Workers’ Compensation Update

1. Workers’ Compensation Update UMD Procedures April 2010

2. What has stayed the same • 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)

3. What has stayed the same • Consult with UMD UReturn Program (Shelly Frohrip) • Incidents involving lost time • Incidents involving accommodations • If a QRC, NCM, or other professional assigned

4. What has stayed the same • FMLA Coordinator (Betsy Behning) • Notify of all leaves • Consecutive days • Overnight hospital stay • Intermittent leaves

5. What has stayed the same • 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

6. 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 University Policy and Procedures What does this mean for you?

7. 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 University Policy and Procedures What does this mean for you?

8. 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. University Policy and Procedures What does this mean for you?

9. http://policy.umn.edu/prod/groups/president/@pub/@policy/@fi/documents/policy/workerscomp_appc.pdfAdministers the Prescription Drug Program for the U of M's Workers’ Compensation program.The Prescription Drug Program Eliminates co-pays AND Eliminates out-of pocket expenses . . . for medications prescribed for an accepted Workers’ Compensation claim. Link to Express Scripts

10. Reporting and Managing a Workers’ Compensation Claim • 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. Employee Supervisor

11. Forms • 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

12. Forms • 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

13. Forms • Supervisor • Lost Time Report • Coincides with biweekly payroll • Forward to UMD Workers’ Compensation Coordinator same day completed

14. Forms • Employee • Employee Incident Report • Complete as soon as possible following the incident • Forward to Supervisor • Supervisor forwards to UMD W.C. Coordinator

15. Recap • Documents completed by Supervisor • First Report of Injury • Supervisor Incident Investigation Report • Lost Time Reports

16. Recap • Document completed by Employee • Employee Incident Report

17. Recap • 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

18. Recap • Supervisor gives employee • MN W.C. Info Sheet • List of Designated Providers • Temporary Prescription Drug ID Card

19. 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 How to complete the FROI New Responsibility for Supervisors

20. Contacts 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

21. Contacts (continued) Betsy Behning FMLA Coordinator 255 Darland Administration Building Tel. 726-6520 FAX: 726-7505 jericks1@d.umn.edu Rhonda Bosworth, Claims Supervisor Sedgwick Claims Management Insurance, Inc. P. O. Box 46999 Eden Prairie, Minnesota 55344 Tel. 1-800-231-0165, Extension 63764 FAX: 952-826-3785 Rhonda.Bosworth@sedgwickcms.com

22. Questions? • Thank you for your time!