WC COVID-19最佳实践

尽管围绕COVID-19的问题和情况不断演变, the following information is intended to provide current best practices as they relate to the workers’ compensation program. This best practices document should not replace information from the Centers for Disease Control and (CDC) or the California Department of Public 健康 (CDPH) for the most current information about COVID-19.

除了这里所涵盖的内容之外，您还有什么问题吗, 你可以联系人力资源部的工人赔偿经理. 您也可以与环境健康与安全经理联系 风险管理.

接触COVID-19是否被视为工业接触?

  • 曝光 不是一种伤害.
  • 工伤或疾病赔偿必须涉及治疗和残疾的需要(LC3208).1).
  • 另外, 一旦受伤, 必须找到可补偿性，才能提供工人补偿利益(立法会4060号).
  • 比如普通感冒或流感, the coronavirus is likely to be considered a non-occupational disease unless the employment put the employee at greater risk than the general public and the employee contracted the coronavirus in the course and scope of his or her employment.

何时应向雇员提供申索表格(DWC-1)?

  • 根据现行法律, 雇主不需要提供COVID-19的员工索赔表(DWC-1). WCAB 2005).
  • 一般来说, the employee must ask for a claim form or tell the employer they believe COVID-19 was contracted as a result of their employment in order to trigger the duty to provide a claim form:
    • Within one working day of receiving notice or knowledge of an injury that results in lost time beyond the employee’s shift or that results in medical treatment beyond first aid (LC5401(a))
    • Within one working day of being notified by an employee that they believe to have suffered an injury (LC5401(a))
    • 在收到医疗报告或任何其他资料后, 从任何来源, 记录COVID-19病毒是在工作中感染的.

在住家命令期间, 有些员工必须报到，因为他们被认为是“必要员工”的一部分.“如果申请COVID-19索赔, how will it be determined whether the employee contracted the virus while in the course of their employment at work or somewhere unrelated to their employment?

  • 如果提交了索赔表(DWC-1)，则每个索赔将根据其各自的优点进行评估.
  • 塞奇威克将对索赔细节进行彻底审查，以确定是否存在伤害 and if there is compensability under the California laws for workers’ compensation.

COVID-19暴露是否会被视为工伤赔偿的推定?

员工在提出索赔之前必须检测COVID-19呈阳性吗?

  • 雇员可以在任何时候提出申诉，他们认为自己受到了工伤.
  • 塞奇威克将对索赔细节进行彻底审查，以确定是否存在伤害.
  • A positive test for COVID-19 in itself does not qualify for the definition of an injury under workers’ compensation laws. 伤害必须造成医疗和残疾.

雇员何时应转介到指定的前线医护人员?

  • 当雇员声称因工作而受伤时.

如果/当员工联系工人赔偿经理，声称因COVID-19受伤, 作为就业的结果, 厕所经理在推荐员工进行医疗护理时会遵循什么协议?

Environmental 健康 Services and 风险管理 will be notified immediately to ensure proper investigation and notification to appropriate authorities.

在目前的指导方针下, 除非个人有症状, 不建议由医疗专业人员对其进行评估. 参见“员工何时应该接受COVID-19检测。?“低于.

如果需要进行非紧急医疗治疗, 该员工将被转介给指定的一线提供者. 在某些情况下，员工可能会被转介给他们的私人医生.

如果因暴露于COVID-19而受伤，应提出工人赔偿索赔, 过程是怎样的??

  • 处理与COVID-19相关的索赔的流程与任何其他索赔没有什么不同.
  • 曝光, 或COVID-19检测呈阳性, 是否必然导致可赔偿的工人赔偿申索.
  • 在很多情况下, an investigation will need to be conducted to determine if there is an injury or illness and if there is industrial causation.
  • The employee may receive a “delay in benefits” notice during which time no Temporary Disability benefits would be paid but medical treatment will be provided, 最高10美元,000 (LC5402 (c)).
  • 在调查完成后，索赔将被接受或拒绝. 最长可达90天(立法会5402号).

Are workers’ compensation Temporary Disability benefits available for employees that are unable to work as a result of being exposed, 或COVID-19检测呈阳性?

  • 曝光 to COVID-19 may not result in an injury (lost time and/or medical treatment beyond first aid) and may not be the result of employment.
  • Temporary Disability benefits are owed only where there is a compensable workers’ compensation injury and where there is medical evidence to support the need to be off work.
  • 的基督教社会联盟DH Benefits office provides information to assist employees with determining whether they are eligible for leave benefits

是否向被要求隔离的员工提供临时残疾福利?

  • 应该考虑员工是否可以在家工作. 现在的"在家更安全"行政命令, 加州的大部分员工都在远程工作.
  • Employers are not required to provide workers’ compensation benefits to an employee who is sent home during the quarantine period (香气和. WCAB 1987).
  • 伤害必须导致残疾或需要医疗(LC3208).1).

员工应该什么时候接受COVID-19检测?

为什么工人赔偿一线提供者不检测COVID-19?

  • Testing resources in the United States lag far behind demand with testing often reserved for those that are symptomatic to help with treatment decisions.
  • 测试技术和可用性可能正在迅速变化. 有关最新信息，请咨询CDC和/或CDPH网站.
  • 那些觉得自己应该接受检测的员工应该被鼓励联系他们的私人医生.

如果员工COVID-19检测呈阳性，雇主应该怎么做?

For injured workers who were working modified duties prior to the university’s closures for COVID-19 and now find themselves not working, 他们是否有资格领取临时残疾津贴?

  • Benefits should follow the university’s policy for payment of salary for all employees during the COVID-19 event.
  • 所有员工的福利都应该持续和一致, 这样雇主就不会区别对待每个人.
  • Benefit information will be shared with the claims professional team so that they can properly document their files on the continuation of salary or other benefits. This is especially important for the claims professionals to have this information in their file at such time it is needed for an audit auditors have asked for confirmation of salary paid to injured workers via payroll records.

对于直接领取临时残疾津贴的受伤工人，这些福利会继续吗?

  • 是的, Temporary Disability will continue to be paid unless the employer is paying the employee their full salary.
  • 我们都知道, many physicians have cancelled or postponed in-person follow up appointments during the “Safer at 首页” mandate. The employees that fall under this category will continue to receive Temporary Disability as reasonable for injured workers to obtain necessary treatment and for physicians to determine ongoing Temporary Disability, 可能通过远程医疗方案.

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