FACT/FMIT Property and Casualty Overview Effective October 1, 2014

Property and Casualty Overview – FMIT/FACT

Worker’s Compensation FYI Questions Q - When should a Workers' Compensation claim be reported? A - Members should report the injury as soon as possible, but no later than seven (7) days from their knowledge. Once a claim is reported it allows the adjuster to investigate the incident and make a determination of compensability.  If the investigation reveals that an injury is not covered the employee will be sent a notice of denial and the State is made aware of the determination.  If you do not report the claim in a timely manner and a denial is not reported to the State, benefits could be awarded. Q - What does an injured worker do with unpaid medical bills that should be paid on the WC claim? A - Provide a copy of the bill or itemized statement to the handling adjuster or HR.  Q - Can I talk to my employee about their Workers' Compensation claim if they have an attorney? A - Yes, but your conversation(s) should be limited to job specifics and/or return to work. 

Worker’s Compensation Worker’s Comp Injury Process Worker notifies supervisor or lead worker at time of incident. Determine severity of injury Major – call 911 or take individual immediately to Hospital. Minor – Individual decides if they wish to seek treatment If Yes, complete 1st Report of Injury form and Supervisor -Accident Investigation form and/or Strain Supplemental form. If No, individual is to read and sign the ACKNOWLEDGEMENT OF REFUSAL TO SEEK MEDICAL TREATMENT form and then go to either the hospital or Center for Family Health for a drug test. All WC injuries will be required perform a drug test. If not completed by individual they will not be allowed to return to work until completed. If Major injury, notify HR by calling (863-993-4808) during normal business hours or HR cell phone at (863-990-8152) of the injury immediately and complete a 1st Report of Injury as soon as possible. If a Minor injury, notify HR by calling (863-993-4808) during normal business hours and hand deliver or e-mail a signed copy of the 1st Report of Injury form as soon as possible.

Worker’s Compensation Worker’s Comp Injury Process – con’t Upon medical release provide a copy of the DWC-25 – FL Worker’s Comp Uniform Medical Treatment/Status reporting form to the individual’s supervisor /Director and to HR concerning any limitations or restrictions. If required, perform a follow-up if individual was seen at ER – walk in appointment at the Center for Family Health on the next duty day. Provide supervisor with copy of all information concerning required appointments or limitations and make sure injured worker goes to all appointments or they could jeopardize future medical treatment for that injury. Any change in status of the employee (use of sick leave if released to light duty if available, new DWC-25 with new or changed restrictions) need to be provide to HR as soon as possible.