Frequently asked questions
We’re all about providing you the information you need, without having to pick up the phone. If you have questions about us, workers' compensation, or how the process begins, look here. You might find the answer you need with out having to call.
Frequently Asked Coverage Questions
A. HWCF does one thing: Workers' Compensation Insurance in the State of Alabama. We do this for one line of business: Healthcare. This specialization allows us to understand what is required to control the real cost associated with providing workers' compensation for the healthcare industry. We recognize that there is an actual cost that is much more than contributions paid.
A. You are required to carry WC coverage if you have five or more employees whether they are part- time or full-time.
A. The National Council on Compensation Insurance (NCCI) has developed a formula that is based on your experience for the prior three years, not including the current year. In 2018 your mod will include the years 2016, 2015, 2014. The Fund rates the mod of its members but follows the NCCI model. The Fund can provide a detailed explanation of your mod.
A. It depends. Think about it before you do it. Click on this article .for more detail.
A. Any employee who is an executive officer as defined by your company charter and corporate By Laws.
A. You provide the annual estimated payroll at the beginning of each year based on your best judgment. The ensuing audit is designed to determine the actual payroll against the estimated payroll. The Fund will request either that an auditor review your books or agree to except a volunteer or self-audit.
Frequently Asked Loss Control Questions
A: Loss Control is a proven management technique by which the employer promotes safe practices and behaviors within an organization by identifying and remediating potential safety issues.
A: A Loss Control Specialist can "look beyond the trees into the forest." Simply put, the Loss Control Specialist can interpret data, actual losses, and environmental circumstances to develop a workplace strategy that will result in a safer workplace.
A: Members of the HWCF pay no additional charges for the specialized services offered.
A: As often as the member or Loss Control specialist feels that it is necessary.
Frequently Asked Claims Questions
A: You must complete a Department of Labor, WCC Form 2, "Employer's First Report of Injury or Occupational Disease." Click here to file a claim.
A. No, for an injury to be compensable, it must "arise out of and in the course of the employment." If an employee requests workers' compensation benefits, please complete a First Report of Injury so that HWCF may investigate for a determination of compensability
A: An employee's average weekly wage is based on a gross average of employee's wages for the 52 week period before the injury date. Fringe benefits are to be included only if they are paid by the employer, but not continued following injury/illness. An employee's average weekly wage will be verified by a wage statement.
A: An employee's compensation rate is calculated as 66 2/3% of the employee's average weekly wage. This rate is subject to a maximum and minimum amount determined on an annual basis by the State of Alabama. The applicable maximum and minimum rates are based on the employee's date of injury.
A: There is a three day waiting period before compensation begins. The first day of disability is the fourth day, excused by an authorized physician, that the employee is out of work. If, however, an employee is placed off work by an authorized physician for 21 days or more the initial three day waiting period is paid.
A: No, the employer has the right to select or pre-approve the authorized treating physician. If an employee seeks treatment from an unauthorized physician for non-emergency treatment, the employee may be responsible for payment of the charges.
A: Yes, an employee may make a one time request and receive a panel of four physicians from which to select a new treating doctor. The physician selected will then be the employee's authorized treating physician for the duration of their claim.
A: Mileage cost for travel to and from a pre-approved medical and rehabilitation providers will be reimbursed at the State of Alabama mileage rate. Only one round trip per visit shall be approved.
A: There is a two-year statute of limitation from the date of injury or the last day indemnity benefits are paid. There is no statute for medical benefits.
A: Please contact HWCF immediately and forward a copy of the lawsuit. We only have 30 days to file an answer on your behalf. We will be responsible for assigning defense counsel.
“It has been my privilege to work with the many professionals of the Healthcare Workers’ Compensation Fund for the past eighteen years. During these years, I have come to recognize, appreciate and respect the distinct, constant and unsurpassed level of caring and professionalism demonstrated by HWCF. The caring and professionalism is not only extended to their members but to the claimants and vendors as well. Often times in speeches and during “in-house” training sessions of similar types of companies, I encourage them to model their operations after the fine example set by HWCF.”
Special Investigations Unlimited, Inc.
“Haynes Ambulance changed to HWCF due to problems with our previous workcomp company. After making the change, we were amazed at the difference it made. Claims were easier to file and were handled in a timely manner. The prompt attention given to claims made them easier to manage. If we have a question or a problem occurs, the personalized service we receive allowed us to resolve the issue quickly. The education opportunities have been both useful and entertaining. They look for ways to make our company safer and to keep my employees healthy. Efficiency on their part has made my job easier to manage.”
Patti Brown, Human Resources Administrator
Haynes Ambulance of Alabama, Inc.
“For many years, I have had the pleasure of working with HWCF, representing their fund members in matters of workers’ compensation. I have also had the opportunity to similarly work for several other providers of workers’ compensation coverage. I have found HWCF to be a unique company, genuinely concerned for the well being of their fund members while striving to balance a positive outcome with what is fair and just under the system. The dedication and hard work of the experienced individuals handling claims for HWCF show through in their efforts on behalf of the many entities they cover. As a defense attorney, it is a pleasure having HWCF as a partner in the process of defending workers’ compensation claims, with such a partnership leading to the best possible result for the fund members.”
Michael J. Cohan, Attorney At Law
Webster, Henry, Lyons, White, Bradwell & Black, P.C.