.

Accident Prevention and Training Services from the ESD 105 Workers' Compensation Co-op

Workers' Compensation Co-op Resources:

ESD 105 Manuals
ESD 105 Workers' Compensation Claims Guide ESD 105 Safety Manual

 

Online Forms for ESD 105 Workers' Compensation Co-op
Accident/Incident/Injury Report Workers' Comp Co-op Bylaws Witness Statement
Supervisor Accident Report Form Travel Expense Voucher Safety Committee Guidelines
Workers' Comp Contribution Transmittal Form Doctor's Estimate of Physical Capacities Claim Filing Information for Employees
Safety Committee Meeting Form Workers' Comp Filing Information Insurer Activity Prescription Form

 

Safety and Loss Control Resources
Washington State Dept. of Labor and Industries OSHA (U.S. Dept. of Labor) State & Federal Workplace Posters (Required/Recommended Posters)
Safety & Health Rules for Washington State Employers Preventing Slips and Falls ESD 105 Occupational Safety & Health Trainings

Workers' Compensation Co-op – Executive Committee:

Tom Fleming, Chief Financial Officer, ESD 105
509-454-5302 •
tom.fleming@esd105.org

Chris Scacco, Business Manager., Selah School District
509-697-0705 •
chrisscacco@selah.k12.wa.us

Dr. Michael Brophy, Superintendent, West Valley School District
509-972-6005 •
brophym@wvsd208.org

Jeff Loe, Executive Director of Finance and Operations, Sunnyside School District
509-836-8709 •
jeff.loe@sunnysideschools.org

Brian Twardoski, Director of Business Operations, East Valley School District
509-573-7334 • twardoski.brian@evsd90.wednet.edu

Monette Dennis, Director of Payroll and Employee Safety, Yakima School District
509-573-7055 • dennis.monette@yakimaschools.org

Contact Information:

Robyn-Marshall-Sande_6-2011


Robyn Marshall Sande

Workers' Compensation Director
Phone: (509) 454-3100
E-mail: robyn.sande@esd105.org

 

Kathy_Bailes_7-2009


Kathy Bailes
Workers' Comp Adjudicator and Insurance Accountant
Phone: (509) 454-5316
E-mail:
kathy.bailes@esd105.org

 

Orlando_Cerrillo_7-2009
Orlando Cerrillo
Loss Control Consultant
Phone: (509) 454-3108
E-mail: orlando.cerrillo@esd105.org

 

Marge_Stanley_7-2009
Marge Stanley
Workers' Compensation Adjudicator and Insurance Accountant
Phone: (509) 454-2850
E-mail: marge.stanley@esd105.org

 

Tom Fleming
Chief Financial Officer
Phone: (509) 454-5302
E-mail: tom.fleming@esd105.org

Copyright © Educational Service District 105, 2012