Central Connecticut State University

WORKERS' COMPENSATION

Workers' Compensation benefits are available to you if you suffer a work-related injury or work-related disease. These benefits provide income while you are unable to work and cover the cost of related medical care.

If you are injured at work, no matter how slightly, or if you suspect a work-related disease, your supervisor must be notified immediately and proper medical attention should be sought through the established managed care system. A delay in reporting injuries may result in denial of benefits.

MANAGED CARE SYSTEM

The State of Connecticut provides a managed care program administered by GAB Robins, a specialist in work related injuries. GAB Robins has created a state-wide network of doctors, hospitals and rehabilitation services. GAB Robins staff members will call throughout your recovery to ensure that your progress is going well. GAB Robins may contact your doctor and work with the University to identify modified duties which will allow you to return to work as soon as possible.

STEPS WHEN A WORKSITE INJURY OCCURS

1. You must immediately notify your supervisor or the Personnel Office of any injury. You should get the Participating Provider Directory for Workers' Compensation from your supervisor and select a doctor or treatment center convenient to where you live or work (or, call the GAB Robins Hotline at 1-800-828-2717 if your supervisor is unavailable.) It is mandatory under current State law that an employee injured on the job receives medical treatment from a managed care network provider to be eligible for State Workers' Compensation benefits.

2. Your supervisor should call the Injury Hotline, 1-800-828-2717, to make the first report of injury. After seeking immediate medical attention for you in the case of an emergency, the supervisor should confirm the facts of the injury, and contact the Personnel Office (X21754). A Report of Occupational Injury Form will be forwarded by the Personnel Office to your supervisor to be completed and signed.

3. Your supervisor should return the form to the Personnel Office, where it will be processed. All other necessary wage and personnel forms are completed and filed thereafter if time lost from work is involved.

PAYMENT FOR LOST WAGES

If your claim is found to be compensable under Workers' Compensation, compensation for lost wages is paid after you have been totally or partially incapacitated for more than three calendar days, excluding the day of injury. Workers' compensation for lost wages begins with the fourth day of incapacity. Beginning with the seventh day, you will be eligible for workers' compensation for lost wages retroactive to the first day of incapacity.

THIRD PARTY CLAIMS

If the Workers' Compensation injury results from the actions of a third party, and you take legal action or attempt to settle the claim, the law requires notification to the Attorney General's Office. Please notify the Personnel Office for details on reporting.

MEDICAL BILLS

After you receive medical treatment from a provider within the managed medical care network, your physician or medical service provider must send medical bills and reports to the GAB Robins. Payment of medical bills will be made by GAB Robins after all necessary forms are submitted, reviewed, and accepted for payment.

MEDICAL PROGRESS

Specific questions concerning a Workers' Compensation claim, such as payment for lost time, percentage and accuracy of payment, overpayments, payment of medical bills or other benefits due should be directed to the Personnel Office.

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Last Update: Tuesday January 10, 2006