What should I do if I am injured or get sick at work?

  1. In the event of a medical emergency, please dial 911.
  2. Immediately notify your supervisor.
  3. Notify the Office of Human Resources of your injury by completing the Employee Workplace Injury/Illness Incident Report with your supervisor on the same day as the injury, if possible.
  4. Seek non-emergency medical treatment within the first 90 days from a physician listed on the IUP Panel of Physicians. Send all documentation received from the medical provider to the Office of Human Resources.
  5. If medical attention was sought and/or time was lost from work due to the injury, the Office of Human Resources will file a claim with Inservco Insurance Services, our third party workers' compensation insurance company. Inservco will notify you directly with claim updates.
  6. Review your rights and responsibilities under the Pennsylvania Workers' Compensation Law by reviewing the WC Employee Notice and the WC Information Sheet for your employee group/bargaining unit.

[Printable version of full instructions]

How do I get treatment? (emergency or otherwise) Who pays for my treatment?

In the event of a medical emergency, please dial 911.

If you require emergency medical treatment, you may seek it from any provider.

Non-emergency medical treatment must be received from a physician listed on the IUP Panel of Physicians. All treatments received within the first ninety (90) days from the date of your injury by an approved provider are covered pending approval from Inservco.

IUP shall not be responsible for payment of your non-emergency medical bills for treatment received by anyone not listed on the IUP Panel of Physicians within the first ninety (90) days.

To ensure proper payment for treatment by an approved physician, notify the provider that a Workers' Compensation claim has been filed and that all bills related to your injury should be sent to Inservco under the claim number Inservco provided to you in the claim approval notification.

Claims for medical treatment, supplies, and/or prescriptions should not be forwarded to your health insurance plan or prescription drug plan for payment.

Who pays my bills after the first 90 day seven if I seek treatment from an approved panel physician?

Treatment received after the first 90 days will be paid for by IUP, unless the treatment is found to be unreasonable or unnecessary by a Utilization Review Organization pursuant to the Utilization Review Process explained in the Pennsylvania Workers' Compensation Act.

What is workers' compensation?

The Pennsylvania Workers' Compensation Act is designed to provide reimbursement for reasonable medical care for employees who suffer an injury or illness arising in the course of his or her employment. For more information please visit the Pennsylvania Department of Labor and Industry's page on the PA Workers' Compensation Act.

Who is covered by workers' compensation?

All full-time (100 percent FTE), part-time (50-99 percent FTE), and student employees of Indiana University of Pennsylvania.

What does workers' compensation cover?

Please view the appropriate Workers' Compensation Information Sheet for coverage details for your appropriate employee group/bargaining unit.

 

How is my claim for workers' compensation filed?

After the Office of Human Resources receives the completed Employee Workplace Injury/Illness Incident Report filed by you and your supervisor AND any medical documentation from treating physicians, a claim is filed with Inservco Insurance Services, our third-party workers' compensation insurance company.

Inservco will review the claim information and determine if it is compensable under the Workers' Compensation Law. Once this determination is made, Inservco will notify you directly whether or not the claim is approved.

Can I appeal the decision to approve or extend my workers' compensation claim? What do I need to do?

Contact the Pennsylvania State System's third-party workers' compensation insurance company for more details on the appeals process:

Inservco Insurance Services, Inc., Pittsburgh Claims Office, P.O.Box 1451, Harrisburg, PA 17105-1451

What claims are entitled to compensation?

If medical attention was sought and/or time was lost from work due to the injury, the Office of Human Resources will file a claim with Inservco Insurance Services, our third-party workers' compensation insurance company.

If a claim is filed, Inservco will review the claim information and determine if it is compensable under the Workers' Compensation Law. Once this determination is made, Inservco will notify you directly whether or not the claim is approved.

Can I select my own doctor?

No. You must obtain treatment from one of the designated health care providers listed on the IUP Panel of Physicians within the first ninety (90) days from the date of your injury.

IUP is not be responsible for payment of non-emergency medical treatment received within the first ninety (90) days by health care providers NOT listed on the IUP Panel of Physicians.

Are my work-related medical expenses filed on my personal medical insurance plan?

No. Claims for medical treatment, supplies, and/or prescriptions should not be forwarded to your health insurance plan or prescription drug plan for payment.

To ensure proper payment for treatment by an approved physician, notify the provider that a Workers' Compensation claim has been filed and that all bills related to your injury should be sent to Inservco under the claim number Inservco provided to you in the claim approval notification.

What should I do if I get a bill that should have been paid through workers' compensation?

All bills related to your injury should be sent under the claim number Inservco provided to you in the claim approval notification to:

Inservco Insurance Services, Inc., Pittsburgh Claims Office, P.O.Box 1451, Harrisburg, PA 17105-1451

What if I'm off work? How do I get paid? How much do I get paid?

Please view the appropriate Workers' Compensation Information Sheet for coverage details for your appropriate employee group/bargaining unit.

Will I be paid for time spent at follow-up medical appointments?

Please view the appropriate Workers' Compensation Information Sheet for coverage details for your appropriate employee group/bargaining unit.

How should I fill out my timesheet for the day of injury?

If your claim is approved by Inservco, no leave is charged for the day of the injury/illness.

You receive full pay if you leave work for medical attention on the day of the injury/illness.

While I am not receiving an IUP paycheck, what happens to the deductions I usually have taken out of my pay?

AFSCME and PSSU employees will be billed for their health benefits by the PEBTF.

SPFPA employees will be billed for their health benefits by the State System.

All employees who elected supplemental life insurance and/or long-term disability insurance will be billed for their premiums by the State System.

Any delinquency of payment on your behalf may result in termination of your health benefits and/or your supplemental life insurance or disability insurance.

Do I need to file FMLA paperwork?

No. Injuries on the job are automatically "protected" situations.

What is the return-to-modified-duty program?

Modified duty is an offer for a temporary work assignment made to an employee who is recovering from an illness/injury sustained on the job AND who has received clearance from a physician to return to work under specific limitations.

I am going to be off work for a while. Who do I notify?

It is the employee's responsibility to forward any written communications from your medical provider regarding your treatment plan to:

  1. Inservco
  2. The Office of Human Resources
  3. Your supervisor

Do I have to notify anyone on my first day back to work?

It is the employee's responsibility to notify:

  1. Inservco
  2. The Office of Human Resources
  3. Your supervisor