NAF HR for NAF HR for SUPERVISORSSUPERVISORS

EMPLOYEE BENEFITS EMPLOYEE BENEFITS & SERVICES& SERVICES

AR 215-3, Chapter 15AR 215-3, Chapter 15

EMPLOYEE BENEFITSEMPLOYEE BENEFITS

ELIGIBILITY• All Regular Employees

- Regular Full Time- Regular Part Time - Regular Limited Tenure- Regular Seasonal

EMPLOYEE BENEFITS & EMPLOYEE BENEFITS & SERVICESSERVICES

NAF Retirement Plan NAF 401(k) Savings Plan NAF DOD Health Benefits Plan Stand Alone Dental Plan NAF Group Life Insurance Long Term Care Flexible Spending Accounts

www.nafbenefits.com

EMPLOYEE ASSISTANCE EMPLOYEE ASSISTANCE PROGRAMPROGRAM

Available to ALL Employees: Management Referral

• Alcohol • Drugs• Indebtedness• Anger Management• Other personal problems that interfere

with job performance• Employee’s choice to participate choice to participate

http://www.opm.gov/Employment_and_Benefits/worklife/healthwellness/EAP/

NAF WORKERS’ NAF WORKERS’ COMPENSATION COMPENSATION

PROGRAMPROGRAM

AR 215-1, Chapter 19 AR 215-1, Chapter 19 Section XVSection XV

LEARNING OBJECTIVESLEARNING OBJECTIVES

Supervisors will be able to: Briefly explain the program and service

providers List applicable forms and their use Identify timelines for forms to be submitted Complete required forms and identify

responsibilities Briefly explain available employee options Research applicable regulations for

additional information

SUPERVISOR’SSUPERVISOR’S ROLEROLE

Provide basic Workers’ Comp information to employees

Ensure safe work conditions and enforce safety regulations

Send injured worker for medical treatment Complete claim forms in a timely manner Report all injuries promptly to CPAC NAF

HRO

SUPERVISOR’S ROLE cont’dSUPERVISOR’S ROLE cont’d

Keep in contact with employees during recovery period

Assist employees in returning to work by providing work within employee’s work restrictions

Represent agency interest in monitoring claims

CPAC NAF HRO ROLECPAC NAF HRO ROLE

Educate supervisors and employees on basic Workers’ Comp procedures

Assist supervisors and injured workers with filing claims and communication with claims contractor

Review all forms for completeness and consistency

NAF WORKERS’ NAF WORKERS’ COMPENSATION OVERSIGHTCOMPENSATION OVERSIGHT

NAF Workers’ Compensation Program Army Central Insurance Fund (ACIF)

The Summit Centre4700 King Street – 3rd FloorATTN: IMWR-FM-IAlexandria, VA 22302-4406(703)681-7314 or DSN 761-7314

CURRENT Claims Service ContractorCONTRACT CLAIMS SERVICE, INC (CCSI)P.O. Box 541328DALLAS, TX 75354-1328(972) 554-1141 or (800)743-2231

APPLICABLE GUIDANCE APPLICABLE GUIDANCE AND LAWSAND LAWS

Compensates employees injured on the job when in course and scope of employment

Federal Law Nonappropriated Fund Instrumentalities

Act Longshore Harbor Workers’

Compensation Act

WORKERS’ COMPENSATION WORKERS’ COMPENSATION BENEFITSBENEFITS

For all NAF Employees • Excludes off duty military

Medical• 100% of allowable medical expenses• Medical Supplies

Compensation• 66-2/3% Average Weekly • Three day waiting period

Flexible employees are not paid for this period Regular employees are on sick leave or LWOP Waived if time loss exceeds 14 days

Death• Spouse and Dependents • Funeral Expenses up to $3,000

Personal Property (Not Covered)

ON-THE-JOB-INJURIES/ILLNESSON-THE-JOB-INJURIES/ILLNESS

Supervisor Responsibility• Issue & ensure completion of paperwork • Submit to CPAC NAF HRO within 3 days • Report loss time every pay period

Request for Examination/Treatment - LS-1 Part A Supervisor completes

Request for Examination/Treatment - LS-1-Part B Physician completes

Employer’s 1st Report of Injury - LS-202 - Supervisor completes

ON-THE-JOB-INJURIES/ILLNESS ON-THE-JOB-INJURIES/ILLNESS (Continued)(Continued)

OTHER REPORTS• LS-204- Attending Physician's

Supplementary Report - Follow up visits with physician – Supervisor initiates with data and physician completes

• LS-210 - Employer's Supplementary Report of Accident or Occupational Illness - Work/absence status; every pay period – Supervisor completes

• Benefit Option Form - Pay Choices – Employee completes

LS-1 - Request for LS-1 - Request for Examination and/or TreatmentExamination and/or Treatment

Employee takes this form to initial doctor’s visit

Employer Authorizes Medical Treatment (Not payment)

CCSI confirms injury is work related before payment can be authorized

Physician completes side 2• Employee chooses physician

LS-1 - Request for Examination LS-1 - Request for Examination and/or Treatment and/or Treatment (Continued)(Continued)

Supervisor completes Side 1 • #8 Signature of Authorizing Official

- Manager or Supervisor• #13 Claims Service Contractor – CCSI• Provide copy to employee and send to CPAC

NAF HRO

COMPLETED BY SUPERVISORCOMPLETED BY SUPERVISOR All blocks must be filled

#2 Standard NAFI Number #3 Date of Injury #10 SSN (Required) #13 First Day of Lost Time #15 Return to Work Date #22 Date Employer First Knew of Incident #26 Describe how accident occurred (How employee states) #27 Nature of Injury Identify body part affected (Do not attempt a diagnosis)

LS-202 - Employer's First Report of LS-202 - Employer's First Report of Injury or Occupational IllnessInjury or Occupational Illness

This form starts the claim Must be signed by Supervisor Send to CPAC NAF HRO within 3 days

of injury/notification A delay in sending form will delay

benefits to the employee• May cost your NAFI money• Department of Labor can fine NAFI’s up

to $10,000 for noncompliance

LS-204 - Attending Physician's LS-204 - Attending Physician's Supplementary ReportSupplementary Report

Employee takes to doctor on each visitEmployee takes to doctor on each visit Doctor’s office/hospital may submit Doctor’s office/hospital may submit

equivalent documentation to support equivalent documentation to support status of injurystatus of injury

LS-204 documents the ongoing status of employee’s injury

Must be completed when employee is ready to return to work

Send to CPAC NAF HRO

LS-210 - Employer's Supplementary LS-210 - Employer's Supplementary Report of Accident or Occupational Report of Accident or Occupational

IllnessIllness Supervisor reports lost time each pay Supervisor reports lost time each pay

period employee is off due to injuryperiod employee is off due to injury• If employee goes to the doctor on the day If employee goes to the doctor on the day

they are injured, admin leave is authorizedthey are injured, admin leave is authorized• All time off is LWOP unless employee signs All time off is LWOP unless employee signs

Benefit Option Form Benefit Option Form

Must be signed by supervisor Make sure all blocks are completed Send to CPAC NAF HRO

BENEFIT OPTION FORMBENEFIT OPTION FORM Must be filled out by the employee An employee in a Regular Position has two options:

Option I• Use accrued sick or annual leave

Employee’s pay and benefits will remain the same

• Once employee’s leave is exhausted In LWOP status & retain workers’ compensation payments

• Sick Leave Re-Credited Employee required to endorse CCSI check to employing NAFI

• Management required to deposit funds locally and notify NAF Financial Services who computes corrected time cards in order for leave to be re-credited

BENEFIT OPTION FORMBENEFIT OPTION FORM (Continued)(Continued)

Option II• Leave Without Pay (LWOP)

If employee does not sign a leave option agreement, LWOP is mandatory

• Will receive check from CCSI• Annual and sick leave stop accruing• Contribution to 401(k) & Retirement Plan stop• Employee’s portion of the medical benefits stop

being paid automatically- Employee will be responsible for payment of their

contribution• Check will be 2/3 of their Average Weekly Wage

3-day waiting period If employee is out for more than 14 days due to

injury, initial 3 days will be authorized for payment

EMPLOYEE RETURNS TO EMPLOYEE RETURNS TO WORK/MODIFIED DUTYWORK/MODIFIED DUTY

When employee is released to modified or full duty:• NAF HRO will review all vacancies at the installation• Identified position must be actual work• Job description must be approved by physician• After approval, job offer sent to employee by

certified mail/return receipt requested• When employee returns, supervisor explains duties• CPAC NAF HRO to notify claims service contractor in

writing if modified duty unavailable Allows employee to make smooth transition back

to work

WORKERS’ COMPENSATIONWORKERS’ COMPENSATION

LET’S EXERCISE !!LET’S EXERCISE !!