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This policy pays benefits prescribed by the Louisiana Worker’s Compensation Law to or on behalf of an employee who receives an injury arising out of and in the course of employment. Coverage extends to all University employees, including student workers. There is no deductible for this coverage.
A University employee who suffers injury or illness arising out of and during the course of his/her employment is entitled to all necessary medical, surgical, hospital services and medicines or any non-medical treatment recognized by the State’s laws as legal.
Generally, the Law provides for the payment of medical expenses recommended by the attending physician, including hospitalization. Injured employees who have filed a claim under the Workers’ Compensation Act should not file a claim for reimbursement for medical and hospitalization expenses under their personal insurance program. These programs specifically exclude payment of benefits for cases covered, in whole or in part, by the Workers’ Compensation Insurance Program.
Compensation for lost time benefits begins with the eighth day of disability unless the injured employee is disabled for a period of two weeks or longer. If the employee is disabled for a period of longer than two weeks, the employee is then entitled to compensation for the first week of disability. Employees with accrued leave balances may receive their normal pay using a combination of leave and Workers’ Compensation payments through leave re-crediting. Leave re-crediting is defined as the restoration of sick, annual or compensatory leave that has been used in order to receive full pay while drawing workers’ compensation indemnity benefits. In cases where the employee used accrued leave and received full university pay, the workers’ compensation indemnity check must be endorsed to the university in order to re-credit leave used. Leave is re-credited at a reduced rate. An employee cannot receive full pay and also retain workers’ compensation indemnity benefits. Employees with no accrued leave balances will be placed on leave without pay and receive only the amount paid by Workers’ Compensation.
Employees receiving workers’ compensation benefits are not to be placed on annual leave or compensatory leave upon exhaustion of their accrued sick leave unless the use of such leave is authorized, in writing, by Departmental or other designated authority and approved by Human Resources Management (See PS-12).
If the employee is absent from work for seven days (including Saturday and Sunday) or less because of an injury sustained on-the-job, medical only will be paid.
A claim for Workers’ Compensation may be denied if the employee is intoxicated or using a non-prescribed controlled substance at the time of the incident upon which the claim is based. Employees treated at the LSU Student Health Center or hospital emergency room for work related accidents will be tested for alcohol and controlled substances. The results of positive tests will be reported to the Office of Human Resource Management.
LSU administration of the Workers’ Compensation Program is assigned to the LSU Office Risk Management. Issues in Workers’ Compensation cases that involve the Americans with Disabilities Act and other employer-employee matters are assigned to the LSU Office of Human Resource Management.
All workers’ compensation activities involving employees should be conducted through the LSU Office of Risk Management. The State Office of Risk Management, the LSU Student Health Center, individual physicians or other medical providers should not be directly contacted regarding a Workers’ Compensation claim.
Departmental Responsibilities and Procedures
- Employees injured on the Baton Rouge Campus should be referred to the LSU Student Health Center or their personal physician for examination and/or treatment and disposition. If the LSU Student Health Center physician determines that specialized treatment or hospitalization is required, appropriate action will be taken to refer the injured employee to the
- If the injury is such that the injured employee’s life or limb is endangered, immediate removal by either private car or ambulance to the nearest hospital emergency room is advised. The supervisor of the injured employee should advise the LSU Office Risk Management of such action as soon as possible. If the injury for which the employee is receiving treatment/follow-up is determined not to be work related or related to the initial injury, medical costs will become the responsibility of the employee. Upon notification that an employee has been injured in connection with University employment.
- Upon notification that an employee has been injured in connection with University employment:
a. Obtain all the facts pertaining to the injury and complete the online accident/injury report. This form must be completed as soon as possible.
b. If the “Occupational Accident or Illness Report” indicates that the injured employee did not return to work following the accident, the employee must submit the “Return to Work Status Report” from the attending physician approving his/her return. A copy of this report shall be immediately forwarded to the LSU Office Risk Management, Workers’ Compensation Section.
c. The first seven days an employee is away from work is referred to as “the waiting week.” After an employee misses more than seven full days in a 14-day period as a result of an on the job accident/illness, he/she is then eligible to receive workers’ compensation indemnity benefits. Saturdays and Sundays count toward the seven days only if the Friday preceding the weekend and the Monday following the weekend are missed as a result of the on-the-job injury/illness. If a claimant misses more than 14 calendar days as a result of the on-the-job injury/illness, he/she will then be eligible to receive indemnity benefits for the waiting week.
d. Medical bills, prescriptions and medical mileage should be submitted to the LSU Office of Risk Management, University Public Safety Building, South Stadium Road.
Any employee who returns to work, but is still missing time due to frequent doctor appointments and/or physical therapy should submit time sheets on a bi-weekly basis to the LSU Office of Risk Management until employee returns to work full-time.
CLAIM CONTACTS: Workers’ Compensation
University Public Safety Building………………..578-3297