HOW TO REPORT A WORK RELATED ACCIDENT
If you are injured on the job, you must fill out an Accident Report and the Instructions and Information for Injured Worker forms, even if you are choosing not to seek medical treatment at the time of the accident. The forms are located with the school nurse/health tech or click on the link above. Once completed, the form needs to be faxed to the Benefits Office at 579-2138 as soon as possible, same day of injury if possible. Employees who are injured on the job are required to report this information to the Insurance Risk Manager within 24 hours of injury. If the accident occurs on a Friday, weekend or holiday, report it as soon as possible on the first workday after the injury. If seeking care through a hospital/ER, please make sure to notify the provider that this is a work related injury so that they can contact the Risk Management office for billing information.
An affected employee or someone acting on his/her behalf must given written notice of the contraction of an occupational disease to the Insurance Risk Manager within 30 days after the first distinct manifestation of the disease. If the notice is not given within 30 days, the workers' compensation entitlement may be reduced in accordance with state law.
If your injury requires medical treatment, you will need authorization from the Benefits Office. The Benefits Office can be reached at 579-2037 from 7:30 a.m. to 4:00 p.m., Monday through Friday. If you injury occurs after the Benefits Office has closed and you require immediate treatment, please proceed with treatment as instructed below and contact the Benefits Office the VERY first thing the next business morning.
If the injury occurs Monday-Friday between the hours of 8:00 - 5:00 you will need to be seen by one of the District's contracted Designated Medical Providers listed below - Integrity Urgent Care, Concentra South, or HealthQuest Medical Services. For a map to the clinic, click on the clinic's name.
Integrity Urgent Care (effective 8/1/10)
(NW corner of Barnes & Powers)
4323 Integrity Center Point
Colorado Springs, CO 80917
Hours: Mon-Fri: 8:00 a.m. to 8:00 p.m.
Sat-Sun: 9:00 a.m. to 4:00 p.m.
2322 S. Academy Blvd.
Colorado Springs, CO 80916
Hours: Mon-Fri: 8:00 a.m. to 5:00 p.m.
HealthQuest Medical Services Inc.
1495 Garden of the Gods Road, Suite 102
Colorado Springs, CO 80907
Hours: Mon-Fri: 8:00 a.m. to 5:00 p.m.
Sat: 8:00 a.m. to 12:00 p.m.
In the event of an injury requiring care either before or after-hours or weekends, care can be obtained at one of the clinics listed above that offer after-hours care or at one of the hospital facilities listed below:
Penrose Hospital Main
2222 N. Nevada Avenue
St. Francis Medical Center
6001 E. Woodman Rd.
1440 E. Boulder St.
Memorial Hospital North
4050 Briargate Pkwy
Please be advised that if you are seen in the Emergency Room, the following business day you will be required to have a follow-up appointment with one of the designated medical providers listed previously. They will be responsible for ALL your care following the visit to the emergency room.
WORKERS' COMPENSATION PROCEDURES
An employee who is temporarily disabled and unable to work as the result of an injury arising out of and in the course of employment shall be placed on workers' compensation leave and is eligible for workers' compensation benefit payments. The determination of the ability to work will be made by the designated workers' compensation physician.
The primary source of compensation for an employee on workers' compensation leave shall be the indemnity payment from the workers' compensation insurance carrier, pursuant to Colorado workers' compensation law and the requirement of the Colorado Division of Workers' Compensation.
An employee shall be entitled to supplement the indemnity payment by using earned sick leave and vacation time computed so that the combination of indemnity payment and district-paid benefits does not exceed 100% percent of the employee's weekly wage or equivalent.
An employee who is injured, but allowed to return to restricted work by one of the designated medical providers, will be offered temporary modified duty. Harrison School District Two is able to accommodate any restriction given an employee injured while on duty. Temporary modified duty may be offered at a different District location with different working hours. For full- and part-time regular employees, if the injured worker accepts the temporary modified duty offer, they will continue to receive their normal rate of pay and number of hours scheduled. For substitutes, if the injured worker accepts the temporary modified duty offer, they will continue to receive their normal rate of pay; however number of hours worked will be based on the average number of hours they worked for the 12 week period preceding the date of injury.
Any employee injured while on duty, who does not accept the temporary modified duty, will have to use annual leave, unpaid leave, or vacation for absences and must complete leave of absence paperwork per the guidelines set by Human Capital. Employees who do not accept temporary modified duty are still subject to the District's absenteeism guidelines. Additionally, if an employee is FMLA-eligible, FMLA leave will be administered concurrently, for any portion of the 12-week period of eligibility, with any annual leave, unpaid leave, or vacation the employee chooses to use in lieu of accepting temporary modified duty.
Employees shall continue to receive their regular school district insurance coverage based on their pre-injury coverage for up to 12 weeks (whether or not the employee is eligible for FMLA benefits) while under a temporary total disability off work status, as determined by the designated workers' compensation physician. If not able to return to work on temporary modified or full duty at the conclusion of 12 weeks, continuation on the school district insurance will be allowed with payment of the entire premium (District will no longer supplement premium) for coverage for a period of time not to exceed an additional twelve (12) weeks. If unable to return after the second 12 week period, continuation of coverage will only be allowed through COBRA.
The employee may be required to present a medical doctor's statement for any absences including those that are charged to workers' compensation.