Title: When an Employee Sustains an Injury . . .
1When an Employee Sustains an Injury . . .
Its important to take all the right steps!
2- What type of treatment is needed?
- Contact 911 for emergencies
- For non-emergencies - Olin Health Center is the
primary facility - Secondary facility for after hours and weekends
Sparrow Urgent Care - Complete an Authorization to Invoice MSU form
for the employee to take with them
3- Authorization to Invoice MSU Form
- Find this on www.hr.msu.edu under the forms
directory - Fill form out completely
- Please write legibly
- Time of day determines facility used
4Reporting the Injury or Illness
- Complete a Report of Claimed Occupational Injury
or Illness form - Forward completed form to the Workers
Compensation office in Human Resources within 24
hours - Tony Lemke (A-K) 884-0163
- Kendra Sokol (L-Z) 884-0208
5Report of claimed occupational injury or illness
form
- Find this on www.hr.msu.edu under the forms
directory - Employee completes and signs first section
- Supervisor completes and signs remaining sections
- Do NOT send this form to the medical facility, it
goes to MSU Human Resources
6What is the Employees responsibility?
- Report injury to supervisor
- Seek medical treatment if necessary (release
time) - Complete claimed occupational injury or illness
report
What is the Supervisors responsibility?
- Complete authorization form
- Send employee for medical treatment if necessary
- Complete claimed occupational injury or illness
report
7Who should receive this report?
- Workers Compensation Office at MSU HR (original)
- Fax form over immediately once employee and
supervisor have signed. Continue circulating
original for other necessary signatures - The employee
- The department where the employee works
8Medical Treatment
- An injured worker must treat with the MSU
designated provider(s) for the first 28 days - After 28 days they can choose their own physician
by submitting an Intent to Treat form
9Intent to Treat Form
- Find this on www.hr.msu.edu under the forms
directory - This form is the employees responsibility
- Must be completed prior to appointment
- Coverage is not guaranteed
10Work Restrictions
- Can the department accommodate the
restriction(s)? - Own job
- Light duty
- Reduced hours
- Different job
- Options if the department is not able to
accommodate restriction(s) - Help in another unit
- Off work until next re-check
11Total Disability
- FMLA is applicable after 3 days off, or if
seeking on-going treatment. - Runs concurrently
- FMLA forms need to be completed
- Time is recorded FMLA on attendance system by
department for the first 10 days of leave then
FMLA team member - FMLA questions Beth Tominski 884-0188 (A-L) or
Sheila Chorey 884-3652 (M-Z)
12Total Disability
- ADA is applicable depending on the length of
limitation(s) and/or restriction(s) - Permanent disability
- Affecting one or more activities of daily living
- Questions regarding ADA go to Resource Center for
Persons with Disabilities at 517-884-7906 - When does vocational rehabilitation apply?
13Wage Replacement
- Accident Time
- Criteria for wage replacement
- Totally disabled
- Anytime the employee does not earn full wages
beyond 7 calendar days
14Wage Replacement
- Workers compensation calculates a rate based on
previous earnings - Rate is state-mandated
- Currently 80 of after-tax wages
- Highest 39 weeks of previous 52 weeks worked is
used to calculate wage replacement amount - Marital status, dependents and tax filing status
affect rates - There is a cap or weekly maximum on wages replaced
15Impact on Time Off Accruals
- MSU HR will use available sick time to off-set
workers compensation earnings - WC staff will enter this time into the SAP
attendance system
16Medical Travel Reimbursement Request Form
- Reimbursement of travel expenses to and from
medical appointments - Find this on www.hr.msu.edu under the forms
directory - The rate of reimbursement changes each year
17Other entitlements
- Cab service is available through Spartan Cab at
517- 485-4400 - Reimbursement of any related out-of-pocket
expenses - Co-pays
- Bandages
- OTC expenses
- Original receipts to MSU HR
- Glasses may be covered
18Impact on Benefits
- Accrued time
- Sick time must be used per contract
- Vacation and personal time use must be authorized
by employee - Once accruals are exhausted, the employee will
not continue to accrue until he or she returns to
work - Health insurance, dental insurance and other
fringe benefits - If going on workers compensation, may need to
pay benefits premiums to continue coverage
19QUESTIONS
20Long Term Disability Benefits
21Long Term Disability Benefits
- Must be full-time employee
- Must have required number of service months
- Must be off 180 days with LTD payable on 181st
day - May be eligible for Extended Disability Leave
(EDL) - 60 percent of base wages at time of disability
22Long Term Disability Benefits
- 15 percent into retirement contracts
- Health and dental benefits continue
- University pays life insurance premiums (if
previously enrolled) - Placed on leave of absence for up to two years
- Payable until age 65 if under 60 when disability
occurs