Promptly Notify UMD Workers’ Compensation Coordinator (Cathy Rackliffe)
◦ All reported incidents
◦ When employee begins to lose time from work
◦ Sustains a re-injury
◦ Can’t work within restrictions
◦ All medical reports (retained in UMD HR)
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Consult with UMD UReturn Program (Shelly Frohrip)
◦ Incidents involving lost time
◦ Incidents involving accommodations
◦ If a QRC, NCM, or other professional assigned
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FMLA Coordinator (Betsy Behning)
◦ Notify of all leaves Consecutive days Overnight hospital stay Intermittent leaves
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Same designated medical providers
UMD Quick Care (for minor injuries) – new for 2009
UMD Health Services St. Luke’s Occupational Health Duluth Clinic Occupational Medicine
Special locations for NRRI, CMRL and burns
Emergencies: nearest hospital
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What does this mean for you?
Changes◦ New policy
Affects all campuses Fewer policy/procedural pages Number of required forms reduced Emphasis on early reporting Complete FROI for ALL claims
◦ New procedures Develop UMD procedures
Unique to our campus Complies with the policy Modeled after University procedures
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What does this mean for you?
New Supervisory Responsibilities
First Report of Injury (FROI) form• Completed by supervisor within 8 hours (1 work day)
• FROI automated in the future
• Provide to injured employee• MN W.C. Info Sheet• List of Designated Providers• Temporary Prescription Drug ID Card
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What does this mean for you?
Enhancements
◦ Express Scripts Temporary Prescription Drug ID Card
First Fill (7-day prescription, 25 tablets, up to $125) Express Scripts absorbs cost if claim not accepted
Permanent card for accepted claims
Target, Walgreens, Duluth Clinic, etc.
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Employee Supervisor
Employee Responsibilities◦ Immediately notify
supervisor of an on-the-job injury, accident, or illness
◦ Seek medical attention.
◦ Promptly cooperate with Supervisor and Sedgwick (Claims Administrator)
Supervisor Responsibilities◦ Assess incident and assist
Employee with seeking medical attention.
◦ Dial 911 if injury is potentially life threatening
◦ Contact UMD Workers’ Compensation Coordinator or UMD UReturn Program if unable to accommodate restrictions.
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• Supervisor
First Report of Injury Complete for ALL incidents, except incidents such as
paper cuts
Within 8 business HOURS (1 day)
Forward to UMD Workers’ Compensation Coordinator same day completed
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Supervisor◦ Supervisor Incident Investigation Report
Complete within 24 business HOURS (3 days)
Forward to UMD Workers’ Compensation Coordinator same day completed
Contact Sedgwick with questions about claim compensability
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Supervisor◦ Lost Time Report
Coincides with biweekly payroll
Forward to UMD Workers’ Compensation Coordinator same day completed
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Employee• Employee Incident Report • Complete as soon as possible following the incident• Forward to Supervisor• Supervisor forwards to UMD W.C. Coordinator
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Documents completed by Supervisor◦ First Report of Injury◦ Supervisor Incident Investigation Report◦ Lost Time Reports
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Documents Supervisor sends to UMD W.C. Coordinator◦ First Report of Injury◦ Supervisor Incident Investigation Report◦ Employee Incident Report◦ Medical Reports◦ Lost Time Reports
UMD W.C. Coordinator FAX documents to Sedgwick
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• Supervisor gives employee• MN W.C. Info Sheet• List of Designated Providers• Temporary Prescription Drug ID Card
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New Responsibility for Supervisors
First Report of Injury◦ http://www.d.umn.edu/umdhr/WorkComp/firstreport.pdf
Supervisory training Schedule a time for more in depth training/
Call Cathy Rackliffe at 726-6827
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Cathy Rackliffe
Area Claims Reporting Help
UMD Workers’ Compensation Coordinator
269 Darland Administration Building
Tel. 726-6827
FAX: 726-7505
Shelly Frohrip, M.V.R., C.R.C.
UMD Director, UReturn – Employee Services
278 Darland Administration Building
Tel. 726-7725
FAX: 726-8083
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Betsy BehningFMLA Coordinator255 Darland Administration BuildingTel. 726-6520FAX: [email protected] Rhonda Bosworth, Claims SupervisorSedgwick Claims Management Insurance, Inc.P. O. Box 46999Eden Prairie, Minnesota 55344Tel. 1-800-231-0165, Extension 63764FAX: [email protected]
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