Other Questions with Answers
Three things must occur in order for an injury to be a workers’ compensation injury: 1) the employee must experience an injury that “arises out of and in the course of their employment; 2) the employee must notify their supervisor within 30 days of the injury and 3) the employee must either lose time from work and/or require medical attention.
You should immediately notify your supervisor and/or someone in a management position.
A workers’ compensation designee is a departmental person assigned to coordinate your claim with our office. The designee will have you complete some paperwork, schedule your medical appointment and process reimbursements for you.
You should tell your employer immediately. The Workers’ Compensation Act allows for a 30 day window for notice however the sooner you tell your employer the quicker we can schedule medical treatment for you so that you’re on the road to recovery.
Your employer is required, by law, to report all workers’ compensation injuries. Your employer will have you complete paperwork, initiate treatment and help in the processing of your claim. Further your employer will make sure that you are working within your restrictions, if appropriate.
Weekly wage replacement (indemnity benefits), payment of all related medical bills including prescriptions, mileage reimbursements and related costs, payment for the cost of vocational rehabilitation, if necessary and further benefits in severe cases, i.e., loss of specific body parts and fatality benefits.
The State of Maine is self-insured and the Workers’ Compensation Office administers our program.
No later than 30 days after your injury, per law, however the sooner you report your claim the sooner we can direct your treatment.
Your departmental designee will set up a medical appointment for you with an occupational medical provider.
Your designee will arrange for your medical appointment as soon as you report your injury.
All lost time needs to be reported immediately to your supervisor and documented on your weekly time slip.
Workers’ compensation benefits are paid at 2/3 of the gross average weekly wage (1/1/2013) with benefit level caps. Your designee and/or case manager can answer specific questions for you. Employees are allowed to use their benefit leave time for workers’ compensation leave.
You should contact your departmental designee for follow up and/or our office.
All unsafe conditions are taken care of immediately after reported and also discussed at the departmental safety committee meetings.
All claims need to be accepted or denied within 14 days of notice of an injury.
You may be entitled to a partial weekly benefit payment if you are on restrictions and do not earn your average weekly wage. Your workers’ compensation case manager can answer case specific questions.
Yes, make sure that medical documentation for your release to work has been given to your supervisor and designee.
You can receive benefits until you recover from your injury and/or durational caps have expired. Your workers’ compensation case manager can answer case specific questions for you.
If your claim is denied you will receive a copy of a notice of controversy and you will receive information from the Workers’ Compensation Board to assist you with your claim.