1. Workers’ compensation Program
BAM SECTION 1400
Workers’ compensation Program

2. General Information Every employer in CA Including the STATE
Legally uninsured
Labor Code §3700
Purchase a yearly policy
Participate in Master Agreement
Everyone covered
No open enrollment
No lapse in benefits
Employer paid no fault system
Covers injury and illness that arise out and in the course of employment
AOE/COE Labor Code §3600
1% causation for physical
51% causation for psyche
unless traumatic event
Section 1401
General Information

3. $??? Million General Information
Workers’ compensation benefits cost the State
$??? Million
Fiscal year 2010/2011
Increase of $?? million from previous year
General Information

4. Employee’s Responsibility
Read and understand all provided material
“New Hire” packette
Guide to Workers’ Compensation for New State of California Employees
Predesignation form
Posted Notices
Notice To Employees
Guide to the State Fund MPN for State of California Employees
Report all injuries, illnesses, and incidents
Get treatment
Posted provider OR
Predesignated provider
Substantiate any missing time
Std 634 or equivalent form
Section 1402
Employee’s Responsibility

6. YES – we have an MPN!

9. Employer’s Responsibility
Arrange 1st medical treatment
Provide employee’s notice of potential eligibility (3301)
Secure accident site
Prepare employer’s claim of injury (3067)
Submit forms timely
Section 1403
Employer’s Responsibility

10. Personnel Office’s Responsibility
Notify employee of all benefit options
Options Letter
Sample on DPA web site
DPA publications for employees
I’ve just been injured on the job, what happens now?
Supplementing IDL
Supplementing TD
Pay Industrial Disability Leave (IDL) and/or supplementation timely
Must receive verification from State Fund 1st!
STD 618s
Section 1404
Personnel Office’s Responsibility

11. Sample contact letter can be modified to fit your needs…
DPA’s workers’ compensation program web page

12. See how much your department contributed to the $502 million total!
DPA’s workers’ compensation program web page

13. State Fund’s Responsibility
Claim adjustment
Liability determinations
Investigations
Benefit delivery
Legal representation
Section 1405
State Fund’s Responsibility

14. Benefits Medical treatment Temporary disability Permanent disability
Subject to Utilization Review
Plus mileage
if claimed
Temporary disability
IDL or TD
Plus supplementation
if requested
EIDL
If applicable & approved
4800 or time
DOJ & CHP officers only
Permanent disability
Due 14 days after TD ends
+/- 15%
Supplemental Job Displacement Benefit
Paid after claim settlement if no RTW after TD ends
Death
Paid to dependent(s).
Section 1406
Benefits

15. Industrial Disability Leave
3 day waiting period
Waived if disabled 14 days, hospitalized, or assaulted
Paid by employer to eligible employees AFTER State Fund verifies time
PERS or STRS members
Limited to 365 days of benefit within 2 years of the first date of disability
First 22 days of disability = full net salary
Then 2/3 of gross salary (can supplement)
Can be used for verified medical appointments
Industrial Disability Leave

16. Other salary continuation…
Enhanced Industrial Disability Leave
Labor Code 4800 or Time
Subject to bargaining unit provision and director approval for specifically caused physical injuries
Continues IDL full net salary benefit up to 3 years
No supplementation needed
Sworn officers ONLY
No waiting period
Full gross salary up to 1 year or 2080 work hours
After 1 year of this benefit, still eligible for 2 years of TD
Other salary continuation…

17. Temporary Disability Benefit
3 day waiting period
Only served ONCE per claim
Paid by State Fund every 14 days to employees not eligible or have exhausted their IDL benefit
Limited to 104 weeks within 5 years of DOI
1 year of IDL + 1 year of TD = 2 years of TD benefits
Full days only (no medical appointments)
2/3 of average weekly wage (can supplement)
Maximum benefit in 2011 = $986.69, in 2012 = $
Minimum benefit in 2011 = $148.00, in 2012 = $151.57
Temporary Disability Benefit

18. Step by Step Instructions
Line by line instructions to complete claim forms.
Detailed workers’ comp information for State agencies.
Section 1408
Step by Step Instructions

19. FREE Training!! Workers’ Comp: The Beginning Steps
State Controller’s Office
Dept of Personnel Administration
Workers’ Comp: The Beginning Steps
2 days
Workers’ Comp Documentation
3 days
(TTY)
Return to Work Training Class
3 days once/year
Annual Overview
Life of a W/C Claim
1 day several times/year
Quarterly Forums
Simultaneously web cast
FREE Training!!

20. Tracy Caldwell 916-445-9760 tracy.caldwell@dpa.ca.gov
I love to get questions, if I don’t know the answer, I know someone who does!
Tracy Caldwell