UAMS ADMINISTRATIVE GUIDE
|AREA:||INSURANCE AND BENEFITS|
The purpose of this policy is to establish uniform procedures and guidelines to be followed by employees of the University of Arkansas for Medical Sciences (UAMS) in the case of injury, illness or occupational disease arising out of and in the course of their employment. All employees of the University are entitled to benefits under the provisions of the Arkansas Workers' Compensation law. Employees should give notice to the employer immediately, in writing, of any job-related injury, illness or occupational disease, and should seek immediate medical attention. Failure to give notice may deprive the employee of the right to compensation. All UAMS workers' compensation claims are processed and submitted through the Office of Human Resources (OHR) to the State's carrier, the Public Employees Claims Division of the Workers' Compensation Commission. Workers' Compensation packets are available from OHR and contain all the pertinent forms with instructions for completion. Employees will be assisted in returning to work as soon as possible while considering any physician defined limitations.
1. Employees injured through an accident arising out of and in the course of employment must report the injury as soon as practicable to their supervisor, in writing, by filing an Employee/Student/Visitor Injury and Incident Report. The employee's supervisor must review the form and sign as appropriate. This form is available from OHR (via the Workers' Compensation packet) or from Employee Health/Student Preventative Health Services. This form is required, regardless if the employee does not require medical attention for the injury.
2. If medical treatment is necessary and the injury occurs during daytime working hours, the injured employee should contact or report to Employee Health/ Student Preventative Health Services, which is located in the Family Community Medicine building. If necessary, the employee may also be assisted in receiving treatment at the Family Medical Center Clinic. The UAMS Medical Center Emergency Room should be used for treatment only during evening, night, holiday and weekend working hours, for true emergency situations, or in other such cases as deemed appropriate by Employee Health/Student Preventative Health Services. In cases where employees are located away from the main campus, care should be directed to the local AHEC or the most appropriate provider for the situation. If the injured employee does not go to the designated medical facility, Workers' Compensation insurance will not cover the injury or illness.
3. The UAMS attending physician will complete sections B and/or C of the Employee/Student/Visitor Injury and Incident Report. The employee should return the completed document to their supervisor for distribution as indicated at the bottom of the form.
4. If medical treatment is necessary, four (4) additional forms are required in order to claim medical payments through the Public Employees Claims Division. These forms are included in the Workers' Compensation packet available from OHR.
a) The injured employee must complete Employee's Notice of Injury (Form 1) and Employee's Report of Accident (Form 2).
b) The Department Director or appropriate supervisor must complete Workers' Compensation-First Report of Injury and Illness (Form 3) and Information Requested by Public Employees Claims Division on State Employee's Claims (Form 4).
5. Upon completion, all of the required forms (those listed above under # 1 and/or # 4) should be returned to OHR for processing. The forms are checked for accuracy and forwarded to the Public Employees Claims Division for consideration of payment of medical expenses and/or payment of compensation. Failure to submit a claim within ten days of the injury may result in a fine to UAMS.
6. Benefits, if any, will be determined only after the Public Employees Claims Division has received the aforementioned forms, supporting medical documentation, and itemized medical bills showing charges for services and apparatus necessary for the treatment of the injury. Whenever an employee receives medical documentation relating to an on-the-job injury, it will be the employee's responsibility to ensure that a copy is submitted to OHR.
7. According to laws and rules of the Workers' Compensation Commission, compensation for lost time to the injured employee shall not be allowed for the first seven calendar days of disability resulting from injury, excluding the day of injury. If a disability extends beyond that point, compensation shall commence with the ninth day of disability. If the disability extends for a period of two weeks, compensation shall be allowed beginning the first day of disability, excluding the day of injury.
8. Compensation for lost time shall not exceed sixty-six and two-thirds percent (66-2/3%) of the employee's average weekly wage at the time of the accident and shall not be greater than the maximum amount designated by State legislation.
9. The Workers' Compensation Commission will determine temporary partial disability, permanent partial disability or permanent disability in cases where a money allowance may be payable to an injured employee or to the dependent of a deceased employee.
10. Employees may use either their regular accrued sick leave or annual leave as a supplement to their Workers' Compensation benefits, but only to the extent of available balance. Leave may not be advanced for this purpose. An employee may also apply for leave from the UAMS Catastrophic Leave Program if their medical condition requires an absence of more than six (6) weeks and all other criteria are met. If the individual chooses to use accrued leave to receive benefits from both sources, their weekly pay may be equal to, but not in excess of, weekly pay at the time of their injury or onset of illness. Such options, when exercised, shall reduce the employee's accrued sick leave on a proportional basis.
11. Supervisors must immediately notify OHR when employees miss work because of an injury sustained on the job.
12. OHR will notify Employee Health/Student Preventative Health Services/Workers' Compensation Case Management (686-6565) of an employee injury or illness. An RN in Workers' Compensation Case Management will:
a. work closely with the supervisor, the employee, and the physician managing the care of the employee in order to bring the employee back to work as soon as possible. The limitations placed upon the employee by the physician will be considered in this placement and the physician will be consulted before placement into a restricted position.
b. have the option to accompany the employee for a doctor's visit and discuss treatment plans with the employee's physician.
c. keep in contact with the Supervisor regarding the employee's progress. The Case Manager will also work with the Supervisor in locating a job that meets the employee's restrictions.
13. The employee's department will pay the salary of the returning employee, regardless of where the employee may work while working with his/ her restrictions. Therefore, the employee's department will be given the first choice to keep the restricted employee in their own department.
1 UAMS Policy 4.6.07, Catastrophic Leave