The following information is designed to assist you with the workers' compensation process.
- Report all injuries or illnesses that arise out of your employment and occurs during the course and scope of your employment with the University to your manager/supervisor immediately.
- If you need to seek medical care, fill out the worker section of the SAIF 801 Form and submit to your manager/supervisor, and fill out a form 827 with your doctor or nurse.
- For workers’ compensation claims, an Employee Status Report Form (or similar specific medical release) is required at initial treatment to verify release status.
- Employees must also provide OSU with an updated release status every 30 days AND at any time the employee’s release status changes. A release status change may include:
- If you were not released to any form of work, but have now been released to either regular work or released to return to work with specific restrictions,
- If you were previously released to regular work, and have been given new, specific restrictions,
- If you were previously released with specific restrictions, and have now been released to return to regular work,
- If your specific restrictions have changed, - or -
- When you become medically stationary (no further treatment or improvement of condition is expected).
- Schedule appointments to provide minimal disruption to your work schedule, and obtaining supervisor approval if time away from work during scheduled hours is necessary.
- Keep your medical appointments and follow your doctor’s or authorized nurse practitioner’s instructions.
- Maintain weekly contact with your manager/supervisor if you have not returned to work, so they may assist you with returning as soon as you are physically capable of doing so.
- Keep SAIF informed about your condition so benefits may be paid in a timely manner.
- Read all notices carefully. Contact SAIF if you have any questions about your claim or benefits.
- Respond to requests for information in a timely manner. Many laws have clear timeframes for responses on your part. Failure to respond by the due date may affect your claim.
- Provide your claim number to any medical provider who treats you for your accepted condition so that they may bill SAIF in a timely manner.
- Request reimbursements for out-of-pocket expenses such as prescriptions or mileage driven to and from your medical provider appointments. Submit these requests directly to SAIF within two years of the service date.
- If you believe SAIF needs to accept a new or different medical condition, please put your request in writing directly to SAIF, stating the medical condition you want accepted to your claim. SAIF cannot accept surgical procedures or treatment – it must be a medical condition. If you aren’t sure what to do, call SAIF for additional information.
If you follow through on your responsibilities, you can expect SAIF to do the following:
- Make a decision about whether to accept or deny your claim usually within 60 days of reporting the claim to your employer. If your claim is denied, SAIF will tell you about your appeal rights in a denial letter. If your claim is accepted, SAIF will send you a “Notice of Acceptance” that lists the medical conditions accepted for benefits.
- Maintain contact with your employer in order to assist you with returning to work as soon as you are physically capable of doing so.
- Pay benefits due in a timely manner.
- Respond to requests for information in a timely manner.
Contact SAIF directly at 1-800-285-8525 or at saif.com.
Contact an Employee Benefits Staff Member at OSU.