Procedures 5

Question 1

Who is responsible for collecting information that is used to determine eligibility requirements for employee benefits?

• Risk Management Department
• City Employees Retirement Board of Trustees
• the Police Department

Answer 1

The Police Department, 5.01 page 2

Question 2

Who is responsible for determining eligibility for employee benefets?

a. Risk Management Department
b. City Employees Retirement Board of Trustees
c. The Police Department

Answer 2

Risk Management Department, 5.01 page 2

Question 3

True or False?

The Police Department does not grant or deny benefits.

Answer 3

True - 5.01, page 2

Question 4

True or False?

Employees should be encouraged to file claims when they believe they may be entitled to receive benefits.

Answer 4

True. 5.01, page 2

Question 5

True or False?
No supervisor shall discipline, transfer, or threaten - implicitly or explicitly - an employee because the employee has filed an application for benefits.

Answer 5

True, 5.01, page 2

Question 6

Does the term “communicable disease” apply to mumps?

Answer 6

No, it does not apply to common childhood illnesses like the mumps or chicken pox., 5.01, pg. 2

Question 7

What is the definition of communicable disease?

Answer 7

A disease that is not normally found in the general population.

Question 8

What is the definition of Intimate Contact as it relates to communicable disease?

Answer 8

Close contact with an individual know to have a communicable disease.

Question 9

What is the definition of Casual Contact as it relates to the section on communicable diseases?

Answer 9

Passive contact with a diseased individual.

Question 10

Exposure to contaminated bodily fluids is an example of intimate or casual contact?

Answer 10

Intimate

Question 11

Shaking hands is an example of intimate or casual contact?

Answer 11

Casual

Question 12

Searching a subject is an example of intimate or casual contact?

Answer 12

Casual

Question 13

Who is responsible for immediately reporting to their supervisor any on-duty injury or illness?

Answer 13

The employee

Question 14

Failure to report in a timely basis could result in denial of:

a. Workers’ Compensation Coverage
b. Industrial Leave
c. the 4850 Benefit
d. all of the above

Answer 14

d. all of the above

Question 15

Who is responsible for promptly investigating the injury or illness?

Answer 15

The employee’s supervisor

Question 16

The employee’s supervisor is responsible for promptly investigating the injury or illness and immediately forwarding the reports to who?

Answer 16

Their commanding officer

Question 17

Once an employee’s supervisor investigates an injury and forwards reports to their c.o., what then does the c.o. do with them?

Answer 17

Sent them to the Department’s Medical Assistance Unit

Question 18

Who is responsible for presenting Worker’s Compensation Benefits forms to the employee?

Answer 18

The employee’s supervisor

Question 19

Which form is an explanation of Worker’s Compensation Benefits?

Answer 19

The Employee Claim for Workers’ Compensation Benefits form (RM-1642)

Question 20

When does an employee need to complete a Medical Status Report for Occupational Injury or Illness form (RM-1634)?

Answer 20

When injuries result in medical treatment or absence from work at any time following the day of the injury.

Question 21

If, because of injuries, an employee is physically unable to complete the appropriate forms, who is responsible for completing and submitting the form for the employee?

Answer 21

It shall be the supervisor’s responsibility to complete and submit the form for the employee

Question 22

Who is responsible for reporting injuries requiring medical treatment and telephoning Risk Management’s Injury Call-In Center?

Answer 22

The supervisor

Question 23

Within how many hours should the supervisor make the call to Risk Managment?

Answer 23

24 hours

Question 24

What are the hours of the Injury Reporting Call-in Center?

Answer 24

The Injury Reporting Call-In Center is staffed 24/7.

Question 25

If you have a question regarding a minor injury, is it appropriate to call the Call-In Center?

Answer 25

The Call-In Center is for reporting injuries only, not for questions, minor injuries or exposures not requiring medical treatment.

Question 26

The call-taker will ask you which six questions?

Answer 26

a. injured employees name
b. injured employees city i.d. # (PERNR)
c. date of injury
d. where injury occurred
e. body part affected
f. how injury occurred

Question 27

It is necessary that injury reports be completed and forwarded immediately. If the injured employee’s supervisor is not available and there will be a delay in investigating the injury, then what happens?

Answer 27

A supervisor on duty shall conduct the investigation

Question 28

True or false?
It is the employees responsibility to make sure the doctor completes the “Doctor’s Evaluation” portion of the form (RM-1568) Minor Injury Report.

Answer 28

False. A Minor Injury Report form is not used when an employees requires medical care as a result of a job related injury.

Question 29

In the case that an employee is injured at work and requires medical treatment, which form must be completed by both the employee and doctor?

Answer 29

Medical Status Report for Occupational Injury or Illness Form (RM-1634)

Question 30

Who is responsible for ensuring that the “Doctor’s Evaluation” portion of the form is completed and signed by the treating physician?

Answer 30

The injured employee