State Employee Health Benefits Plan

State Self Insurance Fund

ONLINE SAFETY TRAINING PROGRAM NEW!

For a list of people to contact in the State Self Insurance Fund click here Contacts

Mission: To provide high quality medical care, prompt disability and death benefits, return to work options and customer service to state employees covered under the Kansas Workers Compensation Act.

Philosophy: We are committed to providing workers compensation services that meet The Kansas Division of Workers Compensation Rules and Regulations.  We will strive for professional competency, responsiveness, fairness, cost effectiveness, consistency, accuracy and the highest ethical standards of conduct in all our operations.  We are focused on activities and processes that are geared to getting the injured employee back to work.

What should an employee who is injured at work do?

• Report any injury/accident to supervisor
• Agency staff must complete the Employer's Report of Accident form [PDF version]  [Word version] and email to wc1101a@khpa.ks.gov
• Obtain authorization for medical treatment if necessary from SSIF (use Corvel in network providers).
• Communicate with agency/department and SSIF (phone: 785-296-2364)
• Frequently Asked Questions
• A Mileage Form [PDF version] is available for your use in keeping track of your miles and may be submitted periodically, usually monthly, as you drive
• A Guideline for the Repair or Replacement of Eyeglasses, WC-00-A [PDF version] [Word version], explains the process for obtaining benefits.  A Prescription Eyeglasses Replacement Form, WC-00 [PDF version] [Word version], needs to be filled out and returned to SSIF should your prescription eyeglasses be damaged during the course of your work.

What are the responsibilities of the agency when an employee is injured at work?

• Obtain authorization for medical care, if necessary from SSIF. Get the employee to the closest medical provider if it is a life or a limb threatening emergency.
• If a medical provider contacts you for authorization of medical care, refer the provider to the State Self Insurance Fund at 785-296-2364.
• Complete the Employer's Report of Accident [PDF version] form; Form 1101-A and send it as soon as possible to the State Self Insurance Fund. You may either mail it to: SSIF, 900 SW Jackson, Room 900-N, Landon State Office Building, Topeka, KS 66612 or fax it to: 785-296-6995.
• Submission of the Employers Report of Accident does not mean that the employee has been approved for Workers Compensation. The SSIF will investigate the claim once they have received the Employers Report of Accident and determine compensability.
• Refer the employee to this website for information they need to know about Workers Compensation. If they don’t have ready access to the website, please print out Frequently Asked Questions and Information for Employees  [PDF version] and give it to them. You may also refer them to call the SSIF at 785-296-2364.
• If the employee receives medical care and is given work restrictions by the medical provider, the agency must determine if those restrictions can be accommodated. If an employee is missing work due to a work-related injury and you haven’t received any information from the medical provider, contact the employee and obtain a copy of the work release or restrictions.
• It is important to keep the SSIF informed about any changes in the status of an injured worker. This includes changes in work restrictions, if they begin missing work or return to work.
• When the employee is eligible to receive Workers Compensation disability benefits, they may want to supplement it with vacation or sick leave. Please contact the SSIF if you have questions about the SHARP adjustments.
• Employees who receive Workers Compensation are not eligible for Shared Leave for the same medical condition. If you have questions about Workers Compensation and how it interacts with the Family Medical and Leave Act, you may contact the SSIF.
• Please contact the SSIF whenever you have questions about any aspect of handling a work-related injury. The phone number is 785-296-2364 and the fax is 785-296-6995. If you know who the adjuster is for a particular claim, you may contact them directly.