Understanding Workers' Compensation: Benefits, Management Practices, and Compliance
Dive into the Illinois Workers' Compensation Act, system of benefits including medical coverage and disability benefits, what workers' compensation isn't, and best management practices for filing claims, investigations, and communication in the workplace. Explore the complexities of workers' compensation to ensure compliance and effective administration.
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WORKERS COMPENSATION WHAT IT IS; WHAT IT ISN T; AND BEST MANAGEMENT PRACTICES IASPA January 26, 2018 Presented by Barbara Erickson and Chris Hoffmann of Hodges, Loizzi, Eisenhammer, Rodick & Kohn LLP
WHAT IT IS Illinois Workers Compensation Act; 820 ILCS 305/1, et.seq Illinois Workers Compensation Commission General Overview What it Governs Who it Governs What it Provides
WHAT IT IS System of Benefits Medical Benefits Temporary Total Disability (TTD) Temporary Partial Disability (TPD) Vocational Rehabilitation/Maintenance Permanent Partial Disability (PPD) Permanent Total Disability (PTD) Death/Survivors Benefits
WHAT IT IS Medical Benefits What Types of Medical Benefits are Covered? Who Pays for Medical Care? Can Employee Choose a Provider?
WHAT IT IS Total Temporary Disability (TTD) How Benefit is Calculated How Benefit is Paid 3 Day Rule 14 Day Rule Maximum Benefit?
WHAT IT IS Temporary Partial Disability (TPD) How Benefit is Calculated How Benefit is Paid
WHAT IT IS Permanent Partial Disability Permanent Total Disability Vocational Rehabilitations
WHAT IT ISNT Workers Compensation is not a Leave of Absence Policy Coordinating Workers Compensation With Leave of Absence Paid Leave Sick Leave Personal Leave Vacation Leave Family and Medical Leave Act Total and Temporary Disability Policy Americans With Disabilities Act
BEST MANAGEMENT PRACTICE Process For Filing a Claim With the Employer Policy Procedure Contract Law Workers Compensation Carrier/TPA Role of Carrier/TPA Role of Employer Role of Employee
BEST MANAGEMENT PRACTICE Investigation of Incident Immediate and Continued Monitoring of Claim Documentation Communication With Employee Coordinating Existing Leave Documentation Coordinating Discipline Policy/Procedures Employee Benefit Issues Health Insurance Seniority Pension Return to Work Issues
Hypotheticals Becky Bender, a one-on-one Aide, has been absent from work for the past three days using her available sick leave. She has called in each day claiming to have injured her back helping her student. She claims she went to her doctor and he is telling her she needs to be off work for an extended, but unknown duration. What do you do?
Hypotheticals All of the Following Contact Work Comp Carrier and report claim Complete necessary paperwork to report claim Interview employee to find out what happened Apply Leave of Absence Policies Sick Leave Possibly the Following FMLA IMRF Benefits Not the Following Terminate Employment (at least not yet) Harass/Blame employee Tell Unnecessary People
Hypotheticals Harvey Havock, a tenured teacher, calls his Principal claiming that he fell off of his chair in class yesterday while attempting to demonstrate to his classroom how penguins jump into the sea from rocks. He claims that his knee is swollen and he also hurt his shoulder. He is concerned because he is in the pipeline for retirement and doesn t want to miss work. What do you do?
Hypotheticals All of the Following Contact Work Comp Carrier and report claim Complete necessary paperwork to report claim Interview employee to find out what happened Apply Leave of Absence Policies Sick Leave Possibly the Following FMLA TRS Benefits Not the Following Terminate Employment (at least not yet) Harass/Blame employee Tell Unnecessary People
Web Resources Illinois Workers Compensation Commission, https://www2.illinois.gov/sites/iwcc/Pages/default.aspx Department of Labor, https://www.dol.gov/ Illinois Workers Compensation Act, http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2430&Ch apAct=820%C3%A2%E2%82%AC%C2%A0ILCS%C3%A2%E2%82 %AC%C2%A0305/&ChapterID=68&ChapterName=EMPLOYME NT&ActName=Workers%27+Compensation+Act.
Thank you! Questions?
