Workers' Compensation Benefits
You may be entitled to workers’ compensation benefits if you are injured or become ill because of your job. Workers’ compensation covers most work-related physical or mental injuries and illness. An injury or illness can be caused by one event (such as hurting your back in a fall); by repeated exposures (such as hurting your wrist from doing the same motion over and over) or injury or illness developed gradually (like tendinitis or hearing loss). If your employer does not learn about your injury within 30 days, you could lose your right to receive workers’ compensation benefits.
Any injury arising from your voluntary participation in any off-duty, recreational, social or athletic activity that is not part of your work-related duties is not compensable under the Workers’ Compensation Program.
If You Get Hurt
Get Medical Care
If you need first aid, contact your supervisor. If emergency care is needed, call 911 for immediate help or go to an emergency room right away. Tell the medical staff that your injury or illness is job-related.
Your employer will advise you where to go for medical treatment. If you pre-designated a personal physician before injury (refer to Pre-Designated Physician section below) you may see him or her for treatment in certain circumstances. Otherwise, your employer has the right to select the physician who will treat you for the first 30 days. You may be able to switch to a doctor of your choice after 30 days.
Report Your Injury to Your Employer
Immediately notify your supervisor or the Workers’ Compensation Coordinator (WCC) at (209) 664-6921 so you can get medical help right away. Don’t delay. There are time limits. Your employer is required to provide you a claim form within one working day after learning about your injury. Within one working day after an employee files a claim form, the employer shall authorize the provision of all treatment, consistent with the applicable treating guidelines, for the alleged injury and shall continue to provide treatment until the date that liability for the claim is accepted or rejected.
If you pre-designated a personal physician, you may see that physician right after you are injured. A Pre-Designated Physician must be your personal physician or chiropractor who has regularly treated you and has your medical records on file and the physician agrees to be pre-designated. To pre-designate, completed the Pre-Designated of Personal Physician Form or the Pre-Designated of Personal Chiropractor or Acupuncturist Form and return to the Workers’ Compensation Coordinator (WCC), MSR340.
Information and Assistance: Refer to Guide Book for Injured Workers for additional information.
False Claims and False Denials
Any person who makes or causes to be made any knowingly false or fraudulent material statement or material representation for the purpose of obtaining or denying workers’ compensation benefits or payments is guilty of a felony and may be fined and imprisoned.