Insurance and Benefits
Laney Burris         I nsurance and Benefits Manager
Denise Havlice    Benefits Assistant

Workers’ Compensation – Supervisor Procedures

The following procedures have been established to assist you in the event of any work related injury or illness.  If you have any questions, ask your designated representatives listed below, located in the Insurance and Benefits Department, or visit Rock Hill Schools’ Workers’ Compensation website at www.rock-hill.k12.sc.us for more information.
 
•	Once the employee has reported an injury/accident to you, immediately contact the school district’s designated representative located in the Insurance and Benefits Department.
•	If the employee needs to seek medical treatment and it is an injury covered by workers’ compensation, the designated representative will submit authorization for medical treatment.  

Note: Workers’ Compensation law states that you must get medical treatment from a doctor designated by your employer or you may forfeit workers’ compensation benefits.

•	If the injury occurs after hours and medical treatment is necessary, send the employee to the Workers’ Compensation authorized facility, listed below.  Please contact the designated representative the next work day to report the injury/accident. 
•	The employee must complete the Incident Report and Medical Information Release Authorization Form whether or not the employee needs to seek medical treatment.  The forms need to be submitted to you and the designated representative as soon as possible, but no later than 24 hours after the injury/accident.  
•	The employee must notify you and the designated representative of any follow-up medical appointments relating to the injury/accident.
•	If the person works for Kelly Services, Sodexo, or Budd Group, please ask them to contact the company in which they work for to report the injury. 
•	If the person is not a district employee, please fill out the Student/Visitor/Volunteer Accident Report online.
•	An employee that is given a prescription may come to the District office to pick up a prescription card from the Insurance and Benefits Office or request it to be sent through the “Pony” to the school.
Primary Contact			Alternate Contact			WC Authorized Facility
Denise Havlice				Laney Burris, RMPE			Riverview Occumed
Benefits Assistant			Insurance and Benefits Manager		1393 Celanese Road
803-981-1247				803-981-1012				Rock Hill, SC 29732
803-981-1347 Confidential Fax		803-980-2017 Main Fax			803-327-0033
DBHavlice@rhmail.org			LBurris@rhmail.org