Title: WORKERS COMPENSATION
1WORKERS COMPENSATION
- PAYROLL ADMINISTRATION
- (951) 827-3307
2IF NO LOST TIME PAST DATE OF INJURY
- The payroll process doesnt change
- Monitor for possible future lost time
- Encourage department to follow Mandatory Return
to Work guidelines - gtTo prevent Lost Workdays
- gtTo reduce cost to employee, Department
Workers Compensation program - gtTo keep payroll process simple continuous
3IF LOST TIME PAST DATE OF INJURY SALARY
OPTIONS PRIOR TO APPROVAL OF THE CLAIM
- Employee will need to request the use of sick,
vacation or compensatory leave while he is
temporarily disabled. - If sick leave or vacation leave is used a portion
of those hours will be re-credited (claim must be
accepted by Sedgwick CMS for re-crediting of
hours to occur) - If compensatory leave is used, those hours will
not be re-credited - If employee has exhausted his sick leave and the
claim has been approved, he is eligible to
receive Extended Sick Leave (ESL)
4(No Transcript)
5AFTER THE CLAIM IS APPROVED
- Temporary Disability (TD) checks are paid when
Sedgwick CMS accepts the claim and the treating
physician certifies the illness or injury is
causing the employee to lose time from work - TD is not paid for first 3 days after the date of
injury (waiting period) unless - an employee is hospitalized as an inpatient, or
- an employee is off work for more than 14 days
6AFTER THE CLAIM IS APPROVED. continued
- TD checks go directly to employee
- Amount is determined by law, based on the
employees average weekly earnings - Approximately two-thirds of the employees actual
wage loss, up to a maximum weekly rate - injury or illness prior to 1/1/2003
490/weekly limit - injury or illness on or after 1/1/2003
602/weekly limit - injury or illness on or after 1/1/2004
728/weekly limit - injury or illness on or after 1/1/2005
840/weekly limit
7AFTER THE CLAIM IS APPROVED...continuedWHILE
RECEIVING BOTH TD AND UCR CHECKS
- Initially, the employee will be receiving
temporary disability checks from Sedgwick CMS and
UCR (by using sick, vacation, compensatory leave
or ESL benefits). - In order to prevent an overpayment, the Payroll
Office will deduct Sedgwick CMS payments from UCR
wages. While using sick, vacation compensatory
leave, the employee will receive a net of 100 of
their usual earnings between the 2 checks. When
only receiving ESL benefits , this process will
net the employee approximately 80 of their usual
earnings.
8AFTER THE CLAIM IS APPROVED..continued
- Department is required to obtain a signed
authorization form from employee - (See Appendix Page - Sick/Leave Authorization
Letter) - The employee has 3 options to choose from for
the continuation of their salary - Option 1 Use sick and vacation leave to
supplement TD checks - Option 2 Use sick leave only to supplement TD
checks - Option 3 Use no leave accruals take Leave
Without Pay
9OPTION 1 USE BOTH SICK AND VACATION LEAVE
- Salary issues Department will use sick leave
first and then vacation leave to supplement TD
checks. TD payments will be deducted from UCR
paychecks. - Benefit issues Medical, Dental and Vision
premiums will continue to be paid by department - Leave Accruals Will earn both sick and vacation
at normal rate (100) Can be used as it is
earned. This will continue until accruals are
exhausted. - Retirement Credits Will earn 100
- Holidays Will be paid at 100
10OPTION 2 USE SICK LEAVE ONLY
- Everything will work the same as Option 1 except
vacation leave will not be used, only sick leave. - Only Option 1 and 2 will permit the employee to
receive Extended Sick Leave benefits.
11OPTION 3 USE NO LEAVE ACCRUALS TAKE LEAVE
WITHOUT PAY (LWOP)
- Salary issues Employee will receive TD checks
from Sedgwick CMS and no salary from UCR - Benefit issues Employee will be required to pay
the full cost of dental and vision coverage.
Medical insurance premiums may be covered by the
Health Contingency fund. If eligible for Family
Medical Leave (FML), all insurance premiums can
be paid by UCR up to 12 weeks. - Leave Accruals Employee will earn sick and
vacation leave at the normal rate, but it will
not be credited until they return to work. If
separation happens before they return to work,
vacation hours earned while on LWOP are not owed. - Retirement Credits Will not earn.
- Holidays Will not be paid.
12EXTENDED SICK LEAVEPolicy 44 C Personnel
Policies for Staff Members
- Eligible employees receive 80 of their basic
salary called Extended Sick Leave (ESL) for up to
26 weeks per injury while they are out. - Eligibility for ESL is based on the following
- Employee must be receiving TD payments
- Employee must exhaust all of his accrued
sick leave
13EXTENDED SICK LEAVE.continued
- Benefit issues UCR will continue to pay
medical, dental and vision premiums. -
- Leave issues Employee continues to accrue sick
and vacation leave at normal rate, but these
hours will not be credited until he returns to
work. Employee cannot use accrued sick/ vacation
until he returns. If separation occurs vacation
hours earned will be paid to the employee. - Retirement Service Credit Will earn at 80
- gt(See Buy Back Appendix Page)
- Holidays Paid at 80
14After EXTENDED SICK LEAVE
- If employee remains disabled after ESL is
exhausted, they will be placed on LWOP. UCR
checks will cease, TD checks will continue. - Employee will be required to pay full cost of
dental and vision insurances. Medical insurance
premiums may be covered by the Health Contingency
fund. If eligible for FML, premiums can be paid
by UCR up to 12 weeks.
15Summary LEAVE ACCRUALS WHILE OFF WORK
- Employees on full-time status Will earn at
normal rate and can use it as they earn it. - Employees on ESL Will earn at normal rate.
Hours can not be used until employee returns to
work. If separation occurs, these hours will be
paid out. - Employees on Leave without Pay Will earn at
normal rate. Hours will be credited when
employee returns to work. If separation occurs,
these hours will not be paid out.
16RE-CREDITING SICK/VACATION USAGE
- Re-credit usage at the rate of 66.67
-
- For example 8 hours used 5.0 hours given
back. Round up at .50 and round down at .49 - Enter re-credits by the month not in lump
sum - (See LeaveUsage.doc for details)
17RE-CREDITING SICK/VACATION USAGE..continued
- If employee is released by physician to return to
work part-time, re-crediting of sick/vacation
leave used, is processed monthly. - There are 2 ways to process
- Only charge 33.33 of usage, therefore no need to
re-credit at the end of the month (uses 40 hours,
is charged 13 hours) - Charge full amount of sick leave (uses 40 hours,
is charged 40 hours) and then re-credit 26 hours
in separate transaction
18CREDITING ANY LOST VACATION OR SICK ACCRUALS
- Credit lost accruals at the rate of 100
- See LeaveAccrual.doc for details
19STEP 1 PLACING AN EMPLOYEE ON LEAVE WITH PAY
- EEDB
- ELVE with Employee ID, enter
- Enter 07 for Leave with pay
- Enter begin date of leave
- Enter return date (per physicians note)
- Enter 09 for Workers Compensation leave
- F5 to Update
- gtRefer to Step1.doc in examples
20Step 1
- PPELVE0-E1482 RVT EDB Entry/Update
10/05/05 084116 - 09/06/05 194014 Leave of Absence Data
Use RVPAYRMT - ID Name Stat A Pr Pay MO
- Leave of Absence Action Code 07
- Leave of Absence Begin Date 100105
Return 120105 Type 09 - Last Sabbatical Credit Balance
- Sabbatical Credit Date
- Sabbatical Credit Accrued
- Sabbatical Credit Accrued Thru Date
- Sabbatical Credit Used
- Total Sabbatical Credit Balance
- START Reduction Percentage
- START Begin Date
- START End Date
- Next ID Name
SSN - gt
- F 1-Help 4-Print
5-Update - F 9-Jump
12-Exit
21STEP 2Placing the Employee on ESL
- EAPP
- On current distribution, enter payment end date,
which is equivalent to the date the employee
exhausted their accrued leave. - On command line, type copy 21 to 22 to create a
new distribution, enter - change percentage to 80
- change begin date to the day after the
- the employee exhausted their sick leave
- change return date to estimated date of return
- change the DOS code to ESL
22STEP 2Placing the Employee on ESL..continued
- On command line, type copy 21 to 23 to create a
new distribution for when the employee returns to
full duty - Enter begin date (day the employee returns)
- Enter 999999 for end date
- DOS should be REG
- Percentage should be 100
- See Step2b.doc, Step2c.doc, Step2d.doc,
Step3a.doc in examples
23STEP 2
- PPEAPP0-E1595 RVT EDB Entry/Update
10/05/05 084356 - 09/06/05 194014 Appointments/Distributio
ns RVPAYRMT - ID Name Stat A i Pay MO
- PAF Gen No 38
Page 1 of 1 - Appt Actions Bas Pd Appt Begin Appt End
Dept FLSA - 20 1 2 070196
999999 I D01100 0 - Title Grade Full
F/V Ann/Hr Rate Time - 4722 _____ASSISTANT III 1.00
F 41748.00 A MO R D -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE - 21 500110 01206 19900 72
Staff, Career 1.00 1.0000 -
- Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP - 100102 113005 6.0
3479.00 REG -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE -
- Pay Begin Pay End Step O/A Rate/Amount
DOS PRQ DUC WSP -
24STEP 2..continued
- 09/06/05 194014 Appointments/Distribution
s RVPAYRMT - ID Name Stat A P Pay MO
- PAF Gen No 38
Page 1 of - Appt Actions Bas Pd Appt Begin Appt End
Dept FLSA - 20 1 2 070196
999999 I D01100 0 - Title Grade Full
F/V Ann/Hr Rate h Time - 4722 _____ASSISTANT III 1.00
F 41748.00 A MO R D -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE D - 21 500110 01206 19900 72
Staff, Career 1.00 1.0000 - Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP - 100102 113005 6.0
3479.00 REG -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE D -
- Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP -
- Next F ID Name
SSN -
25STEP 2..continued
- PPEAPP0-E1595 RVT EDB Entry/Update
10/05/05 084910 - 09/06/05 194014 Appointments/Distributio
ns Use rid RVPAYRMT - ID Name E Stat A Pr Pay
MO - PAF Gen No 38
Page 1 of 1 - Appt Actions P T Bas Pd O Appt Begin Appt
End Dr Dept FLSA - 20 1 2 070196
999999 I D01100 0 - Title Grade Full
F/V Ann/Hr Rate t Sc Time L - 4722 _____ASSISTANT III 1.00
F 41748.00 A MO R D -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE - 21 500110 01206 19900 72
Staff, Career 1.00 1.0000 - Pay Begin Pay End Step O/A Rate/Amount
DOS PRQ DUC WSP - 100102 113005 6.0 3479.00
REG -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE Dist - 22 500110 01206 19900 72
Staff, Career 1.00 0.8000 -
- Pay Begin Pay End Step O/A Rate/Amount
DOS PRQ DUC WSP - 120105 060106 6.0
3479.00 ESL
26STEP 2..continued
- 09/06/05 194014 Appointments/Distribution
s Use RVPAYRMT - ID Name E Stat A PP MO
- PAF Gen No 38
Page 1 of 1 - Appt Actions P T Bas Pd O Appt Begin Appt
End D Dept FLSA - 20 1 2 070196
999999 I D01100 0 - Title Grade Full
F/V Ann/Hr Rate R Time - 4722 _____ASSISTANT III 1.00
F 41748.00 A MO R D -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE Ds - 21 500110 01206 19900 72
Staff, Career 1.00 1.0000 - Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP - 100102 113005 6.0
3479.00 REG -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE D - 22 500110 01206 19900 72
Staff, Career 1.00 0.8000 - Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP - 120105 060106 6.0 3479.00
ESL -
- Next c ID Name
SSN
27STEP 2..continued
- PPEAPP0-E1595 RVT EDB Entry/Update
10/05/05 085730 - 09/06/05 194014 Appointments/Distribution
s Use RVPAYRMT - ID Name Stat A Pi Pay MO
- PAF Gen No 38
Page 2 of 2 - Appt Actions Pg T Bas Pd O Appt Begin Appt
End Dept FLSA - 20 1 2 070196
999999 I D01100 0 - Title Grade Full
F/V Ann/Hr Rate v - 4722 _____ASSISTANT III 1.00
F 41748.00 A MO R D -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE Dist - 23 500110 01206 19900 72
Staff, Career 1.00 1.0000 -
- Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP - 060206 999999 6.0 3479.00
REG -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE Dist -
- Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP -
28STEP 3PLACING THE EMPLOYEE ON LWOP
- EEDB
- ELVE with Employee ID, enter
- Enter 08 for Leave without Pay
- Enter begin date
- Enter return date (per physicians note)
- Enter 09 for Workers Compensation leave
- F5 to Update
- Refer to Step 3.doc in examples
29STEP 3PLACING THE EMPLOYEE ON LWOPCONTINUED
- PPELVE0-E1482 RVT EDB Entry/Update
10/05/05 091520 - 09/06/05 194014 Leave of Absence Data
Use RVPAYRMT - ID Name E Stat A Pi Pay
MO - Leave of Absence Action Code 08
- Leave of Absence Begin Date 060206
Return 083106 Type 09 -
- Last Sabbatical Credit Balance
- Sabbatical Credit Date
- Sabbatical Credit Accrued
- Sabbatical Credit Accrued Thru Date
- Sabbatical Credit Used
- Total Sabbatical Credit Balance
-
- START Reduction Percentage
- START Begin Date
- START End Date
-
- Next Function ID Name
SSN
30STEP 3.continued
- PPEAPP0-E1595 RVT EDB Entry/Update
10/05/05 085730 - 09/06/05 194014 Appointments/Distributio
ns User RVPAYRMT - ID Name Employee Status N
Pi Pay MO - PAF Gen No 38
Page 2 of 2 - Appt Actions P T Bas Pd O Appt Begin Appt
End D Dept FLSA - 20 1 2 070196
999999 I D01100 0 - Title Grade Full
F/V Ann/Hr Rate t S Time L - 4722 _____ASSISTANT III 1.00
F 41748.00 A MO R D -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE Dist - 23 500110 01206 19900 72
Staff, Career 1.00 1.0000 -
- Pay Begin Pay End Step O/A Rate/Amount DOS
PRQ DUC WSP - 060206 999999 6.0 3479.00
REG -
- Dist Actions ACCT ACTV FUND FN CC PD
PC FTE D - Pay Begin Pay End Step O/A Rate/Amount
DOS PRQ DUC WSP -
31SCENARIO 1POINTS OF DISCUSSION
- 3-day waiting period
- Sick/Vacation leave used
- Sick/Vacation leave accruals
32SCENARIO 2POINTS OF DISCUSSION
- Sick and Vacation leave used
- Sick and Vacation accruals
33SCENARIO 3POINTS OF DISCUSSION
- Returning to work on part-time basis
- Sick and Vacation leave used
- Sick and Vacation leave accruals
- Role of Disability Management of Transitional
Return to Work
34SCENARIO 4POINTS OF DISCUSSION
- Maxing out ESL benefits and going on LWOP
- Applying for Liberty Mutual
- Retirement Service Credits
- Sick and Vacation Leave accruals
- Continuation of health coverage with the
- Health Contingency Fund
35SCENARIO 5POINTS OF DISCUSSION
- Terminal Vacation Pay
- Benefits department role
- Disability Management role