Frequently Asked Questions
Frequently Asked Questions
1. What is Securis Insurance Pool, Inc. (Securis)?
2. What is workers' compensation insurance?
3. What is the Industrial Commission of Arizona (ICA)?
4. How is a workers’ compensation claim reported?
Reporting a claim is easy. Employees have two options for reporting claims:
1. Call the Nurse Triage Hotline. Securis records all of the necessary information over the phone, so no forms are needed. Simply call 888.603.0144 and:
- Press 2 for the Securis triage nurse if the employee has not yet received medical treatment. The nurse will solicit the required information and assist in determining the appropriate level of care.
- Press 3 to report a workers’ compensation claim if the injured employee has already received treatment. A member of Securis support staff will create the claim over the phone and submit it on the employee’s behalf.
- Note: Afterhours triage nurse support is also available. When an injured employee calls the triage line, their supervisor should be on the call with them if possible. Details such as the employee’s date of birth and date of hire will be requested on the call.
2. Submit the claim via Origami. Simply click here and complete the form.
Please note:
- Employees with severe injuries should immediately seek medical treatment or call 9-1-1.
- There’s no need to call the Securis toll-free number if the injured employee has only a minor injury. Instead, district staff should complete the Supervisor’s Incident Report with the injured employee and retain a copy for their records.
5. If an employee is injured while temporarily working outside Arizona, how do they report an injury?
The injured employee should seek medical care as appropriate. Employees have two options for reporting claims:
- Call the Nurse Triage Hotline. Securis records all of the necessary information over the phone, so no forms are needed. Simply call 888.603.0144 and:
- Press 2 for the Securis triage nurse if the employee has not yet received medical treatment. The nurse will solicit the required information and assist in determining the appropriate level of care.
- Press 3 to report a workers’ compensation claim if the injured employee has already received treatment. A member of Securis support staff will create the claim over the phone and submit it on the employee’s behalf.
- Note: Afterhours triage nurse support is also available. When an injured employee calls the triage line, their supervisor should be on the call with them if possible. Details such as the employee’s date of birth and date of hire will be requested on the call.
- Submit the claim via Origami. Simply click here and complete the form.
Employees with severe injuries should immediately seek medical treatment or call 9-1-1.
6. What happens when an employee goes to the doctor/clinic for treatment of a job-related injury?
7. If the employee is not satisfied with his or her doctor, can a change in doctors be made?
8. How are medical bills paid, and by whom?
9. How are lost wages paid if an employee is unable to work?
10. What is the waiting period for lost wages?
11. How is the lost wages payment amount determined?
12. How much will the employee be paid in lost wages if he/she is able to return to light duty status at a lower wage?
13. If an employee is off work because of a work-related injury for which workers' compensation benefits are being paid, must the employer continue to provide the employee with group healthcare benefits?
14. Must an employer hold a job open for an employee while he/she is off work due to a work-related injury?
15. What is the OSHA 300 Form?
OSHA 300 is a log of all:
1. work-related deaths; and
2. work-related injuries and illnesses involving loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment beyond first aid.
The form must be used for significant work-related injuries and illnesses that are diagnosed by a physician or licensed healthcare professional. The form must also be used for work-related injuries and illnesses that meet any of the specific recording criteria listed in 29 Code of Federal Regulations (CFR) Parts 1904.8 through 1904.12.
16. Which OSHA 300 Form must be posted, and when?
17. In the event an employee notifies the employer of a potential bodily fluid exposure, what procedures should the employer follow, and who is responsible for the payment of expenses incurred for the required testing?
For specific instructions on reporting requirements, refer to your “Work Exposure to Bodily Fluids” posting, or contact your Securis claims adjuster at 888.603.0144. Please note that the employer must pay for testing pursuant to Arizona Administrative Code § R20-5-164, and as required under the federal Occupational Safety and Health Standard for Bloodborne Pathogens, 29 CFR Part 910.1030.
18. Can a claim be denied if there is evidence that the employee was using alcohol or a controlled substance at the time of the work-related injury?
19. If an employee rejects workers' compensation coverage, is the district still required to report the employee's payroll?
20. How do I add workers' compensation coverage for volunteers?
To add volunteers, the Securis member must report payroll for each volunteer. Volunteer workers are covered under Arizona Revised Statutes § 23-901(6)(d) and 23-901.06, as stated below. The district’s governing body should adopt by resolution and define the salary in accordance with the nature and type of volunteer work of the worker entitled to workers’ compensation benefits.
Regular members of volunteer fire departments: ARS § 23-901(6)(d) states,
“…the basis for computing wages for premium payments and compensation benefits for regular members of volunteer fire departments organized pursuant to title 48, chapter 5, article 1, or organized pursuant to title 10, chapters 24 through 40, regular members of any private fire protection service organization, volunteer firefighters and volunteer policemen of these departments or organizations shall be the salary equal to the beginning salary of the same rank or grade in the full-time service with the city, town, volunteer fire department or private fire protection service organization, provided if there is no full-time equivalent then the salary equivalent shall be as determined by resolution of the governing body of the city, town or volunteer fire department or corporation.”
Other volunteer workers: The statute further states under § 23-901.06 that,
“…in addition to persons defined as employees under section 23-901, volunteer workers of a county, city, town, or other political subdivision of the state may be deemed to be employees and entitled to the benefits provided by this chapter upon the passage of a resolution or ordinance by the political subdivision defining the nature and type of volunteer work and workers to be entitled to such benefits. The basis for computing compensation benefits and premium payments shall be four hundred dollars ($400) per month.”