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WORKERS' COMPENSATION

Benefit Coverage

Workers' Compensation is a system that provides benefits to employees who are injured on the job or who become disabled due to an on-the-job injury or illness. Benefits generally include wage-loss benefits, hospital and medical expenses.

Use of Designated Physicians/Providers

The Pennsylvania Workers' Compensation Act encourages employers to designate at least six health care providers for initial treatment of injury or illness on the job. A listing of designated physicians/providers for use by University employees is provided throughout the University and is available from the Human Resources office.

When injury or illness occurs, employees must utilize the list of University designated physicians/providers in order to take advantage of medical coverage through Workers' Compensation. In an emergency situation, employees may initially obtain necessary treatment from any hospital or health care provider. However, follow-up care, if necessary, must be provided by one of the designated physicians/providers.

Notification

It is the responsibility of employees to notify their supervisor and the Human Resources Department within 24 hours of any work-related accident regardless of severity. In the event an employee cannot make prompt notification, the supervisor will assume the responsibility of contacting Human Resources.

During time off for work-related injury or illness, it is the responsibility of the employee to maintain contact with their supervisor and the Human Resources Department.

Recording Time Off/Compensation

Employees who have sick days available will use those days to cover time off up to and including fourteen days. In the event that no sick days are available, vacation and personal days will be used to cover time off. Upon supervisory approval, an employee injured on the job will be excused from work to obtain medical attention on the day the accident or injury occurs. Otherwise, the employee will be recorded on a no-pay status.

After a waiting period of seven (7) days, if approved by the insurance carrier, benefits are retroactive to the first full date after injury or illness if the disability lasts fourteen (14) days or more. The amount of compensation is calculated by the Workers' Compensation insurance carrier using an established formula which utilizes salary information from the last four quarters prior to injury.

There are times when compensation paid by the insurance carrier may overlap salary paid by the University. In those cases, an employee is required to reimburse the University for those days when double compensation was received.

In addition, the sick, vacation or personal days used will be reinstated retroactively to the first full date after injury or illness.

Continuation of Benefits

An employee of the University who has been approved and is receiving Workers' Compensation is entitled to maintain their benefits at the same level and terms of coverage as when they were actively working for a period of three months. After three months, qualified benefits can be continued at the employee's expense.

 

Job Reinstatement/Position Status

Before returning to work, an employee must provide the Human Resources Department with a fitness for duty report to return to work. The University will hold a position open for a period of three months. After that time period, the University may begin actively recruiting to fill the position for regular employment. The University will reinstate an employee returning from Workers' Compensation to the same or equivalent position with equivalent pay, benefits, and other employment terms.

The University may deny job restoration until an employee submits a certification to return to work.

The University retains the right to temporarily fill any position that is vacated due to a Workers' Compensation on-the-job injury or illness.

If an employee is able to return to work under qualified conditions (e.g. light duty), the University will make every effort to offer a position to accommodate circumstances.

Miscellaneous

The premiums for workers' compensation insurance is provided by the University at no cost to employees.

Revised 02-01-01
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