|
| 1. | Your
insurer should provide you with a breakdown of reported injuries
and costs called a loss run. Some insurers will break this report
down by job classification and provide a comparison to the previous
year. |
| 2. | Your
Experience Modification (ex-mod) uses your past loss experience
as a predictor of future losses and is one of the factors used
to determine your premium. Loss experience is evaluated 18 months
from the effective date of your policy, then 12 months later
and a third time 12 months after that. The three are then averaged
to determine your ex-mod. |
| 3. | Approximately
30% of work injuries occur among employees who have been employed
for less than a year. |
| 4. | It
is the employer’s responsibility to provide a claim form
to an employee within one day of finding out about the injury.
When the employee returns the form, the employer has one day
to complete it and submit it to the insurer. The employer’s
report must be sent to the insurer within five days. The required
pamphlet must be given to the employee within five days of finding
out about the injury. |
| 5. | CalOSHA
has special training requirements for hospitals and medical
facilities. |
| 6. | The most frequent type of workplace injury is sprains and strains. |
| 7. | Employers
must post a notice of compensation carrier in a conspicuous
place at the work site. This poster provides employees information
on the company's workers' compensation coverage and where to
get medical care for work injuries. Specific requirements are
contained in sections 3550-3553 of the California Labor Code.
Failure to post this notice is a misdemeanor that can result
in a civil penalty of up to $7,000 per violation. Contact your
insurer to get the posting notice and the required information
that must be included on it. |
| 8. | An
employer cannot ask employees to help pay for the insurance
premium. Workers' compensation insurance is part of the cost
of doing business. |
| 9. | The
definition of employee includes anyone who performs a service
for you including undocumented workers and minors. |
| 10. | Each
employee must be given the opportunity at the time of hire to
pre-designate a personal physician by whom s/he wants to be
treated in the event of a workplace injury. The choice must
be made in writing before the injury occurs, it must be the
employee’s regular, primary care physician under the employer’s
health insurance plan and the physician must agree to be pre-designated.
Prior to January 1, 2005 the employee may see his/her own pre-designated
physician for the first 30 days if the employer does not have
a Medical Provider Network in place. After January 1, 2005,
the employee can be treated by the Medical Provider Network
indefinitely, except under limited circumstances. |
|
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