The Commonwealth of Massachusetts is the worker's compensation insurer for all state employees. Workers compensation insurance pays for medical expenses associated with job-related injuries and may also provide a weekly income if you are unable to work due to such an injury for five (5) calendar days or more.
Reporting A Work-Related Injury or Illness
All work-related injuries, serious or otherwise, must be reported to your immediate supervisor and to HR Benefits on the day they occur. The supervisor, first responder, or authorized individual arranges for any immediate medical attention required and provides the employee with an Injured Employee Workers Compensation Packet. The employee will provide portions of this packet to the treating medical provider.
Within 48 hours of the injury, the employee must complete the Notice of Injury Report via DocuSign which automatically routes to your supervisor, then to HR for processing.
Upon receipt of the Notice of Injury Report, Human Resources will open a claim. The claim number and assigned adjuster will be provided to the injured employee as confirmation that the claim was filed and if ongoing claim administration is required.
MEDICAL TREATMENT OR TIME AWAY FROM WORK
If the injury requires medical attention and/or the time away from work is five (5) or more calendar days, please review and/or download the following injury related documentation:
Contact Information
University Coordinator: HR Benefits, 413-572-5274
EMAIL for assistance: benefits@westfield.ma.edu
General Claims Administration:
HRD/Workers' Compensation Unit
100 Cambridge St, Suite 600, Boston, MA 02114
Phone: 617-727-3437
Fax: 617-727-7816
Medical Providers Seeking Payment (medical bills and related records):
All bills must be received on a HICFA 1500 or UB 90 form with a detailed description of the services rendered attached.
HRD/Workers' Compensation Unit
P.O. Box 211134, Eagan, MN 55121
Absence from Work for Five (5) or More Calendar Days
If an employee will be absent from work for five (5) or more calendar days, the employee and his/her supervisor must notify Human Resources to begin the formal request for income replacement while the employee is out due to a work-related illness or injury.
Workers Compensation Income Benefits
If you are unable to work, and while awaiting determination on a workers’ compensation claim, a benefited employee may use his or her own accrued time (sick, vacation, personal, compensatory), if available.
The employee does not receive pay from Workers Compensation while awaiting determination on the claim. If approved, Workers Compensation income benefits begin effective the 6th calendar day of absence and replace 60% of the employee’s average earnings over the 12 months preceding the illness/injury (within certain minimum and maximum benefits).
If an employee is disabled for more than 21 days, workers’ compensation income is made retroactive to the first day of absence.