What is Workers’ Compensation?
Workers’ Compensation is a state-mandated insurance plan designed to provide benefits and assistance to all workers who are injured as a result of their employment or who develop job-related illnesses. This is a “no fault” system that does not try to place blame on either the employer or the employee.
Benefits may include: medical costs, temporary disability, permanent disability, vocational rehabilitation, or death benefits. The objective of the UCSB Workers’ Compensation Program is to assist in your quick recovery and return to work.
What is a work-related injury?
The California Labor Code’s definition of the term “injury” includes “any injury or disease arising out of employment and occurring in the course of employment.” The injury may result from a trauma or a disease.
- Specific injury – Injury to one or more parts of the body resulting from a specific incident.
- Cumulative trauma injury – Injury from repetitive traumatic activities over a period of time, such as exposure to chemicals or fumes.
- Aggravation – A pre-existing condition or non-work-related condition aggravated by an occupational injury or disease. The employer provides medical treatment until the employee returns to the pre-injury status of the pre-existing condition.
When am I covered by Workers’ Compensation?
Generally, Workers’ Compensation coverage begins the first minute you are on the job and continues any time you are officially on the job performing a service for the University as an employee or official volunteer.
Workers’ Compensation does not provide coverage for injuries that occur during the normal commute to or from work; that occur during an unpaid mealtime; that result from recreational activities; that result from substance abuse or intoxication; or that result from starting a physical fight or engaging in horseplay.
What are my responsibilities?
- Report your injury or illness to your supervisor.
- Forward any disability or work status slips from your doctor to your supervisor and keep your supervisor up to date about your progress.
- Keep track of any time you are away from work.
- Participate in your recovery.
- Advise your supervisor when your doctor releases you to return to work either as fully recovered or able to participate in the Transitional Work Program (TWP).
- Keep all pertinent documents for your records.
When is a decision made about my claim?
Within 14 days after filing a workers’ compensation claim, Sedgwick CMS will notify you of your claim’s status. Your claim will be accepted, denied, or delayed.
If the injury or illness clearly arises from your employment it will be accepted. If it clearly does not, it will be denied. If the administrator needs more time to gather information, the claim is delayed. The administrator may gather additional information by talking directly with you, with your supervisor or colleagues, or by asking your consent to review your medical records. The administrator will notify you by letter when a decision will be made.