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Lake County BCC
315 West Main St.
P.O. Box 7800
Tavares, Florida 32778

 Lake@Work Newsletter
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Update - Workers' Compensation Program
Posted: October 23, 2012
please take note of the following updates and reminders pertaining to the County’s Workers’ Compensation Program:
·         Third Party Administrator (TPA) name change - Effective today, October 22, 2012, the name of the County’s Workers’ Compensation TPA has changed from EMI to Ascension Benefits & Insurance Solutions of Florida.  The provider itself has not changed and employees may continue to use the same phone numbers and adjusters to assist with their workers’ compensation needs.
·         Understanding the DWC-25 – Employees and supervisors should make sure they understand the information provided to them in the DWC-25 “Florida Workers' Compensation Uniform Medical Treatment/Status Reporting Form” (see attached).  This form is provided to an injured employee after each visit with the workers’ compensation doctor.  The doctor uses the form to recommend medical treatment/services and report the medical status of the injured employee.  Of utmost importance to the supervisor and the employee is the section that details the employee’s work status and/or what work restrictions have been imposed (if any), which is found on Page 2, Section IV (pictured below).
·         If #21 above is checked, the employee has been released to return to work with no restrictions and the date is indicated.
·         If #22 above is checked, the employee has been placed on a no work status as of the date indicated.
·         If #23 above is checked, the employee has been released to return to work on light duty and the date and restrictions are indicated.
·         Employees - Employees are required to report their current work status to their supervisor, as determined by the workers' compensation physician (in writing), immediately following each office visit.  Most of the time, this is provided on the DWC-25 form, which the doctor provides the employee. Employees are required to give their supervisor a copy of the DWC-25 form as soon as possible.
·         Supervisors - Supervisors should request follow up information from the employee after each workers’ compensation doctor visit.  If the DWC-25 form indicates light duty for the job-related injury or illness (i.e., #23 above is checked and restrictions are indicated), then the Supervisor shall accommodate the light duty work assignment.  If the employee’s department does not have a light duty work assignment, the supervisor should contact Human Resources, who will arrange with other departments for light duty assignments. Supervisors are required to forward the copy of the DWC-25 form as soon as possible to Human Resources.


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