Workers' Compensation
Overview | Compensation Benefits | Third Party Administrator | Downloads | Contact Information
Overview
All ICOE emloyees, including full-time, part-time, short-term, substitute, and non paid volunteers, are entitled to workers' compensation benefits and are covered under the Imperial County Office of Education's self-funded workers' compensation plan. 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 illnesses. An injury or illness can be caused by one event (such as hurting your back) or repeated exposures (such as injuring your wrist from doing the same repetitive motion over and over).
- Medical Care
Doctor visits, hospital services, physical therapy, lab tests, x-rays, and medicines that are reasonably necessary to treat your injury. You should never see a bill. For injuries occurring on or after 1/1/04, there is a limit on some medical services.
- Temporary Disability (TD) Benefits
Payments if you lose wages while recovering.
- Vocational Rehabilitation
Services and payments if your injury prevents you from returning to your usual job or occupation. This benefit applies to injuries that occurred prior to 1/1/04.
- Supplemental Job Displacement Benefit
A nontransferable voucher payable to a state approved school if you are injured on or after 1/1/04, the injury results in a permanent disability, you don't return to work within 60 days after TD ends, and your employer does not offer modified or alternative work.
- Death Benefits
Paid to dependents of a worker who dies from a work-related injury or illness.
The Imperial County Office of Education has selected the following Third Party Administrator (TPA) as the workers' compensation claims administrator:
| York Insurance Services Group, Inc. 313 East Foothill Blvd., Upland, CA 91786 (909) 608-7171 |
The claims administrator is reponsible for claims processing, monitoring, and managing to include the payments, benefits, treatment, and recovery of the injured worker. SCRMA assigns a claims adjustor dedicated exclusively to the injured workers of the ICOE. The claims adjustor provides case management services for both the employer and the injured worker.
Downloads
| Click to Download | Format | Updated |
|---|---|---|
| Employee Workers Compensation Claim Form | 03/09/11 | |
| Employer's Report of Occupational Illness or Injury (Form 5020) | 03/09/11 | |
| Supervisor's Accident Investigation Report | 03/09/11 | |
| Physician Predesignation Form |
Contact Information
|
Marisa Adams |
Denise J. Smith |
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