Workers' Compensation Reporting Procedures
Emergency Medical Treatment Required
- Call 911, follow their instructions and call Stetson Public Safety.
- Risk Management should be notified at this time.
- The employee receives medical treatment.
- Inform the EMS/ER staff that the injury/illness is workers' compensation-related and billing should be directed to Stetson University Risk Management and not to the employee’s insurance company.
- After medical treatment, the employee contacts their supervisors or department representative to notify them of the injury, if they are unaware.
- Complete the Workers' Compensation Incident Reporting Form and submit it to the campus workers' compensation contact along with all applicable medical records.
- A supervisor or department representative will complete a post-injury/illness assessment and provide a report to Stetson University Risk Management.
Non-Urgent Medical Treatment Required
- The employee immediately notifies their supervisor or department representative of the injury.
- Call Stetson Public Safety.
- Complete the Workers Compensation Incident Reporting Form and submit it to the campus workers' compensation contact.
- The employee receives medical treatment.
- During business hours, campus workers' compensation contacts will authorize medical treatment at a facility approved by the University’s insurance company.
- Outside of business hours, the employee should contact the TravCare Nurse Line. Through the TravCare® Nurse Line, injured employees receive immediate medical guidance from a nurse who can recommend the appropriate level of care using evidence-based medical guidelines. The service is available by calling 1-800-238-6225, 24 hours a day, 365 days a year and is staffed by both English- and Spanish-speaking nurses. If deemed necessary, the TravCare Nurse Line will transfer the employee to a telemedicine provider or will refer the employee to the ER.
- If referred to the ER, the employee must Inform the ER staff that the injury/illness is workers' compensation-related and billing should be directed to Stetson University Risk Management and not to the employee’s insurance company.
- A supervisor or department representative will complete a post-injury/illness assessment and provide a report to Stetson University Risk Management.
No Medical Treatment Required
- The employee immediately notifies their supervisor or department representative of injury.
- Call Stetson Public Safety.
- The employee signs the Refusal of Medical Treatment Form which will be included in the Public Safety report.
- Complete the Workers Compensation Incident Reporting Form and submit it to the campus workers' compensation contact.
- A supervisor or department representative will complete a post-injury/illness assessment and provide a report to Stetson University Risk Management.
Employee Responsibilities
- Employees must work responsibly, which means abiding by Stetson University and department-specific safety protocols, policies, and procedures.
- Report all work-related injuries and illnesses according to Stetson University procedures.
- Bloodborne pathogen exposures should be reported as a workers’ compensation injury/illness.
- Seek medical attention from an approved provider if needed. If medical attention is not needed or wanted, a Refusal of Medical Treatment Form will need to be signed.
- Register with Travelers, Stetson’s insurance carrier, for their injured employee portal and respond to emails and phone calls from Risk Management, People Operations/Human Resources, and Travelers.
- Provide a Florida Workers' Compensation Uniform Medical Treatment/Status Report Form to the campus workers’ compensation contact within one business day of each appointment.
Supervisor Responsibilities
- Provide a safe work environment!
- Take the necessary steps to prevent injury and unnecessary exposure to danger
- Ensure campus workers’ compensation contact is aware any work-related injuries/illnesses sustained by your employees
- Confirm Public Safety has documented the incident. If Public Safety was not contacted, please contact them as soon as possible for them to complete a report
- Coordinate return-to-work options with the campus workers’ compensation contact
- If workplace restrictions are implemented by the treating physician, the supervisor will work with the campus workers’ compensation contact to confirm those restrictions can be accommodated
- The goal is to get all employees back to work as soon as safely possible!
- Provide return-to-work updates for the employee to the campus workers’ compensation contact
- Provide a post-injury/illness assessment to Risk Management
Workers' Compensation Contact Information
Workers' Compensation Contacts
Elise Paulson
Email: [email protected]
Office: 386-822-7701
Vi Bumgarner
Email: [email protected]
Office: 727-562-7984
TravCare Nurse Line
1-800-238-6225
Select "Option 1" - The injured employee is available to talk to the nurse
Workers' Compensation Insurance Information
The Travelers Indemnity Company
P.O. Box 660456
Dallas, TX 75266-0456
(800) 238-6225
Policy Number: UB-4X941675-24-14-E
Policy Holder: Stetson University