St. Joseph's Occupational Health Care is no longer available for non-emergent treatment.
Complete if the injured employee is a student assistant.
Employees of the Humboldt State University are covered for any injury/illness arising out of or in the course of employment, at no charge to the employee. Sedgwick CMS Services is the plan administrator for workers' compensation.
If an employee qualifies for workers' compensation, all approved medical bills will be paid in addition to any temporary or permanent disability payments to which an employee is entitled.
If an employee is unable to work as a result of a work-related injury or illness, he or she may elect to receive Industrial Disability Leave (IDL) in lieu of temporary disability payments. IDL provides full pay for the first 22 days of disability, with two-thirds pay for the next 11 months of disability. Employees disabled for 14 days or less do not receive IDL for the first three days (waiting period) unless hospitalized.
All job-related injuries or illnesses should be immediately reported to the employee's supervisor or Human Resources. Employees will be given an "Employee's Claim for Workers' Compensation Benefits" form to complete and return to Human Resources.
If emergency care is required, employees should seek services from Mad River Emergency Room or St. Joseph's Emergency Room. For non-emergency care, employees must contact Mad River Occupational Health Services to provide medical treatment for the first 30 days from the date of injury. However, if prior to an injury, Human Resources has been provided with a Pre-Designation Form signed by a personal physician, employees may seek medical care from this physician immediately after injury. Under Labor Code Section 4600 (d) the designated physician must (1) be the employee's primary care physician, (2) have treated the employee in the past, (3) retain his or her medical records (including medical history), and (4) agree to be predesignated.