Frequently Asked Questions

Frequently Asked Questions

1. What is Securis Insurance Pool, Inc. (Securis)?
Securis is a workers’ compensation insurance provider created by fire districts. It manages workers’ compensation claims and facilitates communication between the injured employee, the district, the treating physician, and the Industrial Commission of Arizona (ICA). Securis is a self-insured entity created and owned by its Arizona fire district members.
2. What is workers' compensation insurance?
Workers’ compensation insurance is “no fault” insurance coverage through which an injured worker may receive medical and wage loss benefits for injuries arising out of, or in the course and scope of, employment. Claim benefits are payable without regard to fault or negligence—hence the “no fault” designation.
3. What is the Industrial Commission of Arizona (ICA)?
The ICA is the state’s governing body for workers’ compensation issues. It monitors the activities of Securis and other workers’ compensation providers.
4. How is a workers’ compensation claim reported?

Reporting a claim is easy. 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.

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.

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. To report the claim, 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.

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?
The physician will give the employee a pink form, entitled “Worker’s and Physician’s Report of Injury,” to complete and sign. By signing the form, the employee has filed a claim and applied for workers’ compensation benefits. The doctor/clinic will send a copy of the form to the ICA, the employer, and Securis. Securis and the ICA will use this form to initiate the claim process on behalf of the injured employee.
7. If the employee is not satisfied with his or her doctor, can a change in doctors be made?
Once an employee chooses a doctor and sees the doctor at least twice, the employee may not switch to another doctor without the approval of Securis and the ICA.
8. How are medical bills paid, and by whom?
If a claim is approved, medical bills and covered services and equipment are paid for by Securis. It is the employee’s responsibility, however, to inform his/her physician and employer that the injury occurred on the job, and to provide contact information for Securis so that the physician can send bills directly to us.
9. How are lost wages paid if an employee is unable to work?
If a doctor determines that the employee is unable to work because of a work-related injury, and if the employee is off work for more than seven calendar days, he or she is entitled to compensation from Securis for lost wages at 66 2/3% of the determined average monthly wage.
10. What is the waiting period for lost wages?
Lost wages are not paid for the first seven days off of work, unless the disability extends to 14 days. For example, if the employee is off for 10 days, he or she is paid only for days 8, 9, and 10. If the employee is off for 14 full days, then compensation is retroactive to the date of injury, and payment is made for all 14 days. Compensation is generally not paid for the date of injury because the employee worked that day.
11. How is the lost wages payment amount determined?
Compensation for lost wages is set at 66 2/3% of the employee’s average monthly wage, up to a maximum average monthly wage of $4,888.56 (as of 2020). If an employee has returned to modified-duty work earning less than his or her regular wages (due either to reduced hours or a reduced wage), compensation is calculated at 66 2/3% of the difference between the average monthly wage at injury and the earnings while working modified duty.
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?
The employee will be paid 66 2/3% of the difference between the wages earned before the injury and the wages earned after the return to work.
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?
Yes. As a general rule, as long as the injured worker is still considered employed, he or she will receive group healthcare benefits paid for by the employer. Also, although there is no legal requirement that the employer continue to employ the person while he/she is temporarily totally disabled due to a work-related injury, an employer may not terminate an employee for filing claims or exercising rights under the workers’ compensation statutes. Additionally, although a terminated employee would no longer be entitled to receive group healthcare benefits paid for by the employer, the termination would be a “qualifying event” under COBRA, allowing the employee to elect to continue coverage at his/her own expense under the employer’s group plan. Finally, if the employee elects to take family/medical leave for up to 12 weeks, he/she is still considered employed and is likely, therefore, to be entitled to the same group healthcare benefits provided to all employees.
14. Must an employer hold a job open for an employee while he/she is off work due to a work-related injury?
There is no specific statute or rule requiring an employer to hold the position open until the injured employee is able to return to work. However, an employer may not terminate and replace an employee in response to his/her filing of a workers’ compensation claim. Furthermore, there are possible adverse consequences for the employer if he/she does not hold open the job of an injured worker—in particular, the possibility that the employee will remain entitled to workers’ compensation benefits because he/she cannot find employment in the open, competitive labor market. It is typically in the best interest of the employer, therefore, to try to accommodate the injured worker after an industrial injury. If the employer wishes to fill the position while the injured worker is off work, it is recommended that the employer consult with legal counsel and thoroughly document the reasons the position needs to be filled on a regular, non-temporary basis.
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?
The OSHA 300A form, “Summary of Work-Related Injuries and Illnesses,” must be posted in a conspicuous area such as the copy room, on a public bulletin board, or in the lounge. This form should be posted during the period from February 1 to April 30, and should indicate injuries and illnesses recorded in the prior calendar year.
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?
No. In the 2005 case of Grammatico v. Industrial Commission, the Supreme Court of Arizona ruled that claims for workers’ compensation could not be nullified because drugs or alcohol were involved in the injury. The court indicated that to do so would inject the concept of fault into the workers’ compensation system, which would violate the terms of the Arizona Constitution.
19. If an employee rejects workers' compensation coverage, is the district still required to report the employee's payroll?
Yes. Because employees receive both workers’ compensation insurance coverage and employers’ liability coverage through Securis, the district is 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.”