The FCSU and its member schools has a Workers’ Compensation Insurance Program which may provide for payment of medical expenses and lost wages for employees who experience an identified work-related injuries or illness. Our insurance provider and administrator is VSBIT’s Multi-Line Inter-municipal School Program.
Initial Reporting and Medical Treatment
- The Employee or immediate Supervisor must complete the FCSU EMPLOYEE'S FIRST REPORT OF INJURY
- Immediately or ASAP and always within 24 hours of the incident
- Getting initial information to the Benefits Coordinator is most urgent – residual information or signatures can be forwarded after the fact
- FAX the form to the FCSU, Attn: Benefits Coordinator at 524-1540
- If medical attention is necessary due to a work related injury, proceed to the:
Northwestern Occupational Health Center
Cobblestone Health Commons
260 Crest Road, Suite #101
St. Albans, VT 05478
P: 524.1223
Directions» - Work-related “911” conditions which should be directed to the Emergency Dept:
- ELECTRICAL INJURY - with chest pain, large burns or confusion
- LOSS OF CONSCIOUSNESS - for any reason
- FALLS - with neck or back pain requiring ambulance transportation
- LACERATIONS - large/uncontrolled bleeding
Although we encourage follow up medical visits to NOH, an employee may change doctors after the initial visit by completing the Notice of Intent to Change Health Care Provider and submitting it to Franklin Central Supervisory Union, Attn: Benefits Coordinator.
Lost time from work:
- The first (3) three days are treated as “WC/S”[workers compensation / sick] and the time is deducted from available sick time.
Tip: write wc/s on your timesheet. - After the first (3) three days, any time missed is recorded as “WC”on the timesheet. The employee will not receive wages from the school as the Workers Compensation comprehensive payment may be active at that point.
- In the rare case that an employee is out for WC for greater than (10) ten days, the employee may be eligible to receive wages from the insurance plan for the first (3) three days that have already been paid as sick time. In this case, the employee must return the gross wages that they have received for the (3) three WC/S days. If the three (3) days were deducted from the employee’s available sick time, these days will be reinstated.
Medical Certification / Billing
If a provider asks for billing information, give them the insurance carrier information below:
VSBIT Multi-line Program
79 River Street
3rd Floor, Suite 301
Montpelier, VT 05602
P: 802.223.6132, F: 802.223.6135
For claim specific information such as a claim number or adjuster name they will have to speak with the FCSU Benefits Coordinator at 524.2600.
A Certification of Health Care Provider is required if the injury results in lost time and for consideration for extended rights under the definition of a “serious health condition” under the Family Medical Leave Act (FMLA) and/or the Vermont Parental and Family Leave Law (VPFL).
If the employee’s injury results in lost time, and/or medical treatment beyond first aid, the employee must have the treating health care provider complete a Work Capabilities Form. This information shall be needed to determine any work limitations following the injury/illness and must be received by the Benefits Coordinator prior to the employee resuming duties.
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