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Our Worker’s Comp Carrier…
Just an FYI…
Valley View’s worker’s comp is self funded.
This means that Valley View is responsible for the payments made for all worker’s comp claims.
Gallagher Bassett Services, Inc. is our Third
Valley View School District 365U Workers Compensation Our Workers - - PowerPoint PPT Presentation
Valley View School District 365U Workers Compensation Our Workers - - PowerPoint PPT Presentation
Valley View School District 365U Workers Compensation Our Workers Comp Carrier Just an FYI Valley Views workers comp is self funded. This means that Valley View is responsible for the payments made for all workers comp
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Why you should report an injury…
When a claim is reported, the following happens:
1.
The injury is documented with the District.
2.
Valley View becomes aware of a potential dangerous situation.
3.
It could help prevent a similar injury from reoccurring.
4.
Failure to report an injury could delay benefits, or coverage under worker’s comp.
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Who to report an injury to…
Employees should report all injuries immediately that
- ccurred at work to protect themselves.
At a school, employees should report an injury to their
building designee (principal, nurse or supervisor).
Other District employees (district maintenance,
transportation or print shop) should report an injury to their immediate supervisor.
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Forms that need to be completed…
WC forms to be completed by employee
Authorization for Release of Information
Employee Report of Injury
WC forms to be completed by designee (Principal, Nurse, Supervisor)
Employers First Report of Injury
- r Illness (Form 45)
Supervisor/Witness Report Please send all completed forms to Brandy McCurrie in Human Resources ASAP.
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Where to access these forms…
All worker’s comp forms are available through
the designee at your building.
You can also access the forms on the
District’s website at www.vvsd.org under the Human Resources Department.
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Medical Facilities…
Below are medical facilities in the area affiliated with worker’s comp injuries. Edward Corporate Health Physician’s Immediate Care
130 N. Weber Road, Suite 108 391 S. Bolingbrook Drive Bolingbrook, IL 60440 Bolingbrook, IL 60440 (630) 646-5770 (630) 226-1006 (1/4 mile south of Boughton Rd) (Route 53 North of I-55/South of Lily Cache) Weekdays: 8:00 a.m. – 11:00 p.m. Weekdays: 7:30 a.m. – 11:00 p.m. Weekends & Holidays: 8:00 a.m. – 5:00 p.m. Weekends: 7:30 a.m. – 4:00 p.m.
Premier Occupational Health
550 E. Boughton Rd, #140 Bolingbrook, IL 60440 (630) 972-0733 (East of Route 53) Weekdays: 7:00 a.m. – 7:00 p.m. (Non-Doctor Visits) Weekdays: 10:00 a.m. – 6:00 p.m. (Doctor Visits) Saturday: 9:00 a.m. – 2:00 p.m. Sunday: Closed
Please Note: These facilities are strictly optional. Emergency rooms are only used in the case of a life threatening injury.
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Additional Medical Services…
Additional medical services (i.e., doctor’s appointments, x-rays,
tests, physical therapy, surgery, etc.) needs to be pre-approved by Gallagher Bassett Services, Inc. prior to scheduling
Employees in need of additional medical services, should
contact Donna Tincher at Gallagher Bassett Services, Inc. at (847) 273-0374 or by email donna_tincher@gbtpa.com
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Medical Bills/Medical Reports…
The medical provider should forward all medical bills and accompanying medical reports to: Gallagher Bassett Services, Inc. P.O. Box 2831 Clinton, IA 52733-2831 (800) 370-0594 All other correspondence should be sent directly to the adjuster: Donna Tincher, WC Claim Representative E-Mail: donna_tincher@gbtpa.com Phone #: (847) 273-0374 Fax #: (847) 240-6660
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