Worker's Compensation Facts for Employees

Home / Campus / Workers Compensation ( Published on 2014-09-17 )

REPORTING AN INJURY OR ILLNESS -Top-

GENERAL INFORMATION -Top-

MEDICAL CARE-Top-

CLAIM STATUS -Top-

WORKER’S COMPENSATION TEMPORARY DISABILITY BENEFITS AND UC BENFITS -Top-

RETURN TO WORK -Top-

REPORTING AN INJURY OR ILLNESS -Top-

When should I report an Injury or Illness? -Top-

All injuries and illnesses, no matter how trivial, should immediately be reported to your supervisor. A delay in reporting an injury may result in a delay in providing benefits, or may even jeopardize your eligibility for benefits.

You should also immediately report all injuries and illness which you believe may be work-related, even if you are not absolutely sure they are. This will protect your right to any benefits that may be due you.

If the injury is work-related, how do I file a claim?-Top-

Report the injury to your supervisor. After s/he reports the injury on the Supervisor Incident Report; claim forms will be sent to you.

You may also print and complete the online form.

Or, you can call Disability Management Services at (415) 476-2621, and we will send you the form.

To whom do I give the completed Employee Incident Report?-Top-

If you have printed the EIR form from the website, fill it out and give it to your supervisor.

If you received the form from Disability Management Services, fill it out and return it to Disability Management Services at:

UCSF Human Resources
Disability Management Services
Box 0964
San Francisco, CA 94143-0964
Or, you can fax the forms to DMS at (415) 476-2328.

Do I need to be off work to file a claim? -Top-

No. Many people continue to work while receiving workers' compensation benefits (medical treatment for instance). You can file a claim whether or not you have lost any time from work.

Who will contact me after I have filed the claim forms? -Top-

Your Claims Administrator at Sedgwick CMS, (510) 433-5300, will call you to discuss your injury and to explain the workers' compensation benefits and procedures in detail.

GENERAL INFORMATION -Top-

Who coordinates the Workers' Compensation Program and can answer my questions?-Top-

Disability Management Services (DMS) is a unit of campus Human Resources.

We are located at the Laurel Heights campus, Suite 330.

UCSF Human Resources
Disability Management Services
Box 0964
San Francisco, CA 94143-0964
Tel: (415) 476-2621
Fax: (415) 476-2328

What is Workers' Compensation?-Top-

A no-fault, employer-paid insurance system designed to assure that employees who sustain work-related injury or illness receive complete medical attention for the injury or illness, and a degree of financial and other support in returning to gainful work.

Who at UC has Workers' Compensation insurance coverage? -Top-

All University employees are covered, including temporary employees.

What are the main Workers' Compensation benefits? -Top-

  • Medical and Hospital Care - to cure and relieve the affects of the injury
  • Temporary Disability Payments - to partially replace earnings lost during medical recovery
  • Permanent Disability Payments - to partially replace earning power lost after medical recovery
  • Supplemental Job Displacement benefits: Vouchers to help pay for retraining or skill enhancement if the employee doesn't return to work for the employer.
  • Death Benefits - payable to dependents should the injury or illness materially lead to death

Who decides if I am eligible for benefits and who provides workers' compensation benefits? -Top-

Sedgwick CMS, 510-302-3180

Who is Sedgwick CMS and how do I contact them? -Top-

Sedgwick CMS is the University's Third Party Workers' Compensation Administrator. Sedgwick CMS is responsible for administering the workers' compensation claims, deciding which benefits are due, and paying them.

Is there an informational pamphlet for new employees?-Top-

Yes: The Time of Hire Pamphlet

Is there an informational brochure about the UC Workers' Compensation Program? -Top-

Yes: There is a UC Brochure which discusses worker’s compensation. The brochure can be found at the following site: http://atyourservice.ucop.edu/forms_pubs/misc/workerscomp.pdf

Is there an informational poster for the workplace? -Top-

Yes, there are posters printed in both English and Spanish.

Is there a State of California office to answer my questions? -Top-

Yes: You can call an Information & Assistance Officer at the nearest office of the State Division of Workers' Compensation. You can locate the nearest office on the Division of Industrial Relations website: http://www.dir.ca.gov/dwc/dir2.htm

Who do I contact if my injury or illness in NOT work-related? -Top-

Contact Benefits & Financial Planning at (415) 476-1400. They can advise you regarding other benefits you may be eligible for.

MEDICAL CARE -Top-

Where do I go for medical treatment? -Top-

  • Occupational Health Services (OHS); clinic hours - 7:30 a.m. to 4:00 p.m.
    2330 Post Street, 4th Floor, Suite 460
    San Francisco, CA
    (415) 885-7580
    Call first to arrange an appointment
  • St. Francis Memorial Health Center at SBC Park; clinic hours - 7:30 a.m. to 5:00 p.m.
    24 Willie Mays Plaza
    San Francisco, CA
    (415) 972-2249
    Call first to arrange an appointment.
  • After clinic hours, go to: Long emergency department

Who authorizes medical treatment? -Top-

All medical treatment that is beyond First Aid or Emergency care must be authorized by your claims examiner at Sedgwick CMS.

No one else may authorize such medical care.

Can my supervisor authorize medical treatment? -Top-

Your supervisor can make an initial referral for:

  • First Aid treatment,
  • Emergency care,
  • Or, to the University's designated medical provider.

But, your supervisor cannot authorize any follow-up care. Only Sedgwick CMS can authorize medical care beyond the initial referral.

In the case of a need for Emergency care, your supervisor should refer or escort you to the nearest emergency care facility, or call an ambulance, as circumstances require.

Can I go to my own doctor? -Top-

If you and your personal physician filled out the Personal Physician Predesignation form before the injury happened, you can go to your personal physician immediately after the injury.

If you and your personal physician did not fill out the Predesignation Form before the injury happened, you can begin treating with your personal physician thirty (30) days after the date on which you reported the injury to your supervisor.

Where can I get the forms to pre-designate my personal physician to be my treater after an injury, and to pre-designate my personal chiropractor or acupuncturist in case I wish to change treating physicians? You can print the forms from this website. Or, you can call Disability Management Services, and we will send you one.

Send the completed form to Disability Management Services.

Can I change doctors? -Top-

Yes. You have the right to one change of physician, which you can request at any time.

If you request a change of physician during the first thirty (30) days after you report your injury to your supervisor, you can change to your personal chiropractor or personal acupuncturist if you filled out the predesignation forms before the injury occurred.

If you request a change of physician thirty (30) or more days after you report your injury to your supervisor, you can be treated by any physician of your own choice.

Who do I contact if I want to: change doctors, obtain a copy of my medical report, or talk about my medical care or about medical bills I’ve received (related to my worker’s compensation treatment)? -Top-

Contact your Claims Administrator at Sedgwick CMS
510-302-3180

 What is UC's Workers' Compensation policy number? -Top-

The University is self-insured for Workers' Compensation. Instead of having a "carrier", the University has a Third Party Administrator: Sedgwick CMS.

Since the University is self-insured, there is no insurance policy number.

If your doctor's office asks you for the name and address of your employer's workers' compensation "carrier", and for your employer's "policy number", give them the following information:

Sedgwick CMS: 510-302-3180

Insurance Policy Number: No Policy. Self-Insured

CLAIM STATUS -Top-

What actually happens if my claim is accepted? -Top-

Sedgwick will begin to provide benefits immediately. Most claims are accepted.

What should I do if my claim is delayed? -Top-

It can take up to ninety (90) days from the date you reported the injury to your supervisor for Sedgwick to make a decision on your claim. During this time, workers' compensation disability benefits will not be paid.

During this time, you may be eligible to receive benefits under other UC disability plans.

Contact the Benefits & Financial Planning Division at (415) 476-1400, to inquire into filing for UC Supplemental Disability benefits.

WORKER’S COMPENSATION TEMPORARY DISABILITY BENEFITS AND UC BENEFITS -Top-

If I am off work, am I entitled to benefits and who do I contact about these benefits?-Top-

While you are off work on an approved medical leave and recovering from your injury or illness, you will receive Temporary Disability (TD) payments from Sedgwick CMS.

Temporary Disability partially replaces lost wages. It is always less than 100 percent of your regular earnings. The amount of the TD benefit depends on your average weekly earnings at the time you were injured and upon maximums set by law. For most employees, TD pays approximately 2/3 of your gross earnings.

How will I be paid while I am off of work due to a disability? -Top-

If your claim is ACCEPTED by Sedgwick:

  • Sedgwick will send you a disability (TD) check every two weeks.
  • You can use your Sick Leave (Option A) or your Sick Leave and Vacation Leave (Option B) to supplement the TD check up to 100% of your regular earnings. Because TD is partially replacing your lost wages, you do not need to use as much Sick Leave or Vacation Leave as you usually would. How much you use will depend upon how much you receive in TD. Fill out the Sick Leave/Vacation Leave Authorization Form, which is sent to you by DMS.
  • If your Sick Leave, or your Sick Leave and Vacation Leave runs out and you are still disabled, you may be eligible for Extended Sick Leave benefits which will supplement your TD checks up to 80% of your wages plus shift differential for a maximum of twenty-six (26) weeks. In order to be eligible for ESL, you must have elected either Option A or Option B on the Sick Leave/Vacation Leave Authorization Form.

    Here is the formula: ESL = (.80)*(Regular Earnings) - TD

    For example: If you usually earn $3,000 per month, and Sedgwick pays you $2,000 in TD for that month, then the University will calculate the Extended Sick Leave owed to you as follows:

    80% of Regular Earnings = (.80)*(3,000) = $2,400.
    TD paid by Sedgwick = $2,000.
    ESL owed = $2,400 - $2,000 = $400.

    For that month, you will receive $2,000 in TD from Sedgwick, and $400 in ESL from the University. Your total income will therefore be $2,400 which is 80% of your regular earnings of $3,000.

  • If Extended Sick Leave benefits run out, and you are still disabled, call the Benefits & Financial Planning Office at (415) 476-1400. You may be eligible for UC Supplemental Disability benefits through Liberty Mutual to supplement your TD check, and you may be eligible to have the full cost of your Medical insurance premium paid by the University's Contingency Fund. You should also contact the Payroll Office to make arrangements to pay the premiums for your Dental and Optical insurance.
  • TD payments end when you return to work or your medical condition stabilizes (e.g. you are determined Permanent and Stationary)

If your claim is DELAYED by Sedgwick CMS:

  • Call the Benefits & Financial Planning Office at (415) 476-1400. You may be eligible for UC Supplemental Disability payments through Liberty Mutual until Sedgwick CMS makes a decision on your claim.

If your claim is DENIED by Sedgwick CMS:

  • Call the Benefits & Financial Planning Office at (415) 476-1400. You may be eligible for UC Supplemental Disability through Liberty Mutual.

For more detailed information, see PPSM 44, your Collective Bargaining Agreement, or the DMS Worker’s Compensation Payroll Process website: http://ucsfhr.ucsf.edu/index.php/workcomp/article/2517.

How will I be paid if I am disabled part-time? -Top-

You may be entitled to Temporary Partial Disability (TPD) payments from Sedgwick CMS. If so, this will pay a portion of your wage-loss while working on a part-time schedule:

  1. The University will pay you for the time you work.
  2. If eligible, Sedgwick will pay you TPD benefits.
  3. Sick Leave, or Sick Leave and Vacation, can supplement the above up to 100%.
  4. Afterwards, Extended Sick Leave can supplement the above up to 80%.
  5. Afterwards, UC Supplemental Disability may supplement the above. Call the Benefits & Financial Planning office at (415) 476-1400 to see if you are eligible.

For more detailed information, see PPSM 44, your Collective Bargaining Agreement or the DMS Worker’s Compensation Payroll Process website: http://ucsfhr.ucsf.edu/index.php/workcomp/article/2517.

How do I fill out my timesheet? -Top-

You fill out your timesheet, indicating the hours you worked, and sick or vacation leave used outside of the time you were off for your injury.

Then, each month, your department's Payroll Processor will reconcile your timesheet, based on any workers' compensation payments made by Sedgwick CMS.

If your claim has been accepted by Sedgwick, and you elected to use both Sick Leave and Vacation Leave to supplement the workers' compensation payments made by Sedgwick, you can begin to use your Vacation Leave hours once your Sick Leave hours run out.

If your claim has been delayed by Sedgwick, you are not automatically permitted to use your Vacation Leave. You must obtain the approval of your department.

If your claim has been denied by Sedgwick, follow your department’s usual procedures.

Do I use Sick Leave to attend medical visits? -Top-

You fill out your timesheet as you normally would, using hours of Sick Leave for your lost time to attend medical appointments. TD is paid during periods of time you are medically precluded from working, and attendance at a doctor’s appointment does not constitute a medical preclusion from work.

Do I use Sick Leave for the three-day waiting period? -Top-

Yes. Temporary Disability is usually not paid for the first three days of disability.

You must use your Sick Leave. If you do not have sufficient Sick Leave to cover the entire three days, and if you are eligible for Extended Sick Leave, then Extended Sick Leave will apply to the remainder of the three days, and will pay you at 80% of your regular earnings, even though Temporary Disability is not being paid.

Will I continue to accrue Sick Leave and Vacation Leave while off work? -Top-

While using Sick and/or Vacation Leave to supplement Temporary Disability payments:

  • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
  • The accruals are credited to you immediately, and you can use them as soon as you accrue them.
  • If you separate from the University without returning to work:
    • Vacation Leave accrued in this period is paid to you.
    • Sick Leave accrued in this period is not paid to you.

After Extended Sick Leave runs out, while you are on Leave of Absence Without Pay and still receiving Temporary Disability payments:

  • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
  • The accruals are credited to you upon your return to work, and you can use them after you return to work.
  • If you separate from the University without returning to work:
    • Vacation Leave accrued in this period not paid to you.
    • Sick Leave accrued in this period is not paid to you.

    While using Extended Sick Leave to supplement Temporary Disability payments:

    • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
    • The accruals are credited to you upon your return to work, and you can use them after you return to work.
    • If you separate from the University without returning to work:
      • Vacation Leave accrued in this period is paid to you.
      • Sick Leave accrued in this period is not paid to you.

    After Extended Sick Leave runs out, while you are on Leave of Absence Without Pay and still receiving Temporary Disability payments:

    • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
    • The accruals are credited to you upon your return to work, and you can use them after you return to work.
    • If you separate from the University without returning to work:
      • Vacation Leave accrued in this period not paid to you.
      • Sick Leave accrued in this period is not paid to you.

    How will being on Temporary Disability affect my retirement service credit? -Top-

    While using Sick Leave and/or Vacation Leave to supplement the Temporary Disability payments, you continue to earn retirement service credit at your regular rate.

    While using Extended Sick Leave to supplement the Temporary Disability payments, you earn retirement service credit at 80% of your regular rate.

    After Extended Sick Leave runs out, while you are on Leave of Absence Without Pay, you do not earn retirement service credit.

    How will my Medical, Dental, and Optical insurance premiums be paid? -Top-

    While Sick and/or Vacation Leave are supplementing the TD checks from Sedgwick, all contributions to your Medical, Dental, and Optical insurance premiums continue as usual.

    While Extended Sick Leave is supplementing the TD checks from Sedgwick, all contributions to your Medical, Dental, and Optical insurance premiums continue as usual.

    However, after the twenty-six (26) weeks of Extended Sick Leave runs out, your department will place you on Leave of Absence Without Pay, and alternate arrangements must be made to assure that payment of your Health insurance premiums continues. If you continue to be a University employee, continue to be disabled, and continue to receive workers' compensation Temporary Disability benefits from Sedgwick CMS, then:

    • Medical Premium: The University will continue to pay its contribution to your Medical premium. In addition, the University will begin to pay that portion of your Medical premium that you were previously paying through deductions from your paycheck. In other words, the University will begin to pay the full cost of your Medical insurance premium.
    • Dental Premium: You must call the Payroll Office and make arrangements to pay the full cost of your Dental premium, if you wish that insurance coverage to continue.
    • Optical Premium: You must call the Payroll Office and make arrangements to pay the full cost of your Optical premium, if you wish that insurance coverage to continue.

    What is the Contingency Fund? -Top-

    The Contingency Fund is the fund the University uses to pay your portion of your Medical premium after Extended Sick Leave has run out.

    The Contingency Fund is managed by the UC Office of the President. Each month your department writes a memorandum to the Benefits and Financial Planning department, who contact the Office of the President and request that your Medical premium be paid for another month.

    If you have questions regarding the Contingency Fund, Contact Benefits & Financial Planning at (415) 476-1400.

    Who do I contact about my insurance premiums and retirement service credit? -Top-

    Contact Benefits and Financial Planning at (415) 476-1400.

    RETURN TO WORK -Top-

    What is Transitional Work? -Top-

    Transitional Work is a temporary, medically approved modification of your work duties during the period of your medical recovery.

    While you are medically recovering from your injury or illness, you may not be able to perform your usual and customary work duties. Temporarily modifying your work duties may allow you to continue to work, maintaining your income and preserving your Sick Leave and Vacation accrual balances.

    Transitional Work plans are individually designed and carefully structured.

    What if my injury permanently prevents me from returning to my job? -Top-

    If your injury permanently prevents you from returning to your usual and customary occupation, you may be eligible for Supplemental Job Displacement Benefits. Sedgwick CMS will advise you of your potential eligibility.

    The staff of Disability Management Services is available to assist you in exploring modified or alternative work at UCSF.

    UCSF employees who leave their jobs due to disability may have Priority Reassignment privileges under policy and contract which provide assistance in looking for alternative work within UCSF.

    Who do I contact about workplace safety? -Top-

    Contact Environmental Health & Safety at (415) 476-1300 or your Department Safety Advisor (DSA). A list of DSAs can be found at the following website: http://or.ucsf.edu/ehs/ergo.defined.html

    What do I do if I need an ergonomic workstation assessment? -Top-

    The Online Office Ergonomics Training can be found at Research Online: https://www.researchonline.ucsf.edu/. Individual login/password is required. Simply click Request a research online/RIO account. Please be aware, it may take up to 72 hours to receive the password.

    Once you are logged in:

    • Select the "training" tab
    • Select "online courses"
    • Select "ergonomics: office ergonomics training and self evaluation"
    • Then click "Office Ergonomics Training and Self Evaluation" once more to launch the training

    If after you complete the online evaluation there are specific work station adjustments that are needed, you can obtain an in-person ergonomic evaluation through the following steps:

    1. BEFORE INJURY (PREVENTION):
      On a proactive basis in order to prevent future injury, an in-person workstation evaluation can be arranged through Environmental Health and Safety (EH&S) which will include a tailored assessment of the work area, training on equipment use, and work practice recommendations to minimize repetitive motion injuries. Please refer to the EH&S webpage
    2. POST INJURY
      If illness or injury has already occurred, it is recommended you contact your claims examiner at Sedgwick CMS. Sedgwick can be reached at (510) 302-3180. You may also speak with Disability Management Services to discuss means to arrange for a workstation assessment as part of the workers' compensation claims process. DMS can be reached at (415) 476-2621.

    What should I do if my claim is denied? -Top-

    Contact the Benefits & Financial Planning Division at (415) 476-1400. You may be eligible for benefits under UC Supplemental Disability benefits.

    Who do I contact about my Temporary Disability payments? -Top-

    Sedgwick CMS 510-302-3180

    How much are the Temporary Disability payments? -Top-

    While you are off work recovering from your injury or illness, you will receive Temporary Disability (TD) payments from Sedgwick CMS.

    Temporary Disability partially replaces lost wages. It is always less than 100% of your regular earnings. The amount of the TD benefit depends on your average weekly earnings at the time you were injured and upon maximums set by law.

    You can elect to use your Sick Leave, or both your Sick Leave and your Vacation Leave to supplement the TD payments bring you up to a total income of 100% of your regular earnings.

    When will I receive the first temporary disability (TD) payment? -Top-

    You should receive your first Temporary Disability payment within 14 days.

    How often are Temporary Disability payments made? -Top-

    Temporary Disability is paid every two weeks.

    When do Temporary Disability payments end? -Top-

    TD payments end when:

    You return to work, or
    Your medical condition stabilizes.

    Who do I contact about my UCSF Paycheck? -Top-

    Ask your supervisor or your department's Payroll representative.

    If you or your department need more information, contact:

    Campus Payroll: (415) 476-6801

    Can I use my Sick Leave & Vacation Leave while receiving Temporary Disability payments? -Top-

    Yes. You can elect to use Sick Leave, or both Sick Leave & Vacation Leave, to supplement Workers' Compensation payments. You do this by filling out the ESL Option Form.

    See PPSM 44 Work-Incurred Illness and Injury or the similarly named section of the Collective Bargaining Agreement that pertains to you.

    The policy also discusses the Extended Sick Leave supplement.

    How much of my Sick Leave or Vacation Leave will I use? -Top-

    Because Temporary Disability is partially replacing your lost wages, you do not need to use as much Sick Leave or Vacation Leave as you usually would. How much you use will depend on how much you receive in W/C Temporary Disability.

    What personnel policy addresses WC, Sick Leave, & Vacation Leave? -Top-

    PPSM 44.

    The policy also discusses the Extended Sick Leave supplement.

    What is Extended Sick Leave? -Top-

    Extended Sick Leave is a benefit that supplements workers' compensation temporary disability (TD) payments once Sick Leave is exhausted. It supplements TD to 80% of regular wages plus shift differential for a maximum of twenty-six (26) weeks.

    For more information, see: PPSM.

    Which does Extended Sick Leave pay: 80% or less than 80% of regular earnings? -Top-

    ESL does not pay 80% of your regular earnings. It pays less than 80%.

    How much does Extended Sick Leave pay? -Top-

    Extended Sick Leave supplements Temporary Disability, so that the sum of the two is equal to 80% of your regular earnings.

    Here is the formula: ESL = (.80)*(Regular Earnings) - TD

    For example:
    If you usually earn $3,000 per month, and Sedgwick pays you $2,000 in TD for that month, then the University will calculate the Extended Sick Leave owed to you as follows:

    80% of Regular Earnings = (.80)*(3,000) = $2,400.
    TD paid by Sedgwick = $2,000.
    ESL owed = $2,400 - $2,000 = $400.

    For that month, you will receive $2,000 in TD from Ocatgon, and $400 in ESL from the University. Your total income will therefore be $2,400 which is 80% of your regular earnings of $3,000.

    How will I be paid while I am off of work due to a disability? -Top-

    If your claim is ACCEPTED by Sedgwick:

    • Sedgwick will send you a disability (TD) check every two weeks.
    • You can use your Sick Leave, or your Sick Leave and Vacation Leave, to supplement the TD check up to 100% of your regular earnings. Fill out the: ESL Option form.
    • If your Sick Leave, or your Sick Leave and Vacation Leave, runs out, and you are still disabled, you may be eligible for Extended Sick Leave benefits which will supplement your TD checks up to 80% of your regular earnings for a maximum of twenty-six (26) weeks. Fill out the: ESL Option form.
    • If Extended Sick Leave benefits run out, and you are still disabled, call the Benefits & Financial Planning Office at (415) 476-1400. You may be eligible for UC Supplemental Disability benefits through Liberty Mutual to supplement your TD check, and you may be eligible to have the full cost of your Medical insurance premium paid by the University's Contingency Fund. You should also contact the Payroll Office to make arrangements to pay the premiums for your Dental and Optical insurance.
    If your claim is DELAYED by Sedgwick CMS:
    • Call the Benefits & Financial Planning Office at (415) 476-1400. You may be eligible for UC Supplemental Disability payments through Liberty Mutual until Sedgwick CMS makes a decision on your claim.
    If your claim is DENIED by Sedgwick CMS:
    • Call the Benefits & Financial Planning Office at (415) 476-1400. You may be eligible for UC Supplemental Disability through Liberty Mutual.
    For more detailed information, see PPSM 44, and the WC Payroll Process Overview document.

    How will I be paid if I am disabled part-time? -Top-

    You may be entitled to Temporary Partial Disability (TPD) payments from Sedgwick CMS. If so, this will pay a portion of your wage-loss while working on a part-time schedule:

    1. The University will pay you for the time you work.
    2. If eligible, Sedgwick will pay you TPD benefits.
    3. Sick Leave, or Sick Leave and Vacation, can supplement the above up to 100%.
    4. Afterwards, Extended Sick Leave can supplement the above up to 80%.
    5. Afterwards, UC Supplemental Disability may supplement the above. Call the Benefits & Financial Planning office at (415) 476-1400 to see if you are eligible.
    For more detailed information, see PPSM 44, and the WC Payroll Process Overview document.

    How do I fill out my timesheet? -Top-

    You fill out your timesheet as you normally would, using hours of Sick Leave for your lost time.

    Each month, your department's Payroll Processor will reconcile your timesheet, based on any workers' compensation payments made by Sedgwick CMS.

    If your claim has been accepted by Sedgwick, and you elected to use both Sick Leave and Vacation Leave to supplement the workers' compensation payments made by Sedgwick, you can begin to use your Vacation Leave hours once your Sick Leave hours run out.

    If your claim has been delayed by Sedgwick, you are not automatically permitted to use your Vacation Leave. You must obtain the approval of your department.

    If your claim has been denied by Sedgwick, follow your departments usual procedures.

    Do I use Sick Leave to attend medical visits? -Top-

    You fill out your timesheet as you normally would, using hours of Sick Leave for your lost time.

    Each month, your department's Payroll Processor will reconcile your timesheet, based on any workers' compensation payments made by Sedgwick CMS.

    If your claim has been accepted by Sedgwick, and you elected to use both Sick Leave and Vacation Leave to supplement the workers' compensation payments made by Sedgwick, you can begin to use your Vacation Leave hours once your Sick Leave hours run out.

    If your claim has been delayed by Sedgwick CMS, you are not automatically permitted to use your Vacation Leave. You must obtain the approval of your department.

    If your claim has been denied by Sedgwick, follow your departments usual procedures.

    Do I use Sick Leave for the three day waiting period? -Top-

    Yes. Temporary Disability is usually not paid for the first three days of disability.

    You must use your Sick Leave. If you do not have sufficient Sick Leave to cover the entire three days, and if you are eligible for Extended Sick Leave, then Extended Sick Leave will apply to the remainder of the three days, and will pay you at 80% of your regular earnings, even though Temporary Disability is not being paid.

    Will all my Sick Leave be reimbursed or only part? -Top-

    Only part of your Sick Leave is reimbursed.

    Workers' Compensation partially replaces lost wages. It always pays less than 100%. So, reimbursements to Sick Leave are always less than 100%.

    Will I continue to accrue Sick Leave and Vacation Leave while off work? -Top-

    While using Sick Leave to supplement Temporary Disability payments:

    • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
    • The accruals are credited to you immediately, and you can use them as soon as you accrue them.
    • If you separate from the University without returning to work:
      • Vacation Leave accrued in this period is paid to you.
      • Sick Leave accrued in this period is not paid to you.
    While using Vacation Leave to supplement Temporary Disability payments:
    • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
    • The accruals are credited to you immediately, and you can use them as soon as you accrue them.
    • If you separate from the University without returning to work:
      • Vacation Leave accrued in this period is paid to you.
      • Sick Leave accrued in this period is not paid to you.
    While using Extended Sick Leave to supplement Temporary Disability payments:
    • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
    • The accruals are credited to you upon your return to work, and you can use them after you return to work.
    • If you separate from the University without returning to work:
      • Vacation Leave accrued in this period is paid to you.
      • Sick Leave accrued in this period is not paid to you.
    After Extended Sick Leave runs out, while you are on Leave of Absence Without Pay and still receiving Temporary Disability payments:
    • You continue to accrue Sick Leave and Vacation Leave at your regular rate.
    • The accruals are credited to you upon your return to work, and you can use them after you return to work.
    • If you separate from the University without returning to work:
      • Vacation Leave accrued in this period not paid to you.
      • Sick Leave accrued in this period is not paid to you.

    How will being on Temporary Disability affect my retirement service credit? -Top-

    While using Sick Leave to supplement the Temporary Disability payments, you continue to earn retirement service credit at your regular rate.

    While using Vacation Leave to supplement the Temporary Disability payments, you continue to earn retirement service credit at your regular rate.

    While using Extended Sick Leave to supplement the Temporary Disability payments, you earn retirement service credit at 80% of your regular rate.

    After Extended Sick Leave runs out, while you are on Leave of Absence Without Pay, you do not earn retirement service credit.

    How will my Medical, Dental, and Optical insurance premiums be paid? -Top-

    While Sick Leave is supplementing the TD checks from Sedgwick, all contributions to your Medical, Dental, and Optical insurance premiums continue as usual.

    While Vacation Leave is supplementing the TD checks from Sedgwick, all contributions to your Medical, Dental, and Optical insurance premiums continue as usual.

    While Extended Sick Leave is supplementing the TD checks from Sedgwick, all contributions to your Medical, Dental, and Optical insurance premiums continue as usual.

    However, after the twenty-six (26) weeks of Extended Sick Leave runs out, your department will place you on Leave of Absence Without Pay, and alternate arrangements must be made to assure that payment of your Health insurance premiums continues. If you continue to be a University employee, continue to be disabled, and continue to receive workers' compensation Temporary Disability benefits from Sedgwick CMS, then:

    • Medical Premium:
      The University will continue to pay its contribution to your Medical premium. In addition, the University will begin to pay that portion of your Medical premium that you were previously paying through deductions from your paycheck. In other words, the University will begin to pay the full cost of your Medical insurance premium.
    • Dental Premium:
      You must call the Payroll Office and make arrangements to pay the full cost of your Dental premium, if you wish that insurance coverage to continue.
    • Optical Premium:
      You must call the Payroll Office and make arrangements to pay the full cost of your Optical premium, if you wish that insurance coverage to continue.
    What is the Contingency Fund? -Top-

    The Contingency Fund is the fund the University uses to pay your portion of your Medical premium after Extended Sick Leave has run out. See How will my Medical, Dental, and Optical premiums be paid?

    The Contingency Fund is managed by the UC Office of the President. Each month your department writes a memorandum to the Benefits & Financial Planning department, who contact the Office of the President and request that your Medical premium be paid for another month.

    Who do I contact about my insurance premiums? -Top-

    Contact Benefits & Financial Planning at (415) 476-1400.

    Who do I contact about the Contingency Fund? -Top-

    Contact Benefits & Financial Planning at (415) 476-1400.

    Who do I contact about my retirment service credit? -Top-

    Contact Benefits & Financial Planning at (415) 476-1400.

    Who do I contact about other UCSF insurance plans? -Top-

    Contact Benefits & Financial Planning at (415) 476-1400.

    What is Transitional Work? -Top-

    Transitional Work is a temporary, medically approved modification of your work duties during the transitional period of your medical recovery.

    While you are medically recovering from your injury or illness, you may not be able to perform your usual and customary work duties. Temporarily modifying your work duties may allow you to continue to work, maintaining your income and preserving your Sick Leave and Vacation accrual balances.

    Transitional Work plans are individually designed and carefully structured.

    What if my injury permanently prevents me from returning to my job? -Top-

    If your injury permanently prevents you from returning to your usual and customary occupation, you may be eligible for Supplemental Job Displacement Benefits. Sedgwick Risk Services will advise you of your potential eligibility.

    The staff of Disability Management Services is available to assist you in exploring modified or alternative work at UCSF.

    UCSF employees who leave their jobs due to disability may have special selection privileges under policy and contract which provide assistance in looking for alternative work within UCSF.

    Where can I get information about Supplemental Job Displacement Benefits? -Top-

    If you have filed a claim, ask your Sedgwick Claims Administrator at (510) 433-5300.

    You can also call Disability Management Services at (415) 476-2621.

    Who do I contact about workplace safety? -Top-

    Contact Environmental Health & Safety at (415) 476-1300.

    Who do I contact if I need an ergonomic workstation assessment? -Top-

    BEFORE INJURY (PREVENTION)
    Environmental Health & Safety at (415) 476-1300.

    If your workstation is a computer workstation, you can conduct your own assessment using our Ergonomics Training CD-ROM.

    You can also use the OSHA eTool for Computer Workstation ergonomics on the OHSA web site.

    AFTER INJURY
    Report the injury to your supervisor, and contact Sedgwick CMS at 510-302-3180.

    If you have any questions, or would like to discuss your individual situation, you can call Disability Management Services at (415) 476-2621.

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