Workers' Compensation provides income and medical benefits to employees who sustain a work-related injury or illness when that employee is disabled from performing his or her job. The University's Workers' Compensation insurer is Commonwealth of Massachusetts Workers Compensation Unit.
Seeking Medical Treatment
If emergency care is required call 9-1-1 for immediate treatment. If less urgent medical care is required, an employee may seek treatment from your own health care provider or receive initial treatment from the University Health Services (UHS). The University’s Workers Compensation (WC) insurance carrier will pay for any costs associated with your approved WC claim.
The employee or his/her medical provider must call the state insurer’s Utilization Review Agent (tel 800-266-7991) for pre-approval of treatment or within 24 hours after seeking emergency treatment and for pre-approval of treatment thereafter. The Injured Workers' Guide to Medical Treatment [PDF] provides additional important information for seeking care under the WC policy.
Reporting a Work-Related Injury or Illness
If an employee is injured on the job or suffers a work-related illness, the employee's supervisor or department personnel officer should be notified immediately after emergency medical treatment is secured. A Notice of Injury form must be filed with Human Resources and sumbitted to the University's WC insurer within 48 hours of the injury/illness. Every injury or work-related illness must be reported, regardless of whether it might seem relatively minor or insignificant. The Commonwealth of Massachusetts's Division of Human Resources WC Unit reviews and makes determination on WC claims.
Authorizing the Release of Medical Records
As part of the Notice of Injury report an employee must sign an Authorization for Release of Medical Records [WORD] form. This form authorizes hospitals and medical providers to release any and all information relating to the employee's injury/illness to persons and/or institutions involved in the WC process. The Commonwealth's WC Unit will not pay medical bills related to the injury unless it has received this authorization form. If you are seriously injured and/or not immediately available to sign the form, your department will mail the Authorization to your home. Return the completed Authorization for Release of Medical Records form to Human Resources.
Absence from Work for Five (5) or More Days
If an employee will be absent from work for five (5) or more calendar days, the employee and his/her supervisor must follow the standard leave application process. In addition:
- the employee's supervisor must completed and submit a First Notice of Injury (Form 101) [PDF] to Human Resources. This form begin the formal request for income replacement while the employee is out due to a work-related illness or injury.
- the employee must complete and submit a Concurrent Earnings Report [Word] and Physician's Report [Word] to Human Resources.
Workers Compensation Income
If you are unable to work, and while awaiting determination on a workers’ compensation claim, a benefited employee may use his or her own accrued time (sick, vacation, personal, compensatory) to secure income. Alternatively an employee may request to be on an unpaid leave, have no accrued time to submit or hold a non-benefited position. In these latter cases the employee does not receive pay from the Commonwealth while awaiting determination on the claim.
If approved, Workers Compensation income benefits begin effective the 6th calendar day of absence and replace 60% of the employee’s average earnings over the 12 months preceding the illness/injury (within certain minimum and maximum benefits). If an employee is disabled for more than 21 days, workers’ compensation income is made retroactive to the first day of absence.
If an employee receives income from the University during a period later covered by Workers' Compensation (eg, by using sick, vacation, personal or compensatory time to secure income) the employee may not retain both payments in full (which would total more than 100% of regular income). In these circumstances Human Resources works with the employee to restore the duplicate payment to the University, restoring corresponding accruals the employee’s future use.