Workers Compensation
Welcome
All University employees are covered under the North Carolina Workers’ Compensation Act, including full-time faculty; staff (EHRA and SHRA) and part-time, temporary, and student employees. Any employee who suffers an accidental injury or contracts an occupational disease within the provisions of the Workers’ Compensation Act is entitled to benefits provided by the Act. The employee must notify his or her supervisor immediately, in writing, using appropriate forms available in the Department of Human Resources.
In the event of death resulting from an injury arising out of and in the course of employment, compensation is paid to the surviving spouse for 400 weeks at 66-2/3 percent of the deceased employee’s average weekly wage at the time of the accident. If there is no surviving spouse, compensation payments due to a dependent child are paid for 400 weeks or until the child reaches the 18th birthday, whichever is later. For further details, refer to your Workers’ Compensation Handbook.
Note Regarding Forms: For Injury Data Collection and HRS Form 301 – please submit original to Human Resources. Send copies to: Office of Environmental Health & Safety, Department, and Employee.
Employee Injury
A employee who is injured on the job or who contracts an occupational disease must seek medical attention from the following list of approved medical providers:
Life Threatening Injury
Call 336.334.4444, University Policy/Emergency for emergency services. Request to go to Moses Cone Hospital any time during 24-hour period.
Serious Injury
Call 336.334.4444, University Police/Emergency for emergency services, or Supervisor / authorized individual should take employee to Moses Cone Hospital or Wesley Long Community Hospital Emergency Departments any time during 24-hour period.
Non- Serious Injury
If you have a non-serious injury but still require medical attention, please visit UNCG Student Health Services. Hours of operation and additional information is available on the website. In the event Student Health Services is closed and cannot provide care, employees should go to Moses Cone Occupational Health at 719 Green Valley Road. For directions please call 336.832.3600. Hours of operation are Mon – Fri 8 AM – 5 PM. If Moses Cone Occupational Health is closed, you may proceed to the Wesley Long Hospital or Moses Cone Hospital Emergency Departments. Employees may not choose their own doctor.
Reporting Injuries
Report all injuries immediately employee’s supervisor, the Workers’ Compensation Administrator in Human Resources (336.334.5009) and the UNCG Department of Environmental Health and Safety (336.334.4357).
Procedures
A. Employee must return to work following the doctor’s visit unless the approved treating physician provides written authorization prohibiting return to work.
B. Send copies of all doctor’s notes and attending physician reports to the Worker’s Comp Administrator in Human Resources. He/she will forward to the University Third Party Administrator (CCMSI) for processing.
C. Complete Forms 19, 301, and the Employee Statement Form as quickly as possible. Forms may be obtained from the HR Files and Forms page, or from the Department of Environmental Health and Safety.
D. The supervisor should follow-up with the employee. His/her care and return to work is a major concern to the University.
E. Adhere to Return to Work procedures. Notify the Worker’s Comp Administrator in Human Resources if there is a problem in assigning transitional work within the scope of the doctor’s recommendations.
F. Encourage safe work practices. Correct unsafe conditions immediately or contact the UNCG Department of Environmental Health and Safety.
Failure to comply with the above procedures may result in a denied claim.