Workers' Compensation Frequently Asked Questions
Workers' Compensation Frequently Asked Questions
主管的第一个报告包（PDF）
由于与工作相关的伤害而确定员工是否损失了一天以上的工作？
是的。如果员工实际上在受伤之日失去工作时间，则应计算损失的时间来确定员工是否错过了超过一天的工作。例如，如果一名员工在受伤日期错过了半天，然后错过了下一整天，他或她错过了一天以上的工作。[注意：失业时间不必是连续的]。
由于可补偿伤害而确定员工是否错过了超过一天的工作？
Partial days missed from work should be counted if an employee is absent because he or she is "disabled." For instance, if an employee's regular daily shift is eight hours long, but the employee is only able to work four hours per day pursuant to doctor's orders, the employee will have lost more than one day of work due to his or her injury after the third day of working only four hours per day.
“残疾”被定义为由于可补偿伤害而无法获得和保留就业。
如果员工的主管知道员工已遭受与工作有关的伤害，但是员工从未正式报告伤害，如果由于受伤，员工错过了超过一天的工作，是否必须提交表格？
是的。如果他或她的主管（或有监督责任的任何人）实际上知道，在工作中受伤的雇员不需要“正式”报告伤害，认为伤害在就业过程和范围范围内受到持续。主管/部门应在意识到这一事件后立即完成主管的第一份伤害报告。
谁应该完成主管的第一份受伤报告？
主管的第一份受伤报告应由指定代表雇主行事的人完成并签署。
德克萨斯州工人赔偿司保险公司（DWC 73）DWC73表格（PDF）
如果员工缺少间歇性的工作时间，则必须将得克萨斯州工人赔偿委员会的工作状态报告（表格73）提交给雇主/主管？
每当员工失去工作时间和/或员工返回工作后，应提交新表格，每次返回工作时，应由于受伤而遭受额外的残疾或几天的残疾。这将由医疗提供者完成。
与医生或物理治疗师一起预约的时间是否被认为是浪费时间？
否。损失的时间是，由于可补偿伤害，受伤的员工在身体上无法工作的那一段时间。
员工休假选举（表格23）（PDF）
当员工经历间歇性的时间时，员工是否每次都必须填写新表格？
是的。每次员工因在职人员受伤而错过工作时，应完成新的雇员的休假选举（表格23）。
How should the form be filled out if the employee is unable to come in and sign the form?
It is very important to get the employee's signature on the form. However, if this is not possible, the next best alternative is to get the employee's spouse or relative to sign the form on behalf of the employee. If neither the employee nor one of the employee's relatives is able to sign the form we recommend that you call the employee on the telephone and document the employee's decision on the form. After the employee's decision is recorded on the form, please sign the form as follows:
APPROVED BY PHONE (DATE)
_______________________________ Signed: (Department Rep Signature)
Is an employee required to use all of his or her sick and annual leave before he or she is entitled to receive workers' compensation benefits?
不。The employer cannot require an employee to exhaust all accrued leave even if the employee elects to take leave pursuant to the Family Medical Leave Act.
Wage Statement
(这种形式目前工人完成Compensation Advisor in Risk Management & Insurance)What should be done when the employee did not work for thirteen consecutive weeks prior to the date of injury and there is no same or similar employee who worked for thirteen consecutive weeks prior to the date of injury?
If no same or similar employee worked for thirteen full weeks prior to the date of injury, use the number of days and hours the employee actually worked and the gross amount the employee earned in wages or salary for each week listed.
If uniforms are provided to an employee, but the uniforms must be returned upon termination of employment, are they considered a "Fringe Benefit?"
尽管对此事没有确切的裁决，但我们的政策不考虑制服，如果制服仍然是雇主的财产，则必须在终止雇用后退还，以计算雇员的平均每周工资。
在工资声明中，应在“附带福利”下列出的13周内为健康保险支付的总金额，还是仅应列出每月捐款？
仅在附带福利下的“金额”列中列出“健康保险”每月供款。要计算每月支付的附带福利的每周金额，请将每月金额除以4.34821。
如果在索赔过程中暂停附带福利，是否有必要提交修订后的工资声明？
是的。如果附带福利被确定为继续，雇主后来暂停了受益的福利，则雇主必须在7天内提交修订的TWCC-3，以报告停职日期。
Employees Workers Compensation Benefits
如果员工正在获得每周工人的赔偿损失工资的赔偿金，它将如何影响国家对福利的贡献？
An employee who is off work and receiving weekly workers' compensation benefits is in a "Leave Without Pay" status. If the leave without pay covers a period of one month or more in which no paycheck is to be received, the employee is not entitled to the State contribution toward his or her insurance premiums. This does not mean that the employee may not retain his or her insurance coverage by paying premiums. Questions regarding continuation of insurance coverage should be directed to the institutional Benefits Office.
May an injured employee who is receiving workers' compensation benefits intermittently use sick and/or vacation leave in order to retain entitlement to the State contribution toward insurance premiums?
不。
Is an employee entitled to mileage reimbursement when he or she must travel to receive medical care?
如果员工合理地旅行超过30英里（一种方式），则有权偿还旅行，以便根据TX劳动法规134.110（a）（1）获得适当且必要的医疗服务。
Can an employee who is receiving workers' compensation benefits also be eligible for Long Term Disability, Unemployment Compensation, and/or Social Security Disability benefits?
是的。收到工人的薪酬收入福利并不能自动使一个人没有资格获得上述福利。但是，其他计划所需的福利金额可能会受到收到工人赔偿收入福利的影响。应联系机构福利办公室，以获取有关长期残疾资格的具体信息。
工人的薪酬福利应纳税吗？
工人的薪酬福利目前不缴纳联邦所得税。如果员工对此事有具体疑问，我们建议将雇员定向到国税局或其法律顾问。
何时为受伤受伤的员工提供医疗福利？
在工作和就业范围中受伤的工人立即获得医疗福利。[注意：员工不应使用其健康保险卡来获得可补偿的在职伤害的医疗。]
如果员工试图获得他或她无权获得的工人赔偿福利怎么办？
试图获取工人赔偿福利的雇员应被警告，应警告说，要对虚假或误导性陈述，虚假陈述或隐藏材料的概述以及/或制造，更改或隐藏文件的情况下有严重的处罚。获得工人的赔偿福利。得克萨斯州保险局的工人赔偿局（TDI-DWC）对这些欺骗性行为中的任何一个，可以对雇员进行最高5,000美元的货币罚款。此外，这是刑事犯罪（最高二级重罪，具体取决于涉及的美元金额），以便犯下以上列出的任何行为，以试图错误地获得工人的赔偿福利。