When an Employee Sustains an Injury . . .

1. When an Employee Sustains an Injury . . . It’s important to take all the right steps!

2. What type of treatment is needed? Contact 911 for emergencies For non-emergencies - Olin Health Center is the primary facility Secondary facility for after hours and weekends – Sparrow Urgent Care Complete an “Authorization to Invoice MSU” form for the employee to take with them

3. Authorization to Invoice MSU Form Find this on www.hr.msu.edu under the forms directory Fill form out completely Please write legibly Time of day determines facility used

4. Reporting the Injury or Illness • Complete a “Report of Claimed Occupational Injury or Illness” form • Forward completed form to the Workers’ Compensation office in Human Resources within 24 hours • Tony Lemke (A-K) 884-0163 • Kendra Sokol (L-Z) 884-0208

5. Report of claimed occupational injury or illness form • Find this on www.hr.msu.edu under the forms directory • Employee completes and signs first section • Supervisor completes and signs remaining sections • Do NOT send this form to the medical facility, it goes to MSU Human Resources

6. What is the Employee’s responsibility? • Report injury to supervisor • Seek medical treatment if necessary (release time) • Complete claimed occupational injury or illness report What is the Supervisor’s responsibility? • Complete authorization form • Send employee for medical treatment if necessary • Complete claimed occupational injury or illness report

7. Who should receive this report? • Worker’s Compensation Office at MSU HR (original) • Fax form over immediately once employee and supervisor have signed. Continue circulating original for other necessary signatures • The employee • The department where the employee works

8. Medical Treatment • An injured worker must treat with the MSU designated provider(s) for the first 28 days • After 28 days they can choose their own physician by submitting an “Intent to Treat” form

9. Intent to Treat Form • Find this on www.hr.msu.edu under the forms directory • This form is the employee’s responsibility • Must be completed prior to appointment • Coverage is not guaranteed

10. Work Restrictions • Can the department accommodate the restriction(s)? • Own job • Light duty • Reduced hours • Different job • Options if the department is not able to accommodate restriction(s) • Help in another unit • Off work until next re-check

11. Total Disability • FMLA is applicable after 3 days off, or if seeking on-going treatment. • Runs concurrently • FMLA forms need to be completed • Time is recorded FMLA on attendance system by department for the first 10 days of leave; then FMLA team member • FMLA questions: Beth Tominski 884-0188 (A-L) or Sheila Chorey 884-3652 (M-Z)

12. Total Disability • ADA is applicable depending on the length of limitation(s) and/or restriction(s) • Permanent disability • Affecting one or more activities of daily living • Questions regarding ADA go to Resource Center for Persons with Disabilities at 517-884-7906 • When does vocational rehabilitation apply?

13. Wage Replacement • Accident Time • Criteria for wage replacement • Totally disabled • Anytime the employee does not earn full wages beyond 7 calendar days

14. Wage Replacement • Workers’ compensation calculates a rate based on previous earnings • Rate is state-mandated • Currently 80% of after-tax wages • Highest 39 weeks of previous 52 weeks worked is used to calculate wage replacement amount • Marital status, dependents and tax filing status affect rates • There is a cap or weekly maximum on wages replaced

15. Impact on Time Off Accruals • MSU HR will use available sick time to off-set workers’ compensation earnings • WC staff will enter this time into the SAP attendance system

16. Medical Travel Reimbursement Request Form • Reimbursement of travel expenses to and from medical appointments • Find this on www.hr.msu.edu under the forms directory • The rate of reimbursement changes each year

17. Other entitlements • Cab service is available through Spartan Cab at 517- 485-4400 • Reimbursement of any related out-of-pocket expenses • Co-pays • Bandages • OTC expenses • Original receipts to MSU HR • Glasses may be covered

18. Impact on Benefits • Accrued time • Sick time must be used per contract • Vacation and personal time use must be authorized by employee • Once accruals are exhausted, the employee will not continue to accrue until he or she returns to work • Health insurance, dental insurance and other fringe benefits • If going on workers’ compensation, may need to pay benefits premiums to continue coverage

19. QUESTIONS

20. Long Term Disability Benefits

21. Long Term Disability Benefits • Must be full-time employee • Must have required number of service months • Must be off 180 days with LTD payable on 181st day • May be eligible for Extended Disability Leave (EDL) • 60 percent of base wages at time of disability

22. Long Term Disability Benefits • 15 percent into retirement contracts • Health and dental benefits continue • University pays life insurance premiums (if previously enrolled) • Placed on leave of absence for up to two years • Payable until age 65 if under 60 when disability occurs