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Excerpt

Employees who are injured or become ill

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due to their employment may have some of their medical care costs covered under the

...

worker's compensation program. Workers Compensation programs vary by state.

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Any employee who is injured while performing ministry responsibilities should seek appropriate medical care and then report their injury to their supervisor and Employment Services as soon as possible.

See the additional information provided below for receiving care and reporting your injury, based on the specific state/location in which you normally work.


Tip
titleThings to Know

Although every state has different guidelines for the process of approving worker's compensation claims, the following general tips are helpful to follow when seeking care for a workers compensation claim:

  1. Please make sure you indicate to all medical care providers that this is a worker's compensation case and that all claims should be submitted to Reliant's applicable Worker's Compensation carrier for that state vs. processing the claim through your personal medical insurance.
  2. Please ensure ALL prescribed treatments and additional doctor's appt referrals/follow-ups are submitted to/approved by the worker's compensation carrier/claim representative assigned to your case. This is especially applicable for additional specialist referrals and PT appointments.  
  3. Please make sure you're aware of the provider network for the Worker's Compensation coverage and that the medical treatment providers you receive treatment from accepting this coverage as "in-network." 


UI Expand
titleState of Ohio - Workers Compensation Claims

If you have a Workers Compensation injury in OHIO, please follow the steps below:

UI Steps


UI Step

Immediately notify your Reliant Supervisor


UI Step

Complete the first section of the BWC First Report of Injury (FROI) form as completely as possible.

See P. 4 of the attached document for the form.

View file
nameIW Packet - Basic Template - SedgwickMCO.pdf
height250


UI Step

Seek appropriate medical treatment if needed, and provide the attached ID card at all medical appointments.

IMPORTANT NOTE: Treating physicians must be Ohio BWC certified!

Image Added


UI Step

Keep your Reliant Supervisor informed of your medical status and promptly return all completed claim documentation to your employer. 

Email completed forms to benefits@reliant.org.


UI Expand
titleOther Important Information:


UI Expand
titleMedical treatment questions, medical documentation and billing issues:

Medical treatment questions, medical documentation, and billing issues:

Contact: Sedgwick Managed Care Ohio

Phone: 888.627.7586

Fax: 888.627.0074

Mail: P.O. Box 1040, Dublin, OH 43017


UI Expand
titlePrescription Questions:

Prescription Questions:

Call 800.644.6292 and follow the prompts


UI Expand
titleOhio Bureau of Worker's Compensation:

Ohio Bureau of Worker's Compensation:

Call 800.644.6292 or visit bwc.ohio.gov


UI Expand
titleMedical Options and Providers:

Medical Options and Providers:

If medical treatment is required, see a BWC-certified medical provider. For more information, see the Sedgwick MCO website at sedgwickmco.com (click "Find a Provider")





UI Expand
titleState of North Dakota - Workers Compensation Claims


UI Steps

Get Medical Help

If further treatment beyond basic first aid is necessary, go to the emergency room or healthcare provider of your choice and tell them you were injured at work.

What to expect from your medical provider

Your doctor will:

  • Certify whether your injury is work-related
  • Help you file a workers’ compensation claim
  • Work with you to decide when you can return to work
  • Recommend any further treatment you may need

Report the Injury to your Reliant Supervisor and Reliant

Send an email to benefits@reliant.org or call your program team liaison, who can help get you in contact with the Employment Services Department.

What to expect from your employer

Your employer needs to:

  • Make sure you receive prompt medical attention.
  • Complete the first report of injury report for ND WSI (North Dakota Workforce Safety & Insurance). 

Employer Certificate of Coverage

ND work comp certificate of payment_coverage eff 9.10.2021 to 8.31.2022.pdf



UI Expand
titleState of Washington - Workers Compensation Claims


UI Steps


UI Step

Get Medical Help

If further treatment beyond basic first aid is necessary, go to the emergency room or healthcare provider of your choice and tell them you were injured at work.

What to expect from your medical provider

Your doctor will:

  • Certify whether your injury is work-related
  • Help you file a workers’ compensation claim
  • Work with you to decide when you can return to work
  • Recommend any further treatment you may need

If you need medical care after the first visit

For your second visit and beyond, you will need to see a provider in the WA L&I network. If your regular health care provider is not in their network, encourage them to join or choose a new one with our Find a Doctor tool.

You may choose any qualified doctor to treat your injury, as long as they are in WA L&I's network. You also may get a second medical opinion if your claim manager approves it. You can change providers at any time and/or communicate with your claim manager via WA L&I's online portal, My L&I.

Filing a Claim may happen later, but if your Dr's office files it for you, that's also possible.


UI Step

Gather your Claim Information 

Gather the following information before you report your claim:

  • The location where the injury occurred
  • Contact information for any witnesses to the injury
  • Employer information
  • Wage information
  • Names and birth dates of your dependents
  • If you have already seen a doctor:
    • Your doctor's first and last name
    • Hospital or clinic where you received treatment

You may choose to file a claim immediately or wait until after you have notified Reliant. Steps for filing are listed below.


UI Step

Report the Injury to your Reliant Supervisor and Reliant

Send an email to benefits@reliant.org or call your program team liaison, who can help get you in contact with the Employment Services Department.

What to expect from your employer

Your employer needs to:

  • Make sure you receive prompt medical attention.
  • Complete the employer section of the accident report form. 
  • Look for return-to-work opportunities with light-duty work if medically approved. This can help maintain your salary and speed your recovery while keeping claim costs down for them.
  • Your employer has the right to access your claim file, including mental health information. An employer can only reveal your mental health condition(s) or treatment to authorized people to access the information.  


UI Step

File your Claim

Washington L&I strives to make filing a claim as easy as possible, and you have options:

  • Online via our FileFast tool
  • By phone: 1-877-561-FILE (3453)
  • At your doctor’s office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)


UI Step

Track/Update the status of your claim

Calling your claim manager

Every claim managed by L&I is assigned a claim manager, and there are times when you might need to speak with your claim manager directly. Your claim manager's phone number is located on all correspondence. You may also contact your local L&I office and ask for a phone referral. Your claim manager should call you within 48 hours.

If you have difficulty reaching an L&I claim manager, please contact WA L&I through L&I’s Claim & Account Center.

Our online Claim & Account Center gives you fast access to your claim file, secure messaging with your claim manager, and more.

Get quick claim information by phone

Fast, automated updates on the status of your claim in English or Spanish (en Español): 800-831-5227

A customer service representative. Spanish (en Español) speaking staff or translation service available: 800-547-8367

Hearing/speech impaired TDD service: 360-902-5797

Web support for the online Claim & Account Center: 360-902-5999 or email WebSupport@Lni.wa.gov

Doctor changes 

Let WA L&I know online using their Claim & Account Center or use the Transfer of Care form (F245‑037‑000).




UI Expand
titleALL Others States - Workers Compensation Claims

Reliant's worker's compensation carrier for any State other than WA and OH is Church Mutual.  If you work in OH or WA, please see the specific sections above about your worker's compensation care and claim process.

Reliant will work with Church Mutual to report your claim and follow applicable state guidelines for Worker's compensation in your state.

The best course of action for a worker's compensation injury is as follows:

  • Treat the injury with first aid.
  • If the injury requires more immediate care than first aid, seek immediate medical care from the nearest provider.
  • Report the injury to your Reliant supervisor.
  • Report the injury to Reliant - you may email us at benefits@reliant.org or reach out through your Program team liaison, who will connect you with an available member of the Employment Services team.


UI Expand
titleInternational Claims - Workers Compensation


UI Expand
titleUS Missionaries - Reporting a Workers Compensation Injury while Outside of the United States

Reliant's worker's compensation carrier for claims of US employees that occur while the employee is outside of the United States on official ministry business will be handled through our US carrier, Church Mutual.  

Reliant will work with Church Mutual to report your claim and follow applicable guidelines for Worker's compensation. In most cases, this claim will be filed under the State of Florida guidelines since Reliant's Central office is located in Florida. 

The best course of action for a worker's compensation injury is as follows:

  • Treat the injury with first aid.
  • If the injury requires more immediate care than first aid, seek immediate medical care from the nearest provider.
  • Report the injury to your Reliant supervisor.
  • Report the injury to Reliant - you may email us at benefits@reliant.org or reach out through your Program team liaison, who will connect you with an available member of the Employment Services team.


UI Expand
titleInternational Missionaries - Workers Compensation Injury while Outside of the United States

The best course of action for a worker's compensation injury is as follows:

  • Treat the injury with first aid.
  • If the injury requires more immediate care than first aid, seek immediate medical care from the nearest provider.
  • Report the injury to your Reliant supervisor.
  • Report the injury to Reliant - you may email us at benefits@reliant.org or reach out through your Program team liaison, who will connect you with an available member of the Employment Services team.


UI Expand
titleInternational Missionaries - Workers Compensation Claims while within the United States

In most cases, Worker's Compensation Claims for International Missionaries that occur while residing in the United States will likely be filed by our US carrier, Church Mutual.  

Reliant will work with Church Mutual to report your claim and follow applicable guidelines for Worker's compensation. In most cases, this claim will be filed under the State of Florida guidelines since Reliant's Central office is located in Florida. However, the state guidelines for the state in which the injury happened may also result in the claim being reported under that state's guidelines. 

The best course of action for a worker's compensation injury is as follows:

  • Treat the injury with first aid.
  • If the injury requires more immediate care than first aid, seek immediate medical care from the nearest provider.
  • Report the injury to your Reliant supervisor.
  • Report the injury to Reliant - you may email us at benefits@reliant.org or reach out through your Program team liaison, who will connect you with an available member of the Employment Services team.


Workers Compensation Questions?

Excerpt Include
FMHOME:Benefits contact
FMHOME:Benefits contact
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Workers' Compensation Posters by State

  
ALAlabama WC poster
CACalifornia WC poster

 

California WC Poster - Spanish

 


California Medical Provider Network - English and Spanish

 

California written notice

to new employees

  

COColorado WC poster - EnglishColorado WC poster - Spanish
 Colorado WC - report within 4 days poster

DC

District of Columbia WC poster
FLFlorida WC Employer Facts pamphlet Florida - Drugs Don't Work Here
GAGeorgia WC poster 

Georgia WC Bill of rights for the injured worker
HIHawaii WC poster
IDIdaho WC poster
ILIllinois WC poster
INIndiana WC poster
IAIowa WC poster
KSKansas WC poster
 Kansas WC info - English
 

Kansas WC info - Spanish 

Kansas WC - Info for Injured Employees - English
 KYKansas WC - Info for Injured Employees - SpanishKentucky WC poster
LALouisiana WC poster
MDMaryland WC poster
MAMassachusetts WC poster
MNMinnesota WC poster

Minnesota WC Availability Notice
MSMississippi WC poster

Mississippi Health & Safety services
MOMissouri WC poster
NDND work comp certificate of coverage
NMNew Mexico WC poster
NYNew York WC poster
NCNorth Carolina WC poster
OHOhio Workplace Injury - Take the Right Steps Ohio Workers' Compensation Identification Card

OHIO BWC_7.1.22-6.30.23 coverage certificate.pdf

OKOklahoma WC poster
PAPennsylvania WC poster
SCSouth Carolina WC poster
TNTennessee WC poster - English Tennessee WC poster - Spanish version
TXTexas WC poster - English

Texas WC poster - Spanish

Texas Employer Rights & Responsibilities
VAVirginia WC poster
WVWest Virginia WC poster
WA 
WIWisconsin WC poster