1. NAF HR for SUPERVISORS

2. EMPLOYEE BENEFITS & SERVICES AR 215-3, Chapter 15

3. EMPLOYEE BENEFITS   ELIGIBILITY All Regular Employees - Regular Full Time - Regular Part Time - Regular Limited Tenure - Regular Seasonal

4. EMPLOYEE BENEFITS & SERVICES EMPLOYEE BENEFITS & SERVICES n NAF Retirement Plan n NAF 401(k) Savings Plan n NAF DOD Health Benefits Plan n Stand Alone Dental Plan n NAF Group Life Insurance n Long Term Care n Flexible Spending Accounts n www.nafbenefits.com www.nafbenefits.com

5. EMPLOYEE ASSISTANCE PROGRAM Available to ALL Employees:   Management Referral Alcohol Drugs Indebtedness Anger Management Other personal problems that interfere with job performance choice to participate Employee’s choice to participate n n http://www.opm.gov/Employment_and_Benefi ts/worklife/healthwellness/EAP/ http://www.opm.gov/Employment_and_Benefi ts/worklife/healthwellness/EAP/

6. NAF WORKERS’ COMPENSATION PROGRAM AR 215-1, Chapter 19 Section XV

7. LEARNING OBJECTIVES Supervisors will be able to:   Briefly explain the program and service providers   List applicable forms and their use   Identify timelines for forms to be submitted   Complete required forms and identify responsibilities   Briefly explain available employee options   Research applicable regulations for additional information

8. SUPERVISOR’S ROLE Provide basic Workers’ Comp information to employees Ensure safe work conditions and enforce safety regulations Send injured worker for medical treatment Complete claim forms in a timely manner Report all injuries promptly to CPAC NAF HRO

9. SUPERVISOR’S ROLE cont’d Keep in contact with employees during recovery period Assist employees in returning to work by providing work within employee’s work restrictions Represent agency interest in monitoring claims

10. CPAC NAF HRO ROLE Educate supervisors and employees on basic Workers’ Comp procedures Assist supervisors and injured workers with filing claims and communication with claims contractor Review all forms for completeness and consistency

11. NAF WORKERS’ COMPENSATION OVERSIGHT NAF Workers’ Compensation Program Army Central Insurance Fund (ACIF) The Summit Centre 4700 King Street – 3 rd Floor ATTN: IMWR-FM-I Alexandria, VA 22302-4406 (703)681-7314 or DSN 761-7314 CURRENT Claims Service Contractor CONTRACT CLAIMS SERVICE, INC (CCSI) P.O. Box 541328 DALLAS, TX 75354-1328 (972) 554-1141 or (800)743-2231

12. APPLICABLE GUIDANCE AND LAWS Compensates employees injured on the job when in course and scope of employment Federal Law Nonappropriated Fund Instrumentalities Act Longshore Harbor Workers’ Compensation Act

13. WORKERS’ COMPENSATION BENEFITS For all NAF Employees Excludes off duty military Medical 100% of allowable medical expenses Medical Supplies Compensation 66-2/3% Average Weekly Three day waiting period Flexible employees are not paid for this period Regular employees are on sick leave or LWOP Waived if time loss exceeds 14 days Death Spouse and Dependents Funeral Expenses up to $3,000 Personal Property (Not Covered)

14. ON-THE-JOB-INJURIES/ILLNESS  Supervisor Responsibility Issue & ensure completion of paperwork Submit to CPAC NAF HRO within 3 days Report loss time every pay period  Request for Examination/Treatment - LS-1 Part A Supervisor completes  Request for Examination/Treatment - LS-1-Part B Physician completes  Employer’s 1 st Report of Injury - LS-202 - Supervisor completes

15. ON-THE-JOB-INJURIES/ILLNESS (Continued) OTHER REPORTS LS-204- Attending Physician's Supplementary Report - Follow up visits with physician – Supervisor initiates with data and physician completes LS-210 - Employer's Supplementary Report of Accident or Occupational Illness - Work/absence status; every pay period – Supervisor completes Benefit Option Form - Pay Choices – Employee completes

16. LS-1 - Request for Examination and/or Treatment Employee takes this form to initial doctor’s visit Employer Authorizes Medical Treatment (Not payment) CCSI confirms injury is work related before payment can be authorized Physician completes side 2 Employee chooses physician

17. LS-1 - Request for Examination and/or Treatment (Continued) Supervisor completes Side 1 #8 Signature of Authorizing Official - Manager or Supervisor #13 Claims Service Contractor – CCSI Provide copy to employee and send to CPAC NAF HRO

18. COMPLETED BY SUPERVISOR All blocks must be filled # 2 Standard NAFI Number #3 Date of Injury #10 SSN (Required) #13 First Day of Lost Time #15 Return to Work Date #22 Date Employer First Knew of Incident #26 Describe how accident occurred (How employee states) #27 Nature of Injury Identify body part affected (Do not attempt a diagnosis)

19. LS-202 - Employer's First Report of Injury or Occupational Illness This form starts the claim Must be signed by Supervisor Send to CPAC NAF HRO within 3 days of injury/notification A delay in sending form will delay benefits to the employee May cost your NAFI money Department of Labor can fine NAFI’s up to $10,000 for noncompliance

20. LS-204 - Attending Physician's Supplementary Report Employee takes to doctor on each visit Employee takes to doctor on each visit Doctor’s office/hospital may submit equivalent documentation to support status of injury Doctor’s office/hospital may submit equivalent documentation to support status of injury LS-204 documents the ongoing status of employee’s injury Must be completed when employee is ready to return to work Send to CPAC NAF HRO

21. LS-210 - Employer's Supplementary Report of Accident or Occupational Illness Supervisor reports lost time each pay period employee is off due to injury Supervisor reports lost time each pay period employee is off due to injury If employee goes to the doctor on the day they are injured, admin leave is authorizedIf employee goes to the doctor on the day they are injured, admin leave is authorized All time off is LWOP unless employee signs Benefit Option FormAll time off is LWOP unless employee signs Benefit Option Form Must be signed by supervisor Make sure all blocks are completed Send to CPAC NAF HRO

22. BENEFIT OPTION FORM Must be filled out by the employee An employee in a Regular Position has two options: Option I Use accrued sick or annual leave Employee’s pay and benefits will remain the same Once employee’s leave is exhausted In LWOP status & retain workers’ compensation payments Sick Leave Re-Credited Employee required to endorse CCSI check to employing NAFI Management required to deposit funds locally and notify NAF Financial Services who computes corrected time cards in order for leave to be re- credited

23. BENEFIT OPTION FORM (Continued) Option II Leave Without Pay (LWOP) If employee does not sign a leave option agreement, LWOP is mandatory Will receive check from CCSI Annual and sick leave stop accruing Contribution to 401(k) & Retirement Plan stop Employee’s portion of the medical benefits stop being paid automatically - Employee will be responsible for payment of their contribution Check will be 2/3 of their Average Weekly Wage 3-day waiting period If employee is out for more than 14 days due to injury, initial 3 days will be authorized for payment

24. EMPLOYEE RETURNS TO WORK/MODIFIED DUTY When employee is released to modified or full duty: NAF HRO will review all vacancies at the installation Identified position must be actual work Job description must be approved by physician After approval, job offer sent to employee by certified mail/return receipt requested When employee returns, supervisor explains duties CPAC NAF HRO to notify claims service contractor in writing if modified duty unavailable Allows employee to make smooth transition back to work

25. WORKERS’ COMPENSATION LET’S EXERCISE !!