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Nov 22, 2024
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HR3605 - Workers’ Compensation Procedures
Section: HUMAN RESOURCES PROCEDURES
SubSection: BENEFITS
Master List Section: Human Resources
- Institutional Regulations
- College employees shall be covered by the College’s Workers’ Compensation insurance in accordance with federal and state laws and regulations.
- In accordance with state law, DMACC provides Workers’ Compensation insurance coverage for students participating in work-based learning opportunities offered by DMACC.
- Procedure
- Employees
- An employee, or designee must promptly report any work-related accident or illness to the employee’s supervisor.
- Emergency Care: In the event of an emergency, seek immediate treatment at the nearest emergency facility. When it is safe to do so, move forward with the following steps.
- Phone EMC OnCall Nurse at 1-844-322-4668 (24 hours / 7 days a week): The employee and their your supervisor, if available, should call EMC OnCall Nurse. The employee will need to inform EMC that they are an employee of DMACC. The employee will then discuss the extent of their injury with a registered nurse and be guided to the appropriate level of care.
- Follow EMC OnCall Nurse’s Instructions: When care is needed, the registered nurse will provide treatment recommendations and/or a preferred medical facility for work-injury treatment. Employee’s are asked to proceed with treatment as recommended by the EMC OnCall Nurse.
- To provide DMACC employees the best and most efficient medical care for worker’s compensation injury or illness claims, the employee shall seek treatment at a College designated workers’ compensation medical facility as directed by the EMC OnCall Nurse.
- Designated medical facilities are listed under the Worker’s Compensation heading on the HR Forms page (https://my.dmacc.edu/api/v2/files/136/share/).
- Medical bills related to the employee’s illness/injury and if applicable, lost wages, may be covered by the College insurance carrier if the illness/injury is compensable under Workers’ Compensation and the employee seeks treatment at a College designated workers’ compensation center.
- If an employee chooses to be treated by a medical facility and/or physician other than the College designated workers’ compensation center, the employee may not qualify for any worker’s compensation insurance benefits and may be responsible for all medical costs related to the incident.
- Medical bills should be submitted by the medical provider or the employee directly to the insurance carrier.
- Time Away From Work
- If the employee is directed by the College to be examined by a physician, the employee shall be considered to be on work time during this absence and shall not be required to use leave.
- If an employee’s illness/injury results in other time away from work, the employee’s absence must be covered by accrued Sick Leave, Vacation, or Leave Without Pay for the first 3 work days.
- Insurance payments for lost wages generally will begin on the fourth day away from work. Should the employee’s absence exceed fourteen calendar days, typically insurance payment will be made to cover the initial 3-day waiting period.
- The employee must complete a Workers’ Compensation Benefit Election Form indicating if they wish to supplement the Workers’ Compensation payment with their College pay.
- If the employee elects to receive only the Workers’ Compensation payment:
- The employee shall enter Leave Without Pay on their timesheet and a DMACC payroll check shall not be issued.
- If an employee elects Workers’ Compensation payment only, they may choose to supplement at a later date.
- Payment of insurance premiums and leave accrual during this absence shall be in accordance with the procedure on Leave Without Pay, HR3765 .
- If the employee elects to supplement the Workers’ Compensation payment with their College pay:
- The employee shall receive a College paycheck deriving from the usage of available paid leave in conjunction with the Workers’ Compensation payment. This combination will bring the employee’s income as close to their normal salary as possible.
- When an employee elects to supplement, DMACC will calculate the adjusted rate of paid leave to be used per day. When supplementing, the employee shall exhaust all paid leave.
- If the employee exhausts all accrued Sick Leave and other applicable paid leaves, the employee shall be placed on Leave Without Pay and the payment of insurance premiums and leave accrual shall be in accordance with the procedure on Leave Without Pay, HR3765 .
- If a disability covered by this procedure is also covered by Long Term Disability, benefits shall be supplemented so that the total amount of payment does not exceed 100%.
- If the employee’s illness/injury resulted in time away from work, the employee must submit a written release from their physician authorizing a return to work. The release must be submitted to HR Benefits. The release will be reviewed with the supervisor by HR Benefits.
- In some instances, if an employee has full-time work outside of the College, they may also be compensated for those lost wages.
- Students
- Students injured and/or suffering an illness as a result of paid or unpaid work experience need to take the following steps:
- Emergency Care: In the event of an emergency, seek immediate treatment at the nearest emergency facility. When it is safe to do so, move forward with the following steps.
- Report Your Work-Injury: Immediately report the work-injury to the instructor or supervisor, if available.
- Phone EMC OnCall Nurse at 1-844-322-4668 (24 hours / 7 days a week): The student and the instructor or supervisor, if available, should call EMC OnCall Nurse. The student will need to inform EMC that they are a student of DMACC. The student will then discuss the extent of their injury with a registered nurse and be guided to the appropriate level of care.
- Follow EMC OnCall Nurse’s Instructions: When care is needed, the registered nurse will provide treatment recommendations and/or a preferred medical facility for work-injury treatment. The student should proceed with treatment as recommended by the EMC OnCall Nurse.
- If the injury/illness is determined to be work-related, all medical bills related to the injury/illness may be paid by the Worker’s Compensation carrier. In some instances, if the student has full-time work outside of the College, they may be compensated for those lost wages.
- Medical provider information and bills should be provided to HR Benefits or directly to the insurance carrier.
Cross Reference: Policy HR420 - Employee Benefits
Adopted: October 1, 2002 Reviewed: Annually
Revised: January 1, 2005
November 1, 2006
April 1, 2011
November 1, 2011
February 21, 2017
March 20, 2018
September 1, 2020
August 23, 2023
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