Workers' Compensation

Scope

This policy applies to all employees.

 

Policy Statement

RIT’s workers compensation program is self-funded – that is, all benefits provided under the program are paid for by RIT from its general assets.  RIT does not process the claims for Plan benefits; RIT has entered into a contract with First Niagara Risk Management, Inc., to process these claims and to provide certain other services under the program.  RIT is also a participant in the New York State Workers' Compensation Preferred Provider Organization and provides the medical management for its program through its Preferred Provider Organization (PPO) known as Key Insurance and Benefits Services.

 

Procedures

RIT's Workers' Compensation benefits are provided to employees who are injured while performing the duties of their employment with RIT. In the event of a work-related injury, managers and employees need to follow the designated procedures to report the injury and access medical treatment. These procedures need to be followed in order for expenses associated with the injury (e.g., medical treatment, lost time wages) to be covered by RIT's plan. For your reference, you will find the procedures below in two different formats:

Procedures - Bullet Point Listing

Procedures - Flowchart

 

Reporting of Injury

Immediately following an accident or injury, the employee needs to report the incident to his or her supervisor. All accidents and injuries must be reported by the end of the work shift on the day of accident.  At that time, the employee and his or her supervisor should complete an Employee Accident Report Form.  It is important to complete this form completely, including information regarding medical treatment and lost time (i.e., time missed from work).  This information is essential to properly administer benefits under this program.  After the form is signed by the employee and supervisor, it should be faxed to the Human Resources Department at 585-475-7170.  Failure to report a work related accident or injury or misrepresentation of information in reporting a work related accident or injury through communication to the employee’s manager and/or on the RIT Workers’ Compensation Accident/Injury/Illness Report Form, is a violation of RIT policy which may result in discipline up to and including termination of employment.

 

Medical Coverage

If an employee's injury requires medical treatment, the employee should contact the case manager at Key Insurance and Benefits Services at (585) 770-1600/v to arrange medical care.    In the event of a serious or life threatening injury, the employee or supervisor should contact RIT Public Safety at (585) 475-3333 or 911 immediately to arrange for an ambulance to transport the employee to the nearest emergency room.  It is important that all non- emergency medical care be handled through the Preferred Provider Organization; unauthorized medical care will not be covered by RIT's Workers' Compensation program.

 

Pay for Lost Time

New York State Workers’ Compensation benefits provide income replacement payments for medically authorized lost time for work related injuries and illnesses.  Following a one week waiting period, state benefits provide a maximum of two-thirds of the employee’s base wages to a weekly maximum defined by New York State. 

During the one week waiting period, a non-exempt employee will be paid with sick/personal time, if available and an exempt employee will be paid with salary continuation.  If a non-exempt employee does not have sick/personal time, the employee will not be paid during the waiting period.  Following the waiting period, RIT will supplement New York State Workers’ Compensation benefits to bring an employee’s pay to its regular amount for up to 8 weeks for disabilities authorized by a participating medical provider within RIT’s PPO.  If you remain disabled beyond 8 weeks, your benefit will be based on the New York State benefit.

Please Note– Injured or ill employees are required to obtain treatment from participating PPO providers for the first 30 days of treatment.  Employees have the right to opt out of the PPO after 30 days of treatment; an employee who chooses to opt out will not receive RIT’s supplemental workers’ compensation benefits. 

If an employee is eligible for Family Medical Leave, lost time for a work-related injury or illness will be applied under the Family Medical Leave Act.  A position will be held for six months for an employee who is either totally disabled or on restricted duty. 

When an employee is disabled and receiving workers’ compensation benefits, the following additional rules apply:

  • If lost time crosses over into a new fiscal year, the employee may not take vacation or sick/personal days accrued in the new fiscal year until they physically return to work.
  • Employee’s will not receive holiday pay during the period of disability.
  • If a planned retirement or termination date occurs, supplemental pay will end on the retirement/termination date.  The statutory workers’ compensation benefit will continue if the employee remains disabled.

 

Policy History

Revised January 2016