Oregon Workers Compensation Division Return to Work Programs
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Oregon Workers’ Compensation Division Return to Work Programs
Employer at Injury Vocational Assistance Preferred Worker
How are they funded? The Workers´ Benefit Fund (WBF) a payroll assessment calculated on the basis of hours worked by all paid workers, owners, and officers covered by workers´ compensation insurance in Oregon, and by all workers subject to Oregon’s Workers´ Compensation Laws Currently $. 028 per hour worked split evenly between worker and employer.
Employer at Injury Program EAIP designed to encourage re-employment of qualified Oregon workers who incur injury-caused limitations from an on-the-job injury. Getting Oregon workers back on the job
Employer at Injury Program The purpose of EAIP is to: Enable the worker to perform transitional work within the worker’s limitations that resulted in the worker’s eligibility for the Employer-at. Injury Program; Prevent a worsening of the worker’s compensable injury or occupational disease; or If the claim has not been accepted or denied, prevent a worsening of the claimed workers’ compensation injury or occupational disease. Getting Oregon workers back on the job
Employer at Injury Program The insurer administers the program and must assist the employer in: • Obtaining from the medical service provider a medical release that meets the requirements EAIP rules • Identify a transitional work position Getting Oregon workers back on the job
Employer at Injury Program A transitional work plan must be created that is within the restrictions indicated on the worker’s medical release. Getting Oregon workers back on the job
Employer at Injury Program What is available to support the transitional work? Tools and Equipment – Needed for the job. Modification – Altering a worksite to allow the worker to perform their duties within their restrictions. Max $5000 combined with Tools Wage Subsidy - 45% of gross wages reimbursed. Max 66 days. Clothing – Clothing required for the work. Training – Tuition, books, and fees related to the work. Getting Oregon workers back on the job
Employer at Injury Program EAIP eligibility ends: • When the worker or employer no longer meets the eligibility provisions stated in OAR 436 -105 -0510 and 436 -105 -0511; • When the worker's claim is closed or denied; • When sanctions issued under OAR 436 -105 -0560 preclude eligibility; (4) When the insurer ends the Employer-at-Injury Program at any time while the worker’s claim is open; • Two years after the original date of acceptance of a nondisabling claim; or • When benefits under the Preferred Worker Program under OAR 436 -110 begin, including premium exemption but excluding claims costs reimbursed under OAR 436 -110 -0330. Getting Oregon workers back on the job
Vocational Assistance Retraining workers for suitable work
What is Vocational Assistance? Any of the services, goods, allowances, and temporary disability compensation under the Division 120 rules to assist an eligible worker return to work. This does not include determining a worker’s eligibility for vocational assistance. Retraining workers for suitable work
Vocational Assistance is administered and paid for by the insurer to workers who are found eligible. Retraining workers for suitable work
The objectives of vocational assistance To return the worker to employment which: • Pays a wage as close as possible to the worker’s wages at the time of injury, and • is physically suitable. Retraining workers for suitable work
When is the insurer required to determine vocational eligibility? Retraining workers for suitable work
The worker is medically stationary and has not been released to or returned to regular employment. The insurer receives information, prior to medically stationary status, that indicates the worker is likely eligible for vocational assistance. Eligibility was previously determined under current opening and the insurer has accepted a new condition. Retraining workers for suitable work
Eligibility Evaluation Must be completed and decision made in 30 days, with one extension of 30 days allowed. Retraining workers for suitable work
Administrative Review If the worker disagrees with the insurer’s decision, they can request a review from the Employment Services Team. Retraining workers for suitable work
Purpose of Review • Try to resolve disagreement through alternative dispute resolution. • If not, the vocational reviewer will issue a Director’s Review and Order. Retraining workers for suitable work
Two Categories of Vocational Assistance • Direct Employment Services • Training Retraining workers for suitable work
Development of Training Plan • Counselor must determine a suitable vocational goal Retraining workers for suitable work
Types of Training • • Basic Education On-the-job Training Occupational Skills Training Formal Training Retraining workers for suitable work
Completion of Training Four months of job placement assistance. Counselor monitors suitability of employment for 60 days Retraining workers for suitable work
For questions regarding Vocational Assistance: Katie Bruns 503 -947 -7816 Kristin Anderson 541 -618 -7910 Matt Ferrell 503 -947 -7690 Retraining workers for suitable work
Preferred Worker Program PWP encourages the re-employment of workers whose on-the-job injuries result in disability that may be a substantial obstacle to employment by providing assistance to eligible injured workers and to the employers who employ them. Returning Workers to work
Who are Preferred Workers? A person is designated a preferred worker because he or she has some measure of permanent work restrictions due to an accepted workers compensation claim that prevents return to their job at injury. The State of Oregon Workers’ Compensation Division has issued over 20, 000 Preferred Worker cards since 2000. This is a lifetime benefit and does not expire. Returning Workers to work
What does being a Preferred Worker mean? Returning Workers to work
They will be prepared to do the job Clothing benefit to assure that the worker has the necessary work clothes Tools and Equipment Provides the tools and equipment that an employer requires their workers to possess. Returning Workers to work Training Funding for training and certifications to give the preferred worker the skills to get the job done.
Other possible assistance Occupational Certifications Moving Miscellaneous Transportation Union Dues Returning Workers to work
Lowered employer costs and risk Wage Subsidy 50% of gross wages reimbursed for 6 months Premium Exemption An employer does not pay worker’s comp premiums or premium assessments on a preferred worker for three years. Claims cost reimbursement Protects the employer from the costs of a new claim if the preferred worker has a new injury during the three year exemption period. Returning Workers to work
Worksite Modification 2 Person Ladder Tire Dolly Panel Dolly Rebar Tier Tools, equipment, and worksite redesign needed to overcome injury-caused permanent restrictions so the preferred worker can do the job. Task Chair Returning Workers to work
Why do we offer these benefits an incentives? Returning Workers to work
For more information: Brian Nease Katie Bruns Worksite Modification Consultant Vocational Reviewer 503 -947 -7574 503 -947 -7812 brian. a. nease@oregon. gov Kathleen. r. bruns@oregon. gov For more information visit: www. oregonpwp. com
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