Frequently Asked Questions
- What do I do if I have an accident?
- Where do I go for medical care?
- What is Workers’ Compensation?
- How do my prescriptions get paid for?
- Under what circumstances would I get reimbursed for mileage?
- What forms do I need to submit to the Office of Human Resources?
- How soon do I need to submit my paperwork to the Office of Human Resources?
- What happens to the forms I submit to the Office of Human Resources?
- What if I cannot return to my job?
- How soon can I try to return to work?
- How is my accrued leave affected?
- When do my Total Temporary Disability (TTD) payments begin accumulating?
- What if I see an unsafe act or condition at work?
- What if I don’t want to file a claim?
Please follow the list of steps outlined here. Please also ensure you submit an Accident or Illness Report and Prescription Form to HR regardless of interest in filing a claim for compensation. You must notify HR in writing if you are not interested in filing a claim.
NOTE: If you or a coworker experiences a life or limb threatening injury or illness, seek immediate medical treatment by calling 911 to receive emergency assistance. Do not delay seeking treatment to follow the standard Workers Compensation process; it can be completed after the necessary attention is received.
Previously employees experiencing a work-related injury or illness would start the process at Student Health Services. No longer is this the case. In the event of a non-life or limb threatening emergencies, minor injuries should first be reported to our supervisor or HR to file a claim with the State Self Insurance Fund (SSIF). SSIF will make a determination on whether or not treatment is authorized under the State Workers Compensation program and if it is, the SSIF adjuster will make an appointment for you at an approved healthcare provider location and call you with the details. Typically, this process does not take very long. However, you may seek treatment prior to SSIF authorization if you feel it is necessary, but be aware that you will need to proceed with treatment under your personal insurance. Then, if your SSIF claim is denied, you will be responsible for any billing associated with your injury or illness. Additionally, if you seek treatment from an unauthorized healthcare provider (i.e. your personal physician), reimbursement ma be limited to $500.00 toward medical expenses. The amount of time given to report the injury or illness to SSIF is also reduced.
Workers' compensation is insurance that provides coverage for an employee who has suffered an injury or illness resulting from job-related duties and must seek medical assistance. An employee is eligible for workers compensation if an injury or illness occurred as a result of his/her work activity and occurred while the employee was in pay status. When an employee is injured at Wichita State University, that employee must follow proper procedures in order to be eligible for compensation. It is important to contact HR if you have any questions.
The treating physician will specify where the prescription is sent for you to pick up. The employee will pay for the prescription and bring a copy of the receipt to HR. Receipts are then sent to CompAlliance for consideration of reimbursement.
Every injured employee is eligible for mileage reimbursement, assuming the employee’s claim is approved by State Self-Insurance Fund. A mileage reimbursement form is available for use in tracking the miles you drive related to either obtaining medical care or purchasing medical related items, such as prescriptions. This form should be submitted periodically to HR, who will forward to CompAlliance for consideration of reimbursement.
- Employee Accident or Illness Report and Prescription Form – must be completed and submitted to HR to file a claim. Download either a Word or PDF file.
- Mileage Reimbursement form– must be completed and submitted to HR to be reimbursed for mileage to medical appointments or prescription pick-ups. Download either a Word or PDF file.
- Injured Employee’s Report of Injury- this form will be required by SSIF after initial paperwork is submitted. It will be mailed to your home. However, you may complete it and give to HR to send for you. It is to be completed in your own handwriting.
- Doctor’s medical report(s) and progress report(s). When you seek medical attention from a physician, you must notify that physician when your visit is for a workers’ compensation claim. This should signal your doctor to give you proper forms to be submitted to the HR, but you may want to specifically ask your doctor if they need to give you any paperwork related to Workers’ Compensation to submit to your employer. It is very important to submit all documentation to HR to ensure all of your visits are eligible for compensation. Doctor’s medical report(s) includes diagnosis, prognosis, return to work date, limitations, work restrictions, medical test referrals, and/or prescriptions. Every time you see your treating physician, you must collect these progress reports.
It is crucial to submit all paperwork and documentation to HR as soon as possible to ensure eligibility for compensation. The Employee Accident and Illness Report and Prescription Form must be submitted to Human Resources within 3 days of the employee’s injury or illness to ensure timely submission to SSIF.
When you submit an Accident and Illness Report with intent to file for Workers Compensation, our office will complete and submit all associated documentation to SSIF. SSIF will review your claim, along with all physician paperwork and notify you through postal mail if your claim is approved or denied.
If your treating physician does not allow you to return to work right away, notify both your supervisor and HR as soon as possible. The treating physician will let you know when you can return to work and if you have any physical work restrictions. Always notify your supervisor and HR with this information. It is crucial that you do NOT return to work unless authorized by the physician and HR. Additionally, if you are authorized to return to work with restrictions, this information needs to be supplied to HR to determine if the specified restrictions can be accommodated prior to you starting work again.
Your treating physician must first give you approval to return to work (see question 9). Your return will also depend on your physical work restrictions specified by the treating physician. Work restrictions are accommodated by your supervisor, HF, and WSU. However, if your physical restrictions cannot be accommodated, you will not be able to return to work until those restrictions have been lifted.
The State of Kansas requires that your sick leave is used toward any time away from work when you are injured or not authorized for returning to work under Workers Compensation. If and when your sick leave becomes depleted, vacation time will be used next. If both sick leave and vacation time become depleted, then you will be on leave without pay.
TTD payments are the compensation you will receive if you are approved for Workers’ Compensation by the State Self-Insurance Fund. The amount received is calculated based on your wage or salary at WSU. Your TTD payments will begin accumulating on the eighth (8th) full, consecutive day of missed work. You will receive payments on normal pay period ending days.
Please report all information to Human Resources as soon as possible so an investigation process can begin.
When you submit the Accident or Illness Report to HR, please attach a note that you do not want a claim to be sent to SSIF for medical compensation. HR still requires that you submit the form for university safety documentation regardless of your desire to file a claim.
Total Rewards Team
Reviewed: 07/16/2018 CB
Updated: 07/18/2018 CB