2015 Your Workers’ Compensation Insurance company is CCMSI. Please replace your First Report of Injury Packet, Slip Trip and Fall manual, and Employee/Employer Manuals with the updated information (See Below for exact links). Questions regarding your Workers’ Compensation benefit may be directed to firstname.lastname@example.org, and by direct call to ext. 25404. Your safety is our goal!
You must report the incident to your supervisor and send a completed Workers' Compensation First Report of Injury form to the Risk Management office. Contact the Risk Management office, Workers' Compensation Risk Management Specialist, at (954) 262-5404. You must also contact Public Safety at (954) 262-8999 so an accident report can be completed. Public Safety will contact 911 when needed.
You should report the accident immediately to your supervisor to prevent a delay in receiving any workers' compensation benefits. Furthermore, the law requires that the university report the injury within a specific period of time.
No. The university or its insurance company must pay for all authorized and medically necessary care in accordance with a schedule of reimbursement allowances as authorized by the State Division of Workers' Compensation.
All authorized doctors and health care providers must bill the University's Workers' Compensation third party administrator or insurance carrier directly. If you receive a bill, fax or e-mail it to (954) 262-6860 or email@example.com; attn: Workers' Compensation Risk Management Specialist. Do not pay it yourself.
No. You must go to an authorized physician provided by CCMSI (TPA); please contact your Workers' Compensation Risk Management Specialist or CCMSI adjuster to access the provider listing.
Please download and complete the following Workers' Compensation Injury/Accident Report form to receive your workers' compensation benefit.