|
WORKERS' COMPENSATION INSURANCE WHILE TRAVELING FAQs
1. What is the insurance that covers faculty, staff, and student employees when they are on "official business" for the University while they are in travel status? Is it workers' compensation
only, or is there a separate policy?
Answer:
The statutory workers' compensation insurance is the only coverage for employees of the University.
This insurance provides medical and indemnity (a portion of lost wages) benefits. Workers' compensation
coverage is applicable to injuries that occur to an employee (can be faculty, staff, or student
employees) while traveling.
The statutory workers' compensation insurance does not cover students, volunteers, or others
who are not on the University payroll.
There are some exceptions to this (click here for further information).
2. What primary factors of an incident/injury determine eligibility for workers' compensation coverage?
Answer:
The primary "trigger" with workers' compensation to determine compensability is the nature of the
incident/injury; e.g. the incident/accident is considered work-related and within the course
and scope of employment. A University employee (see question #1) could be on an official
business, work-related trip but conducting a task that is not considered "work-related" and incur
an injury. If the task is not considered work-related, the workers' compensation coverage would
not apply and benefits would be denied.
3. Is there a particular document that triggers insurance coverage for faculty, staff, and student
employees traveling in an official University business capacity?
Answer:
There is no specific University travel document that is required to trigger the workers' compensation
insurance for employees. The completion of the University's
Incident Report Form is
generally used to file a claim for benefits with our insurance carrier and put the
Colorado Division of Workers' Compensation on notice of a claim for benefits.
In the event a work-related injury is incurred while traveling, the workers' compensation insurance
claims adjuster will conduct an investigation to determine compensability. Depending
upon the circumstances of the claim, the claim adjuster's investigation could require
documentation regarding the justification of the attendance to the business function and
necessary travel. The current Travel Authorization form could be used to provide documentation as
part of the claims investigation.
4. Is workers' compensation coverage the same when an organization other than University pays for the travel?
Answer:
With the statutory workers' compensation insurance, the coverage applies to all University employees, regardless of
who is funding the travel. As long as the travel is considered approved for official University business and is directly related to
their employment, the employee is covered. The workers' compensation coverage only applies to University employees who are on
the University payroll. It generally does not cover volunteers or students or others who are not on the
University payroll. There are some exceptions, as noted in answer #1.
5. Is coverage the same for all modes of travel (i.e., use of personal auto, rental car, train, bus, air), and for the travel
area/location (in state, out-of-state, or out-of-country)?
Answer:
The statutory workers' compensation coverage applies to all employees while they are conducting any work-related tasks.
This includes not only working on-site, but also conducting work-related tasks while traveling via their personal automobile,
rental car, train, bus, plane or boat. Workers' compensation also covers employees while they are conducting approved and official
University business while out-of-state (see Question #9).
In the event an employee incurs an injury while traveling in their own personal vehicle, it should be noted that only the
employee(s) are covered under the statutory workers' compensation insurance. Non-employee passengers in the vehicle, passengers
in other vehicles that are involved in the accident, and any injured pedestrians are not covered by any University insurance
policy. The employee and/or their own personal automobile insurance policy are responsible for responding to those damages.
Property damage to the employee's personal automobile and/or any third-party property damage are also not covered by any
University insurance policy. The employee and/or their personal automobile insurance policy are responsible for responding
to those damages.
University insurance policies only provide coverage for third-party injuries and property damage when a University-owned or
State-owned vehicle is in use.
6. Does workers' compensation coverage apply if an employee takes a personal "side trip" during an official University business trip?
Answer:
The statutory workers' compensation coverage will not apply to injuries that occur as a result of a personal nature.
Only if the incident occurs while conducting official University business on the trip, will the workers' compensation coverage
apply. However, if the incident occurs during the personal portion of the trip, it would not. This is also the case with a
deviation from the official business trip.
As an example, if the employee was traveling to Estes Park to attend a medical conference but decided to stop at Fort
Collins to visit a friend and was involved in an accident while in Fort Collins, the workers' compensation claims adjuster
would look at the reasonable route to Estes Park and then determine if the accident occurred while deviating from that route in order
to determine compensability of the injury. The same would apply if the employee were in Estes Park attending the conference
and after the conference decided to go to a bar and became intoxicated. The employee then suffered an injury because he/she
fell off of the barstool. The injury would be considered non-work related and therefore not compensable, even though the
conference is considered official University business. Every claim submitted by an employee for workers' compensation benefits
is investigated to determine if the injury and occurrence is compensable as outlined within the Colorado Workers' Compensation Act.
7. Does the coverage change for International Travel?
Answer: No. Per Colorado Revised Statute 8-41-204, the statutory workers' compensation insurance provides coverage under
Colorado jurisdiction for employees while they are involved with out-of-state travel, for University official business
and away for up to six months. If an employee is planning on being away for more than six months, during a single trip,
they must notify campus Risk Management to ensure coverage.
CU does maintain a foreign travel assistance program for employees while traveling outside of the United States. This coverage
does not provide any life, medical, and/or indemnity benefits; however, it does provide services through a service provider
selected by the insurance carrier. An international travel card that outlines services available and appropriate telephone
numbers can also be obtained through the Risk Management office.
8. If a faculty, staff, or student employee does get hurt/injured while traveling in an official University business
capacity, what next steps does an administrator need to take to ensure the proper insurance coverage is used? What is that insurance?
Answer: Any time a University employee is injured as a direct result of a work-related activity, they should immediately submit
the Incident Report Form to Risk Management and proceed to their campus'
authorized, University workers' compensation Designated Medical Provider. If they are out-of-state in travel mode, they should
see the Designated Medical Provider once they return to Colorado. If the employee needs emergency medical care,
they should go to the nearest emergency room and then immediately follow-up with the Designated Medical Provider once they return to
Colorado.
TLL & KH/Denver/9-16-03 revised 10/02/08 DB
|