Workers’ Compensation
EMPLOYEE INSTRUCTIONS
INTRODUCTION
These instructions are a part of Town of Windsor / Windsor Board of Education Medical Care Plan which has been submitted and approved by the Chairman of the Workers’ Compensation Commission for providing medical treatment to employees who suffer work-related injuries or occupational illnesses in the State of Connecticut.
This plan only covers employees that have workers’ compensation injuries and illnesses. It is the Town of Windsor / Windsor Board of Education’s goal to provide the injured employee with prompt and effective medical care through a network of physicians (on the Plan), treatment centers and hospitals. The objective of the Plan is to ensure that you receive prompt and effective medical care consistent with your injury and that you have access to specialty medical care if the need arises.
WHAT YOU SHOULD DO IF YOU ARE INJURED
If you have a work-related accident, you should report the injury immediately to your supervisor. Your supervisor will provide you with a medical provider directory from which you can choose any of the physicians or providers listed. Your supervisor will make certain that you receive prompt medical treatment for that injury.
INITIAL TREATMENT CENTERS
In order to provide the injured employee with prompt and effective medical treatment, the Town of Windsor / Windsor Board of Education has made arrangements for each employee to obtain immediate treatment at Hartford Medical Group, 1060 Day Hill Rd., Windsor, CT or St. Francis Center for Rehabilitation and Sports Medicine,, 100 Deerfield Rd., Windsor, CT. Thereafter, you may seek treatment from any of the providers listed in the directory.
SPECIALISTS
If treatment with a specialist is necessary, the Plan covers physicians in certain specialties. For a list of specialties covered by this Plan, please refer to the plan on the Risk Management page (upper right corner) or go to the Intranet, under Safety and Risk Management.
If the physician you need to see is in a specialty that is not covered by the Plan, you have the right to choose and treat with any Connecticut physician in that particular specialty. However, for all the specialties covered by this Plan, you must seek treatment from one of the physicians listed in the directory.
IF YOU SEEK MEDICAL TREATMENT FROM A PHYSICIAN OR OTHER PROVIDER NOT LISTED IN THE DIRECTORY FOR A SPECIALTY COVERED BY THE PLAN THE Town of Windsor / Windsor Board of Education, IS NOT REQUIRED TO PAY FOR THAT MEDICAL TREATMENT AND YOU RISK LOSING YOUR RIGHT TO RECEIVE WORKERS’ COMPENSATION BENEFITS AND PAYMENT FOR MEDICAL TREATMENT, SUBJECT TO THE ORDER OF THE WORKERS’ COMPENSATION COMMISSION.
EMERGENCY TREATMENT
In the case of an emergency, you should contact your supervisor. Your supervisor will make arrangements with you to seek treatment at the nearest emergency treatment facility or hospital. After the initial treatment and, if further treatment is required, you must select a physician listed in the directory. If the physician at the emergency facility recommends treatment by a physician in a specialty not listed in the directory, you may choose any licensed Connecticut physician within that specialty.
This plan does not restrict your treating physician from referring you for inpatient or outpatient treatment at any licensed hospital in Connecticut.
Claim Procedures
If you have been involved in an accident and/or wish to file a claim against the Town of Windsor, it is necessary to submit a written claim. The claim letter should be sent to the following address:
Ms. Anna Posniak
Town Clerk
Town of Windsor
275 Broad Street
Windsor, CT 06095
Upon receipt of the claim letter, it will be forwarded to the Town’s insurance carrier and a claims representative will contact you. However, an investigation must be conducted into the claim before a final decision on liability will be made. This process can take some time.
The insurance carriers make the final determination of liability, not employees of the Town. Therefore, the Risk Management office will not be obligated to provide any payment toward a claim based on statements of employees prior to completion of an investigation into the claim.