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Work Related Injuries & Illnesses

Workers' compensation provides benefits to or on behalf of a worker who becomes injured or ill on the job. Workers' compensation claims are managed by Travelers.

Travelers

P.O. Box 660055
Dallas, TX 75266-0055

Medical Benefits

Medical treatment is provided by healthcare providers within the Travelers Medical Provider Network (MPN). All pre-authorized treatment is covered at 100%.  It is recommended that injured employees use the Concentra clinic at 1717 S. Main Street in Milpitas. This location has a Travelers concierge nurse who can assist with navigating the workers' compensation process. Other in-network options include all other Concentra clinics and Kaiser Occupational clinics ("Kaiser on the Job").  A full list of providers can be found at www.travelers.com/CAMPN.

Temporary Disability

For lost time, temporary disability benefits are payable at 66 2/3% of gross earnings to a maximum weekly benefit determined by the State. This is a non-taxable benefit.

Permanent Disability

Benefits are payable to employees who have sustained a permanent disability.

Rehabilitation

Benefits are payable when it has been determined that an injured worker is permanently disabled and unable to return to his/her regular duties.

 

 

If you, or someone who reports to you, suffers a work-related injury or illness, the following steps should be taken immediately:

Is the injury a life-threatening emergency?

Yes: If the injury is life-threatening, contact SCU Campus Safety (408) 554-4444 or 911 and arrange for an ambulance. Notify the employee's supervisor and the Department of Human Resources (408) 554-4392.

No: If the injury is not life-threatening, employees must notify their supervisors and contact the Department of Human Resources (408) 554-4392. The Department of Human Resources will authorize treatment at Concentra or another in-network workers' compensation clinic.

If the injury occurs outside of normal office hours, employees must call the Department of Human Resources and leave a message. If an MPN clinic is not open and treatment is needed, the employee should visit an emergency room. 

If the Injury Does Not Require Immediate Medical Treatment

If medical or other emergency care is not needed for the injury, employees must notify their supervisors and the Department of Human Resources (408) 554-4392.

The Following Applies to All Injuries

All work-related injuries and illnesses

The Department of Human Resources will provide employees with:

  1. Initial Report of Injury
  2. Workers Compensation Claim Form (Form DWC 1)

Employees are required to complete the report and forms as soon as possible.

IF YOU ARE THE INJURED EMPLOYEE:

Following initial medical treatment:

  1. The clinic will provide you with a work status report which should be provided to your supervisor.
  2. You, your supervisor, and a member of the HR Benefits team should evaluate any work restrictions and/or modifications noted by the physician on the work status report. If the University is unable to accommodate any restrictions, a leave of absence may be necessary.

If you need follow up care, please remember the following:

  1. University practice is to pay employees regular time for time missed from work not only for the initial receipt of care, but for follow up care as well. 
  2. Physical therapy appointments must be pre-arranged with supervisor. Time missed for travel to and from and duration of appointment is paid at regular time.
  3. Keep your supervisor apprised of any changes to your work status.

If your injury or illness requires a temporary period of time away from work:

  1. Immediately notify your supervisor and the Department of Human Resources (408) 554-4932.
  2. Complete the appropriate paperwork for an industrial leave of absence.
  3. Communicate regularly with the Workers' Compensation administrator (Travelers) regarding your treatment, care, and work status.

Please contact the Benefits team within the Department of Human Resources with any questions at (408) 554-4932 or leaves@scu.edu.

See Also