Frequently Asked Questions
Worker's Compensation coverage is required by law and provides benefits to eligible
employees who have injuries or illnesses arising out of and in the course of employment.
The benefits may include payment of a portion of the employee's salary and payment
of all expenses for necessary medical care and other support in returning to gainful
work.
All employees (full-time, part-time, undergraduate and graduate student employees)
are covered by the provisions of the Kentucky Workers' Compensation Act and Western
Kentucky University's Workers' Compensation Program, regardless of fault, assuming
the injury is occupationally related and took place within the course and scope of
employment or service to the University. Injuries that are self-inflicted or those
due to willful misconduct, horseplay, or influence of alcohol or illegal substances
are not covered.
All work-related injuries are covered under Workers' Compensation so long as the injury
is directly related to work and took place while in the conduct of work. All injuries
are to be reported to the Department of Human Resources.
Immediately notify your supervisor. Employees must then visit the Department of Human
Resources to file a Workers' Compensation claim before seeking medical attention,
unless the injury or illness is life threatening. If your injury prohibits you from
visiting the Department of Human Resources in advance, you should seek medical treatment
at Med Center Health at WKU or a physician of your choice. The Department of Human Resources should be notified
as soon as possible after seeking medical care. In either circumstance, the treating
physician must be made aware that the injury occurred at work and a Worker's Compensation
claim will be filed. Do not file a claim with your personal health insurance.
If you are injured on the job (M-F 8:00am-4:30pm) it is recommended that you seek
treatment at Med Center Health at WKU, but you have the option of visiting a medical facility of your choice. Med Center Health at WKU is located at 1681 Normal Drive - on the corner of Normal Drive and Regents Avenue
- and patient parking is available in front of the building. If the injury occurs
at times other than regular business hours, you should seek treatment at the closest
medical facility of your choice and notify the Department of Human Resources as soon
as practical. If the injury is life-threatening, you should seek treatment at the
nearest emergency room, call 9-1-1 or campus police at 745-2548. The Department of
Human Resources should be notified of the injury as soon as practical at 745-8841
so that a Workers' Compensation claim can be filed.
Medically necessary visits to an authorized health care provider include surgical
procedures, hospital care, dental, prescription medications, mileage if seeking treatment
outside of town, and any other medical supplies or services ordered by your authorized
physician. Chiropractic visits may be limited.
If your injury is minor or does not require immediate medical treatment you are still
responsible for reporting that injury to your supervisor. An accident investigation
must be completed and submitted to the Department of Human Resources within 3 days
of the incident. This is to ensure proper documentation of the injury in the event
medical treatment is needed in the future and also to identify the cause of the accident
so that similar injuries do not occur.
No. All medical charges will be paid by the University's Workers' Compensation Program.
If you should receive any bills, contact the Department of Human Resources or send
them directly to Wetherby Administration Building, Human Resources, Room G25 or fax
to 745-5582. Should the claim be denied, the employee is responsible for all medical
costs.
Yes. You will be paid $0.43 cents per mile for travel. A mileage log must be kept
verifying round-trip mileage, date traveled, reason for travel, and location.
On the day of injury, employees receive their full pay for scheduled work. Employees
are advised to schedule future medical appointments either before or after their scheduled
shift. When it is necessary for appointments to be scheduled during working hours,
employees must use accumulated sick or vacation time, if available.
Risk Management Services Corp. (RMSC) is the University's Third Party Workers' Compensation
Administrator. RMSC is responsible for accepting or denying claims in compliance with
the law and also for monitoring and processing the claims. Additionally, RMSC is responsible
for payment of medical bills and compensation. The goal of the University's Workers'
Compensation Program is to provide the best medical care to the injured employee in
order to reach maximum medical improvement and return to work as soon as possible.
An employee who sustains a compensable injury and is unable to work after waiting
a period of seven days is entitled to income benefits which are calculated at 66 2/3
percent of the employee's average weekly wage, but no more than one hundred percent
(100%) of the average weekly wage. Entitlement to these benefits begins on the eighth
(8th) day of disability. The first seven (7) days of disability are payable only if
the disability lasts (15) days or more. "Days of Disability" refers to those days
when a doctor has deemed an employee unable to work because of a work related injury
or disease. These "days of disability" do not refer only to consecutive scheduled
workdays, but also include weekends and holidays. Medical and income benefits usually
continue until an employee reaches maximum medical improvement, is released to return
to work by a physician, or returns to work, whichever comes first. Any absence from
work must be authorized by the employee's treating physician.
Example: $500.00 x 66.6 = $333.00 / week
The University will allow employees to use accrued medical and vacation leave so that
employees remain in paid status as long as possible. Upon receipt of a lost time payment
from the Workers' Compensation claims adjustment service, the employee will endorse
the payment or a portion of the payment to the University and an equivalent amount
of leave time will be restored.
If an employee elects not to use their medical or vacation leave while off work due
to a work-related injury, the employee will remain in "unpaid status" with the University
during the leave period. Employees will receive lost time salary payments beginning
the 8th day at the rate of 66 2/3 percent of their average weekly wage from the Workers'
Compensation claims adjustment service.
If leave time is not available, the employee will remain in "unpaid status" with the
University during the leave period and will receive salary payments beginning on the
8th day at the rate of 66 2/3 percent of their average weekly wage. This will be paid
by the Workers' Compensation claims adjustment service.
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