PLEASE NOTE: NEW CLAIMS HANDLING
PROCESS EFFECTIVE 7/1/2009
Effective July 1, 2009, Yale University will no longer be handling new workers' compensation claims internally. Any claims reported to the Office of Risk Management on or after July 1, 2009 will be handled by PMA Management Corporation. Their office is located in Meriden, CT and their contact information can be found here (link to below).
Note: All claims reported to the Office of Risk Management prior to July 1, 2009, will continue to be handled by Risk Management.
Workers' Compensation Contact Information |
Office of Workers' Compensation
25 Science Park, 5th Floor
Telephone: 432-9830
Fax: (203) 432-5432
Office Hours: 8:00 am – 4:30 pm
PMA Management Corporation
530 Preston Avenue
Meriden, CT 06450
Telephone: (800) 379-0276
Fax: (203) 379-3401
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| Contact |
Direct Contact For: |
Linda Whitehouse
PMA Management Corp.
379-3874 |
Claims reported after July 1, 2009 and involving time lost from work or modifications to the employee's job duties |
Cacilda Periera
PMA Management Corp.
379-3862 |
Claims reported after July 1, 2009 and involving no time lost from work or modifications to the employee's job duties |
Natalie Bacevius
Claims Manager
432-9831 |
Claims reported prior to July 1, 2009; Operations and Administration; Coverage Questions; Litigation and Legal Items |
Donna Cacaci R.N.
Case Manager
432-9967 |
Claims reported prior to July 1, 2009; Managed Care Program for Medical Treatment; Preferred Provider Network; Coordination & Authorization of Medical Services; Employee Work Status; Medical Bill Review |
Theresa Serafin
Administrative Assistant
432-9830 |
Claims reported prior to July 1, 2009; General Information; Bill Payment; Allocations & Account Reconciliation; Reimbursements--claims handled by Yale University only |
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Claim Reporting:
When a work-related accident occurs, the employee should notify his or her supervisor immediately. The supervisor will report it to the Office of Workers' Compensation via the Employee First Report of Injury Form.
Medical Treatment:
Yale has a managed care plan for workers' compensation claims. For non-emergency medical care, the employee must choose a physician from the Managed Care Plan directory. Failure to obtain treatment from a physician in the plan may result in denial of the claim.
During normal working hours, there are two main locations for initial treatment, Yale University Employee Health Services, or St. Raphael's Occupational Health Plus Center.
If the employee wishes to seek treatment at University Health Services, he or she should contact the Employee Health Department at (203) 432-7879 to schedule an appointment. The supervisor must supply the employee with a University Health Services Appointment Form (link to document)
for the initial evaluation at University Health Services.
If the employee wishes to seek treatment at St. Raphael’s Occupational Health Plus, no appointment is necessary, but it is helpful for the employee to call (203) 789-3721 and advise St. Raphael’s Occupational Health Plus that he or she is on the way there for treatment. The supervisor must supply the employee with a St. Raphael's Occupational Health Plan Authorization for Injury Care form for initial evaluations.
For emergency situations, or during off hours, the employee is allowed to treat at University Health Servces Urgent Care, or the Yale New Haven Hospital or St. Raphael's Hospital emergency rooms, but any follow up care should be provided by a physician in the managed care network.
Other Information:
The University has created a guide for Employees which contains valuable information on the Workers' Compensation process:
Departments who wish to obtain additional copies, should call 432-9830.
Forms/Documents and Other Links:
Appointment Forms:
Definitions of Modified Duty Restrictions
State of CT Forms, including 30C Notice of Claim For Compensation
University Joint Health and Safety Website
State of CT Workers' Compensation Commission |
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