UMD ProceduresApril 2010

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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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Link to Express Scripts

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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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Document completed by Employee◦ Employee Incident Report

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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

cracklif@d.umn.edu

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: 726-7505jericks1@d.umn.edu Rhonda Bosworth, Claims SupervisorSedgwick Claims Management Insurance, Inc.P. O. Box 46999Eden Prairie, Minnesota 55344Tel. 1-800-231-0165, Extension 63764FAX: 952-826-3785Rhonda.Bosworth@sedgwickcms.com

 

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Thank you for your time!

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