What is workers' compensation?
Faculty members, classified staff, or hourly or student workers who are injured on the job may be eligible for workers’ compensation benefits. State law requires employers to provide employees with necessary protection against work-related accidents and to provide care when injuries occur.
Yes. Please report all work-related injuries/illnesses within 24 hours of their occurrence.
No. In order to be covered for a work-related injury or disease, employees must select a physician from a panel provided by the institution. The third-party administrator may deny the claim if medical treatment is sought from any other physician.
A claims examiner from the third-party insurer will investigate the claim to review how the injury occurred and all related medical information. The claims examiner may also ask you to complete a questionnaire and conduct a telephone interview with you, your supervisor, co-workers and/or witnesses.
In general, if the law covers a work-related injury or illness, employees will receive benefits, payment for loss of wages and rehabilitation services in some cases. The third-party insurer will pay for one initial visit to any emergency room, as well as all medical care deemed necessary by a physician from the institution’s panel. If medical treatment for the injury or illness is sought from any other physician, the third-party administrator may deny the claim.
In general, medical coverage is provided for a period of up to two years from the date of the injury or illness. If you are unable to work for more than seven calendar days — as determined by the panel physician — you will be eligible to receive medical benefits for as long as necessary.
Family and Medical Leave (FMLA) and Americans with Disabilities (ADA) laws may cover employees with an occupational injury or disease. They require supervisors to notify employees of their rights and responsibilities and also allow employees to use workers’ compensation leave concurrently with FMLA leave.
Salaried employees with a medically certified disability are eligible to receive workers’ compensation leave for up to 92 calendar days. Once a claim is filed, the supervisor may record time away from the job as workers’ compensation leave. The workers’ compensation office will authorize workers’ compensation leave after you have seen the selected panel physician.
Under the Workers’ Compensation Act, hourly workers are also subject to the same seven-day waiting period before becoming eligible for lost-time benefits. Their compensation is paid directly by the third-party administrator. Leave authorizations are not available for hourly employees.
We will notify you if the third-party administrator denies your claim. We will amend your leave records using your available leave. If you do not have sufficient leave to cover the time missed, you must reimburse the institution for any unauthorized leave time taken.
You must fully comply with the physician’s instructions, even if they include working at reduced hours and/or with restrictions, such as light duty or modified work. The act requires departments to attempt to provide you with a job that meets your medical restrictions.