BAM SECTION 1400 Workers compensation Program Every employer

BAM SECTION 1400 Workers’ compensation Program

» Every employer in CA » Including the STATE ˃ Legally uninsured ˃ Labor Code § 3700 ˃ Purchase a yearly policy ˃ Participate in Master Agreement » Everyone covered ˃ No open enrollment ˃ No lapse in benefits » Employer paid no fault system » Covers injury and illness that arise out and in the course of employment ˃ AOE/COE Labor Code § 3600 ˃ 1% causation for physical ˃ 51% causation for psyche + unless traumatic event General Information

» Workers’ compensation benefits cost the State $? ? ? Million » Fiscal year 2010/2011 » Increase of $? ? million from previous year General Information

» Read and understand all provided material » “New Hire” packette ˃ Guide to Workers’ Compensation for New State of California Employees ˃ Predesignation form » Posted Notices ˃ Notice To Employees ˃ Guide to the State Fund MPN for State of California Employees » Report all injuries, illnesses, and incidents » Get treatment ˃ Posted provider OR ˃ Predesignated provider » Substantiate any missing time ˃ Std 634 or equivalent form Employee’s Responsibility

http: //www. statefundca. com/pdf/e 13546. pdf

http: //www. statefundca. com/pdf/e 13546. pdf

http: //www. statefundca. com/pdf/e 13913. pdf

http: //www. statefundca. com/pdf/e 13174. pdf

» Arrange 1 st medical treatment » Provide employee’s notice of potential eligibility (3301) » Secure accident site » Prepare employer’s claim of injury (3067) » Submit forms timely Employer’s Responsibility

» Notify employee of all » Pay Industrial benefit options Disability Leave (IDL) and/or » Options Letter supplementation ˃ Sample on DPA web site timely » DPA publications for employees » Must receive ˃ I’ve just been injured on the verification from job, what happens now? st! State Fund 1 ˃ Supplementing IDL ˃ Supplementing TD » STD 618 s Personnel Office’s Responsibility

Sample contact letter can be modified to fit your needs… https: //www. dpa. ca. gov/secure/training/return-to-work/form. cfm

See how much your department contributed to the $502 million total! http: //www. dpa. ca. gov/benefits/workers-comp/main. htm

» Claim adjustment » Liability determinations » Investigations » Benefit delivery » Legal representation State Fund’s Responsibility

» Medical treatment ˃ Subject to Utilization Review ˃ Plus mileage + if claimed » Temporary disability ˃ IDL or TD ˃ Plus supplementation + if requested ˃ EIDL + If applicable & approved ˃ 4800 or 4800. 5 time + DOJ & CHP officers only Benefits » Permanent disability ˃ Due 14 days after TD ends ˃ +/- 15% » Supplemental Job Displacement Benefit ˃ Paid after claim settlement if no RTW after TD ends » Death ˃ Paid to dependent(s).

» 3 day waiting period ˃ Waived if disabled 14 days, hospitalized, or assaulted » Paid by employer to eligible employees AFTER State Fund verifies time » PERS or STRS members » Limited to 365 days of benefit within 2 years of the first date of disability » First 22 days of disability = full net salary » Then 2/3 of gross salary (can supplement) » Can be used for verified medical appointments Industrial Disability Leave

Enhanced Industrial Disability Leave Labor Code 4800 or 4800. 5 Time » Subject to bargaining unit provision and director approval for specifically caused physical injuries » Continues IDL full net salary benefit up to 3 years » Sworn officers ONLY » No waiting period » Full gross salary up to 1 year or 2080 work hours » After 1 year of this benefit, still eligible for 2 years of TD ˃ No supplementation needed Other salary continuation…

» 3 day waiting period ˃ Only served ONCE per claim » Paid by State Fund every 14 days to employees not eligible or have exhausted their IDL benefit » Limited to 104 weeks within 5 years of DOI ˃ 1 year of IDL + 1 year of TD = 2 years of TD benefits » Full days only (no medical appointments) » 2/3 of average weekly wage (can supplement) ˃ Maximum benefit in 2011 = $986. 69, in 2012 = $1010. 50 ˃ Minimum benefit in 2011 = $148. 00, in 2012 = $151. 57 Temporary Disability Benefit

Line by line instructions to complete claim forms. Detailed workers’ comp information for State agencies. Step by Step Instructions

State Controller’s Office Dept of Personnel Administration » Workers’ Comp: The » Return to Work Beginning Steps Training Class ˃ 2 days » Workers’ Comp Documentation ˃ 3 days ppsdtraining@sco. ca. gov 916 -322 -0683 800 -735 -2929 (TTY) ˃ 3 days once/year » Annual Overview » Life of a W/C Claim ˃ 1 day several times/year » Quarterly Forums ˃ Simultaneously web cast http: //www. dpa. ca. gov/benefits/workers-comp/main. htm FREE Training!!

I love to get questions, if I don’t know the answer, I know someone who does! Tracy Caldwell 916 -445 -9760 tracy. caldwell@dpa. ca. gov