The Town of Sebago provides Workers’ Compensation Insurance coverage for all employees. When an on-the-job accident occurs, the affected employee is to report it immediately to his/her direct supervisor or department head and complete a “First Report of Injury” form. The department head shall notify the Town Manager’s office within 24 hours of the injury or on the next following work day of the accident.
Preferred Provider Program. The Town of Sebago encourages safety in the
work environment. The Town is concerned about employee well being
and takes an active role to assist the employee with a proper recovery.
Because of the Town’s interest in employees, a preferred provider
program has been coordinated with Northern Cumberland Memorial
Hospital in Bridgton, Maine, for work-related medical services.
It is required that all employees seek medical treatment through
Northern Cumberland Memorial Hospital unless conditions warrant
transport to Maine Medical Center in Portland. Initial medical treatment
is to be obtained from Northern Cumberland Memorial Hospital and is
authorized by law under the Maine Workers’ Compensation Act of
1992, Title 39-A, M.R.S.A., Section 206.
All initial medical treatment is to be obtained from Northern
Cumberland Memorial Hospital and will be scheduled through the
department manager, who in turn, will notify the Town Manager.
Medical Bills. Medical bills, when received either by the department or the
employee, are to be forwarded immediately to the Town Manager’s
office. Medical bills are paid without any waiting period. For employee
compensation there is a seven day waiting period. The Town remains
responsible for employee compensation for the first seven days of the
absence, charged to the employee’s sick leave. Between eight
and thirteen days the insurance carrier provides compensation.
Fourteen days and over – the insurance carrier pays all compensation
retroactively to the first day of injury; then the employee pays the
seven days’ worth of sick leave back to the Town, who in turn, credits
the sick leave back to the employee’s account. Firefighters are excluded
from the waiting period and must receive compensation from the date of
incapacity.
Transitional Work Program. In the case of an employee out of work due to a
work-related injury, the Town Manager’s office may coordinate a
transitional work program with the employee, employee’s doctor and
department. This program may be in the employee’s department,
in a different department, or spread over several departments and is
designed to provide less strenuous work or modified work tasks to those
employees able and approved by their doctor to return to work in
some capacity. Transitional work may start at a reduced schedule with
a gradual increase in hours or may include a full time work schedule as
coordinated by the physician, employee, and Town. The Town
reserves the right to discontinue the transitional work program or
any employee’s participation in this program consistent with the
provisions of Workers Compensation laws.
In some instances workers’ compensation payments may be held up. If this occurs, the Town will continue to pay the employee by charging his/her time to sick leave (if available), of which the employee must buy back from the compensation paid by the insurance carrier.
If a worker is receiving workers’ compensation or disability insurance, he/she must continue to pay his/her share of life, medical, and disability insurances.
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