The State of Connecticut Workers’ Compensation Act provides for compensation and medical care if an employee is injured or becomes ill as a result of performing their job.
The workers’ compensation packet includes all the required forms that must be completed by both the supervisor and employee. The completed packet can be faxed to Human Resources at 860-486-0406 or securely uploaded by clicking on the following link: WC Related Documents
All State employees are eligible for benefits provided under the State’s workers’ compensation insurance. This includes faculty, staff, student labor, work study, special payroll, and graduate assistants provided that the injury occurred while performing a function related to their employment with the University. The decision to accept or deny a claim is made solely by the Third Party Administrator (TPA).
Types of Workers' Compensation Claims
All reported claims fall into one of three categories:
Report Only:
An incident that is reported by an employee to the supervisor, but no medical attention is being sought.
Medical Only:
An incident that is reported by an employee to the supervisor with corresponding medical treatment, but the injured employee loses no time from work.
Lost Time:
An incident that is reported by an employee to the supervisor with corresponding medical treatment, and the injured worker loses time from work.
It is important to note that all three categories of reported claims require the Form WC207 First Report of Injury, is reported to the TPA injury reporting hotline 1-800-828-2717, and is faxed to Human Resources’ secure fax line: 860-486-0406.
In the case of an emergency, the injured employee should seek treatment at the closest emergency facility. In the case of a non-emergency injury, the injured employee is required to attend the initial visit with one of the designated initial treatment providers. Employees are encouraged to call the provider they choose prior to leaving to ensure that they will be seen.
If the injured employee chooses not to visit the designated initial treatment provider or treats outside the workers’ compensation provider network, they may risk suspension of their benefits per order of the Workers’ Compensation Commission.
After the initial visit, the injured employee may choose an attending physician from the State of CT Workers Compensation provider network.
- Employee immediately reports injury/illness to supervisor.
- Supervisor must see that the employee receives necessary medical attention: Emergency medical care if necessary.
- Direct employee to medical provider directory if emergency medical care is not needed.
- Supervisor must complete the WC207 First Report of Injury.
- Supervisor reports claim to TPA injury reporting hotline 1-800-828-2717.
- Within 24 hours, the supervisor faxes the completed WC207 to Human Resources’ secure fax line: 860-486-0406.
- The employee needs to forward all medical documents relating to the injury. This includes work status reports and appointment sheets for past or future medical treatments.
If the medical documentation indicates a full duty release, the employee must return to their regular position for the next scheduled shift. The employee must provide the medical documentation to Human Resources as soon as possible, during regular business hours, and before their next scheduled shift.
Light Duty
If the medical documentation indicates light duty restrictions, the employee must provide the medical documentation to Human Resources as soon as possible. The Workers’ Compensation Administrator will work with the employee’s department to determine if the employee may return to work. The employee should not return to work unless they are contacted by the Workers’ Compensation Administrator and instructed to do so. If it is determined that the employee is able to return to work, they are expected to return for their next scheduled shift.
WHO TO CONTACT
| PURPOSE | CONTACT INFORMATION | |
|---|---|---|
| UConn | Ragini Sengupta, Human Resources Guidance to supervisors and employees, incident reports, coordination of medical documentation and return to work. Tiffanie Roback, Human Resources Guidance to supervisors and employees, incident reports, coordination of medical documentation and return to work. |
Fax: (860) 486-0406 Phone: (860) 486-2598 Fax: (860) 486-0406 |
| Ellen Lowe, Payroll First checks, supplemental payments, and payroll-related information |
Phone: (860) 486-6915 Fax: (860) 486-4296 |
|
| Cheryl Berry, Payroll First checks, supplemental payments, and payroll-related information |
Phone: (860) 486-0966 Fax: (860) 486-4296 |
|
| Third Party Administrator | Gallagher Bassett Services 55 Hartland Street, Suite 400 East Hartford, CT 06108 |
Phone: (860) 256-3400 Toll Free: (866) 422-7622 |
| Senior Resolution Manager |
Scott Stanchfield | Phone: (860) 256-3434 Fax: (855) 366-2020 |
| Claim Supervisor |
Lori Stanescki | Phone: (860) 256-3405 Fax: (866) 603-3374 |
| First Report of Injury | Injury Reporting Hotline | Phone: (800) 828-2717 |