IS - 2093 Workers' Compensation	Human Resources Release Date: 8/13/01 Revision 1:  10/10/07
Procedure

1. Reporting a Work-related Injury or Illness

Employee 

1.1 Dial 911 from a CNM phone or a Code Blue parking lot phone immediately if the injury requires immediate medical attention.  If using a cell phone, call Security at 224-3001.

1.2 Report a work-related accident, injury, or illness immediately to the supervisor regardless of its severity or whether or not medical treatment is sought.

1.3 Go to the Cannon Cochran Management Services, Incorporated (CCMSI) approved medical facility for treatment if the injury warrants medical attention and is not an emergency.

1.3.1 If the injury requires immediate medical attention, go to any treatment facility.

Employee

1.4 Complete a Notice of Accident form.

Supervisor

1.5 Submit the Notice of Accident form to the appropriate Human Resources Representative.

Human Resources Technician

1.6 Complete the online version of the Employer's First Report of Injury or Illness.

1.7 Submit the Employer's First Report of Injury or Illness to the Third Party Administrator.

       2. Injuries Resulting in Days Away from Work

Timekeeper

2.1 Record the employee's days away from work as sick, annual, or personal leave or leave without pay on a Request for Leave form and on the Time Sheet/Leave Register.

Employee and Supervisor

2.2 Follow procedures for placing the employee on Family and Medical Leave Act (FMLA) leave if the injury is an FMLA qualifying event.

Supervisor

2.3 Notify the appropriate Human Resources Representative that the employee is out on FMLA leave and indicate if the employee is using accrued leaves or taking leave without pay.

3. Requesting a Change in Wage Compensation Options

Employee

3.1 Write a memo requesting to change from using sick, annual or personal leave accruals to using the workers' compensation benefit as wage compensation for time away from work.

3.2 Give the memo to the immediate supervisor.

Supervisor

3.3 Forward the memo to the appropriate Vice President.

Vice President

3.4 Review the memo and notify the supervisor that the change has been approved.

Supervisor  

3.5 Notify the Human Resources Department that the employee is requesting a change in wage compensation.

3.6 Notify the department timekeeper that the employee is changing from using accrued leave(s) to leave without pay for the remainder of the absence.

Human Resources Technician

3.7 Generate a Personnel Data Form (PDF) to change the employee to leave without pay status.

3.8 Forward the PDF to the Payroll Department.

Timekeeper

3.9 Record the remainder of the employee's days away from work as leave without pay on a Request for Leave form and on the Time Sheet/Leave Register.

Payroll

3.10 Process and file the PDF.

4. Workers' Compensation Payments

If the employee elected the leave without pay option:

Human Resources Representative

4.1 Notify the employee that a workers' compensation Temporary Total Disability (TTD) check(s) has arrived.

Employee

4.2 Pick up the workers' compensation TTD check(s).

If the absence was initially charged to the employee's sick, annual or personal leave bank(s) and has been reimbursed through workers' compensation:

Human Resources Representative

4.3 Notify the employee that a workers' compensation TTD check(s) has arrived. 

4.4 Make copies of the TTD check(s).

Employee

4.5 Endorse the workers' compensation TTD check(s) and return the check to the Human Resources Representative.

Human Resources Representative

4.6 Deliver the endorsed TTD check(s) to Accounts Receivable/Cashiers.

Accounts Receivable/Cashiers  

4.7 Deposit the check(s) into the Local Revenue Account.

4.8 Send a receipt for the deposited TTD check(s) to the Human Resources Representative.

Human Resources Representative

4.9 Generate a PDF to adjust the employee's sick, personal, and/or annual leave accruals.

4.10 Forward the original and one copy of the PDF and copies of the deposited TTD checks to the Payroll Manager.

Payroll Manager

4.11 Calculate the amount of sick, annual, or personal leave covered by the amount of the TTD check.

4.12 Manually adjust the employee's leave bank(s) to reimburse the employee for the leave time originally charged for the absence.

4.13 Notify the Human Resources Representative that the adjustment has been made by returning the copy of the PDF with the hours adjusted written on the copy. 

Human Resources

4.14 Verify that the leave bank was appropriately credited based on the TTD benefit that was paid.

5. Returning to Work

Employee

5.1 Provide the supervisor with the physician's return to work documentation specifying "with or without work restrictions" prior to reporting to work from Workers' Compensation/FMLA leave.

 Supervisor

5.2 Review the physician's return-to-work documentation provided by the employee.

5.3 Notify the employee that the documentation has been received and s/he may return to work as scheduled.

5.4 Contact the Human Resources Representative if there are work restrictions which may or may not require a reasonable accommodation in compliance with The Americans' with Disabilities Act.  

Forms:	Notice of Accident Timesheet/Leave Register Request for Leave Personnel Data Form
Support Materials:	Employee Handbook 6.07, Workers' Compensation Employee Handbook 8.19, Absence with Leave Employee Handbook Section VIII, LEAVE POLICIES IS-2006, Family Medical Leave IS-2056, Sick Leave IS-2072, Personal Leave IS-2074, Annual Leave IS-2094, Leave without Pay
Reference Materials:	Chapter 52 Article 1 NMSA 1978