Rice University Human Resources
Policy No. 407-94
Applies to: All Faculty, Staff, Students, and Volunteers
Injured During the Course and Scope of Their Normal
Coverage and reports
Rice University maintains workers' compensation insurance coverage for the
protection of individuals where an employer-employee relationship exists. The
University, as required by law, notifies new employees of their option under the
law to waive insurance coverage within five days of employment and to retain a
common law right of action in place of relying on insurance.
An employee must report any injury or injury from an occupational disease to
his or her supervisor or manager immediately. The employee's supervisor or
another administrator must complete the First Report of Injury and immediately
forward it to the Risk Manager for processing.
When an injury or occupational disease is deemed to be work related, workers'
compensation insurance payments cover medical bills and compensation for lost
Payment for lost time
Employees who lose more than five work days (or
the equivalent) as a result of a work related injury or occupational disease are
placed on medical leave. For staff, the first week of absence (five work days)
is covered by available benefit time. Beginning with the second week, lost time
is paid by Worker's Compensation insurance according to legally established
rates. Staff may also draw on available benefit time while drawing on Workers'
Benefits while on leave
Employees who are eligible for benefits keep
their insurance coverage as specified in the policy on medical leaves. Holiday
pay and benefit time accumulations are discontinued during leaves.
Periodic reevaluation of condition
The insurance carrier may require the
disabled employee to have an independent medical examination performed by a
physician selected by the insurance company.
The employee shall have the right to have a physician or surgeon of his or
her choice also present at such examinations. All fees are paid by the insurance
Return to work
In order to return to work, an employee must submit a
statement from his or her physician authorizing the return and listing any
restrictions or limitations.
Return to limited hours
Should an employee be permitted to return to a
reduced number of hours, Workers' Compensation continues to pay a portion of
lost wages in an amount determined by law.
For a three-month period following the date of return, the employee coming
back to a reduced work schedule will remain eligible to participate in the same
benefits and insurance programs that were carried before and during the period
of absence for work-related disability.
At the end of the three-month period, if the employee has returned or is
scheduled to return to the number of hours worked before his or her injury,
benefits continue without interruption. If not, then eligibility for
participation in benefits will be determined by the number of hours actually
worked according to the provisions of each policy.
Restricted duty/Light Duty
Rice University will make every reasonable
attempt to accommodate an employee whose physician has said that the employee
can return to work only if some restrictions are followed. However, the
University cannot guarantee return to the former position or creation of a new
job. The employee will be considered for any available position for which he or
she is qualified.
When an employee has suffered a compensable injury
that disables him or her from performing customary responsibilities, Rice
University will consider transfer of the employee to a suitable position if such
a position is available.
All absences due to an alleged industrial incident will
be investigated thoroughly. Claims found to be fraudulent will be cause for
immediate dismissal of the claim and reasonable grounds for termination of
- See also:
- Medical Leaves
- Procedures for Leaves due to Work-related Injury
- Policy No. 407-93