Worker's Compensation
This document contains information relating to worker's compensation, including how the process works and responsibilities of employers and employees. This is only a summary. More information is located in the Employee Benefit Manual updated 6/2009. Contact the Fiscal Office for more information or to file a claim at 620-724-6117.
Worker's Compensation Book
Worker’s Compensation
How the Claims Process Works:
Worker's Compensation Book
Worker’s Compensation
How the Claims Process Works:
- Job-related injury occurs.
- Worker notifies employer & Fiscal Office within ten days.
- Employer notifies the insurance carrier.
- Employer mails or delivers information packet to employee or legal beneficiary.
- Employer and insurance carrier files accident report with the Division of Workers Compensation.
- Division of Workers Compensation mails written claim form to employee.
- Employee files written claim form with employer.
- Insurance provider pays medical expenses and temporary disability benefits to employee, as appropriate.
- If employee and employer disagree on entitlement to medical and temporary disability benefits, the employee requests a preliminary hearing.
- The case is assigned to an administrative law judge for a preliminary hearing. The judge takes evidence and makes a ruling.
- At any time in the process, any party to a workers compensation claim may request a mediation conference, which will be scheduled upon agreement by the other party.
Division of Responsibilities
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Employee
Gives oral or written notice to employer & Fiscal Office within 10 days of injury For occupational disease, gives written notice to employer within 90 days of onset of disability or death Files written compensation claim with employer within 200 days of date of injury or receipt of last payment of compensation or medical treatment Files written claim with employer within one year of onset of disability from an occupational disease Files application for hearing within three years of injury, or two years of last payment of compensation or medical treatment In death cases, legal beneficiary files written claim to employer or insurance carrier within one year of employee’s death from injury or occupational disease |
Division of Workers Compensation
Makes official record of accident reports filed with division Mails written claim form to employee after receiving accident report from employer or insurance carrier Mails information on rights and responsibilities to employee |
Employer
Advises insurance carrier of employee’s injury Employer/carrier files accident report with the Division within 28 days from the date of employer’s knowledge of injury Delivers information immediately to employee or legal beneficiary to assist in the claims process (material is available from the employer’s carrier or the Division of Workers Compensations) |
Categories of Disability Benefits
Temporary Total Disability
Exists when the employee, on account of injury, is unable to engage in any type of substantial and gainful employment. Benefits are paid for the duration of the temporary total disability (TTD). There is a one week waiting period before TTD benefits are paid. If the disability continues for three consecutive weeks, the employee is reimbursed for the waiting period. Employees may collect medical benefits during the first week.
Benefits are 66.67 percent of an employee’s average gross weekly wage, but not less than $25 nor more than the statutory maximum. Temporary total compensation may not exceed $100,000 per injury.
Employees may not collect temporary total disability and unemployment benefits for the same week.
Temporary Partial Disability
Exists when the worker returns to any employment at a wage less than the time of in injury wage. Compensation is calculated on a weekly basis, and is paid until the wage loss is no longer present, or the benefit maximum is reached, whichever comes first.
Benefits are 66.67 percent of the difference between the employee’s average gross weekly wage before the injury and the employee’s wage after the injury. Benefits may not exceed the state’s statutory maximum.
Permanent Partial Scheduled Disability
Exists when there is complete or partial loss of use of a body part, such as an arm, due to a job-related injury. Compensation for permanent partial disability is limited to a percentage of the following schedule. A healing period is available in most cases of amputation. Benefits are 66.67 percents of employee’s gross weekly wage, but not less than $25 nor more than the statutory maximum.
Temporary Total Disability
Exists when the employee, on account of injury, is unable to engage in any type of substantial and gainful employment. Benefits are paid for the duration of the temporary total disability (TTD). There is a one week waiting period before TTD benefits are paid. If the disability continues for three consecutive weeks, the employee is reimbursed for the waiting period. Employees may collect medical benefits during the first week.
Benefits are 66.67 percent of an employee’s average gross weekly wage, but not less than $25 nor more than the statutory maximum. Temporary total compensation may not exceed $100,000 per injury.
Employees may not collect temporary total disability and unemployment benefits for the same week.
Temporary Partial Disability
Exists when the worker returns to any employment at a wage less than the time of in injury wage. Compensation is calculated on a weekly basis, and is paid until the wage loss is no longer present, or the benefit maximum is reached, whichever comes first.
Benefits are 66.67 percent of the difference between the employee’s average gross weekly wage before the injury and the employee’s wage after the injury. Benefits may not exceed the state’s statutory maximum.
Permanent Partial Scheduled Disability
Exists when there is complete or partial loss of use of a body part, such as an arm, due to a job-related injury. Compensation for permanent partial disability is limited to a percentage of the following schedule. A healing period is available in most cases of amputation. Benefits are 66.67 percents of employee’s gross weekly wage, but not less than $25 nor more than the statutory maximum.