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Workers' Compensation Frequently Asked Questions for Employees

Below are a list of frequently asked questions and corresponding answers related to the notification process, benefits, administration and responsibilities of supervisors, agencies and universities when an employee is injured on the job. If you need additional assistance, email us at workerscomp@nc.gov with your questions. 

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What is Workers' Compensation?

What is Workers' Compensation?

 The Workers' Compensation law provides medical benefits and disability compensation including a weekly compensation benefit for time lost. The weekly benefit is equal to 66 2/3% of the employee's average weekly earnings up to a maximum established by the Industrial Commission each year. When an employee is injured, he/she must go on workers' compensation leave and receive workers' compensation weekly benefits after the waiting period required by statute (G.S. 97-28).

 

Who is covered under the State Government Workers' Compensation? Program?

Who is covered under the State Government Workers' Compensation? Program?

All North Carolina State Government employees are covered under the State Government Workers' Compensation Program. This includes all agency and university employees and officers. It also includes all State elected officials, members of the General Assembly, or those appointed by the Governor to serve on a per diem, part-time or fee basis. It covers full-time employees, part-time employees, and temporary employees.

What benefits are provided under the Workers' Compensation Program?

What benefits are provided under the Workers' Compensation Program?

The law provides medical and disability compensation including a weekly compensation benefit for time lost from work which is 66 2/3% of the employee's average weekly wage up to a maximum established annually by the North Carolina Industrial Commission. There is a seven calendar day waiting period where no compensation for lost time will be allowed. During this time, employees may elect to go on leave without pay or use any sick or vacation leave accrued prior to the injury. An explanation of leave options and continuation of other benefits may be found in the Workers' Compensation Leave section of the State Human Resources Policy.
 

Who administers the Workers' Compensation Program for my agency?

Who administers the Workers' Compensation Program for my agency?

Agencies are responsible for administering their own programs, including funding medical treatment and compensation for loss of wages for employees experiencing a work related injury or occupational illness. A Third Party Administrator (TPA) contracted by the state, handles the individual workers' compensation cases for the University System, the Judicial Branch, the Legislative Branch, all agencies under the Executive Branch, and several Boards and Commissions. The TPA currently responsible for handling those workers' compensation claims is CorVel, which has offices located in Charlotte and Raleigh.
 

What should an employee do in the event of a work-related injury or illness?

What should an employee do in the event of a work-related injury or illness?

 An employee who is injured on the job or contracts an occupational disease as defined in the Workers' Compensation Act must notify his or her supervisor immediately and complete the proper forms as soon as possible. An explanation of workers' compensation coverage, including the employees' entitlements, rights and duties may be found in the North Carolina State Government Workers' Compensation Employee Handbook, a copy of which may be obtained from the agency Workers' Compensation Administrator.

What are the responsibilities of the supervisor when an employee is injured on the job or diagnosed with an occupational illness?

What are the responsibilities of the supervisor when an employee is injured on the job or diagnosed with an occupational illness?

The supervisor has the responsibility of ensuring that the employee receives medical treatment immediately and notifying the agency Workers' Compensation Administrator, or designee, as soon as possible in order to begin the process of administering the claim. The supervisor should be aware of where to direct the employee for medical treatment (unless it is a life-threatening emergency). The agency Workers' Compensation Administrator will provide the name of the selected physician from the Preferred Provider Network listing, unless the agency utilizes an in-house medical treatment facility.
 

What are the responsibilities of agencies/universities?

What are the responsibilities of agencies/universities?

The following are the primary responsibilities typically carried out by the agency Workers' Compensation Administrator:

  • Administer an effective and efficient Workers' Compensation program.
  • Effectively communicate Workers' Compensation policy and procedures to all employees.
  • Facilitate good employee relations with respect to Workers' Compensation claims.
  • Maintain a thorough working knowledge of the Workers' Compensation Act and Industrial Commission rules, regulations, and procedures.
  • Assure that injury notices are received from supervisors in a timely manner.
  • Assure reimbursement of funds to the Workers' Compensation Fund on a monthly basis.
  • Ensure completion of Form 19s, or other appropriate/required forms, and forward to the third party administrator, where applicable.
  • Coordinate Workers' Compensation claims accident investigations with the Safety Officer and third party administrator.
  • Coordinate pay, including benefits, for all employees that are involved in a Workers' Compensation claim.
  • Participate in clincher agreements.
  • Develop and administer an effective return-to-work program.
  • Coordinate agency/university participation of Industrial Commission hearings when necessary.
  • Assure accurate salary continuation of employees involved in Workers' Compensation cases, where applicable.