The following reimbursement limitations apply for claims:
(1) The PER OCCURRENCE/TOTAL
amount the department will pay as the result of any one occurrence must not exceed:
(a) Five thousand dollars for all property damages and losses; or
(b) One thousand dollars for all personal bodily injuries regardless of the number of foster parents or their household members who sustain property damages, losses, or personal bodily injuries.
(2) PROPERTY DAMAGE ITEMS
are limited to the repair/cleaning cost or the replacement value. The department pays replacement value if the item cannot be repaired or cleaned as substantiated by a detailed retailer estimate or if the repair cost goes over the replacement value of the item. The department may request the final repair bill from foster parents for payment made from estimates provided for purposes of recovery.
(3) PROPERTY LOSS ITEMS
are limited to the replacement value as substantiated by the original purchase receipt, if available, and two replacement estimates or replacement purchase receipt.
(4) PERSONAL BODILY INJURY
claims are limited to the costs incurred for receiving emergency medical treatment services that is not payable or required to be provided under workmen's compensation, or disability benefits law, or under any similar law, or provided under a personal/business medical plan.
(5) For POLICY DEDUCTIBLES
, foster parents must disclose if their property damages or losses were paid or will be paid under their homeowner, automobile, or other personal/business insurance policy. The department will then limit reimbursement to the policy deductible.
(6) DENTAL EXPENSES
are limited to costs not payable under a dental plan. The department will pay comparable replacement of dental appliances up to the maximum per occurrence.
(7) VISION EXPENSES
are limited to costs not payable under a medical plan.
(8) LABOR EXPENSES
are limited to out-of-pocket costs (materials), incurred by foster parents and substantiated by a retailer. Items requiring installation are to be considered reimbursable expense.
(9) VETERINARY EXPENSES
are limited to initial treatment expense incurred immediately following an occurrence up to five hundred dollars. Initial treatment expense is defined as emergent care and diagnosis. The department pays replacement value for a property loss sustained not to exceed the substantiated value of the animal or maximum per occurrence, whichever is less.
[Statutory Authority: RCW 74.13.031. 01-08-047, § 388-25-0350, filed 3/30/01, effective 4/30/01.]