WORKER'S COMPENSATION

To help everyone properly address injuries that occur on the job, please follow the chart below.

WORK RELATED INJURIES
SEVERE EMERGENCY MEDICAL TREATMENT REQUIRED NO TREATMENT REQUIRED
SUPERVISOR OR SECRETARY CALL 911 UPON NOTIFICATION EMPLOYEE NOTIFIES SUPERVISOR OF INJURY THEN PROCEEEDS TO CORPORATE CONNECTION EMPLOYEE NOTIFIES SUPERVISOR
SUPERVISOR OR SECRETARY CALLS BETSY TAYLOR (X1200) OR JANEL FABER (X1210) SUPERVISOR OR SECRETARY CALLS BETSY TAYLOR (X1200) OR JANEL FABER (X1210) EMPLOYEE AND SUPERVISOR COMPLETE 'EMPLOYEE AND SUPERVISOR REPORT OF INJURY'
INITIAL AUTHORIZATION TO TREAT FORM FAXED TO CORPORATE CONNECTION INITIAL AUTHORIZATION TO TREAT FORM FAXED TO CORPORATE CONNECTION REPORT IS TO BE FORWARDED TO JANEL FABER WITHIN 24 HOURS OF INJURY3
EMPLOYEE AND SUPERVISOR COMPLETE 'EMPLOYEE AND SUPERVISOR REPORT OF INJURY'1 EMPLOYEE AND SUPERVISOR COMPLETE 'EMPLOYEE AND SUPERVISOR REPORT OF INJURY'1  
REPORT IS TO BE FORWARDED TO JANEL FABER WITHIN 24 HOURS OF INJURY2 REPORT IS TO BE FORWARDED TO JANEL FABER WITHIN 24 HOURS OF INJURY2  

1The employee must indicate on the injury report form whether or not medical treatment was received.  Injuries not requiring medical treatment are not reported to our workers’ compensation insurance carrier. The Employee and Supervisor Injury Report can be found on the ISD website under Human Resource General Forms.

2It is imperative that these reports be forwarded WITHIN 24 HOURS OF INJURY.  Our workers compensation insurance company will deny payment of medical bills if an injury report is not on file.  Additionally, if further treatment or a referral is indicated, the insurance company cannot authorize such treatment without an injury report and claim number. 

3 Should the employee decide at a later date to seek medical treatment, he/she must call Janel Faber so that the injury report information can be forwarded to the insurance company.

WORKERS’ COMPENSATION – ADDITIONAL INFORMATION

 

Treatment for Injuries: 

Employees are urged to seek medical treatment as soon as possible after the injury.  All initial treatment must be handled through the Corporate Connection which is located within the M+ Outreach Services at 901 North Macomb St., Suite 1 in Monroe (See map below.)  This is across the street from the main hospital campus.

 

Follow-up Procedures:

After being seen at Corporate Connection, employees are expected to report to the Human Resource Department with the “Return to Work Recommendation”.  If the employee is given restrictions, the Assistant Superintendent for Human Resources will contact the supervisor to determine if the employee will be able to work with the stated restrictions. 

Note:  If an employee has restrictions, he/she must continue to follow-up with Corporate Connection until the restrictions are lifted.  The “Return to Work Recommendation” must be brought to the Human Resources Department following each appointment and prior to reporting back to work.

 

Evening or Weekend Treatment

Should an employee need treatment for a work-related injury during hours that the Corporate Connection is not in operation, employees are to be seen at the Emergency Department at Mercy Memorial Hospital.

Corporate Connection is located within the Mercy Memorial Outreach Services across the street from the main hospital campus. Our address is 901 N. Macomb Street, Suite 1, Monroe, MI 48162.

Phone: (734) 240-4150. Hours: Monday – Friday, 8:00 AM – 4:30 PM. After hour injuries are to go to the Emergency Department at Mercy Memorial Hospital, 718 N. Macomb Street, Monroe.

PDF DocumentEmployee and Supervisor Report of Injury