Workers' Compensation Information
For information regarding Workers' Compensation, please contact Ms. Diana Balla, Benefits Manager, 724/938-4427.
All work-related injuries must immediately be reported to your supervisor. If you suffer a work-related injury, Inservco Insurance Services Inc. is responsible for payment for reasonable, necessary and related medical and surgical services, and orthopedic appliances and prosthetic devices, and training in their use.
The Office of Human Resources administers the workers' compensation program for the University and processes all work-related injury claims.
In accordance with the Pennsylvania Workers' Compensation Act, any University employee who suffers an accidental injury or occupational illness within the meaning of the law is entitled Medical Benefits and Compensation.
The University workers' compensation program covers all full-time, part-time, and student employees of California University. Temporary employees are covered based on the method of hire.
In Case of Work-Related Injury:
Initial treatment should occur at the University Health Services Center (Student Health Center), located in Carter Hall.
The employee will complete the Report of Occupational Injury or Illness form provided at that time. If the injury is severe enough to require additional treatment, you are required to be examined by a member of the University's Panel of Health Care Providers.
All work-related injuries must immediately be reported to your supervisor. The supervisor must immediately report the injury to the Human Resources Office workers' compensation manager.
If you suffer a work-related injury, Inservco Insurance Services, Inc. is responsible for payment for reasonable, necessary, and related medical and surgical services, orthopedic appliances, prosthetic devices, and training in their use.
To ensure payment for medical treatment:
You must treat with one of the panel providers during the first 90 days of treatment. You will also be required to sign and date the Workers' Compensation Employee Notification form and the Workers' Compensation Information form acknowledging your rights and duties under the Worker's Compensation Act. Both forms are also included in the University's Work-Related Injury Procedures. Both forms are also included in the workers' compensation packet of information that will be provided at the time of injury at the health services center. The forms are the last two pages in that packet of information.
Workers' Compensation Information Form:
For your convenience, a Workers' Compensation Claimant Information sheet has been included with the packet of information issued at the University Health Services Center when receiving treatment for a work-related injury. This sheet serves as the cover page on the information packet. Complete your information, tear off the page and present it to the panel provider. This sheet will provide the medical office/facility with your information, the University contact information, and the Workers' Compensation Carrier.