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jitcARDINAr I Volume No. 1 - Policies & Procedures

CESSNA 177 · Training Manual

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Overview

This document is a training manual focused on the policies and procedures related to workers' compensation for employees in Virginia. It outlines the guidelines for processing workers' compensation payments, eligibility criteria, and the responsibilities of both employees and agencies. The manual is intended for agency payroll personnel and human resources staff, providing detailed instructions on how to manage claims, payments, and the necessary documentation. It emphasizes the importance of timely processing and communication to ensure that employees receive their entitled benefits without delays or errors.

  • Employees injured at work may be eligible for workers' compensation benefits under Virginia law.
  • Agencies must report work-related injuries within 10 days to the Workers’ Compensation Program.
  • Employees can use personal leave to supplement workers’ compensation payments after the agency supplement period ends.
  • Timely communication between payroll and the Workers’ Compensation Program is critical to avoid payment delays.
  • Agencies are responsible for ensuring accurate payroll processing and documentation for workers’ compensation claims.

Document

Source

Originally published by www.doa.virginia.gov. Sprinkle hosts a reference copy with an added summary, specifications and searchable full text.

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Document details

Type
Training Manual
Year
2023
Pages
15
File size
227 KB
Publisher
www.doa.virginia.gov
How rare is it?
578CESSNA 177 registered worldwide · 500 active

Common. One of the most common aircraft types we track.

Documentation completeness
7/7

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In this document

Overview

This section introduces the guidelines for making workers’ compensation payments to eligible non-VSDP employees. It highlights the differences in benefits for employees enrolled in the Virginia Sickness and Disability Program (VSDP) compared to non-participants.

Workers' Compensation Awards

This section explains the eligibility criteria for employees injured during work and the process for determining compensability. It details how payments are made by employing agencies and the reimbursement process from the Workers’ Compensation Program.

Using Personal Leave to Augment Workers’ Compensation

This section describes how employees can use personal leave to supplement their workers’ compensation payments once the agency supplement period expires. It outlines the process for transitioning to leave without pay status if personal leave is exhausted.

Payroll Summary

This section provides a timeline for payroll processing related to workers’ compensation claims, detailing the actions required during different phases of the claim, including regular salary payments and agency supplements.

Agency Payroll Processing

This section outlines the internal controls and procedures agencies must follow during the workers’ compensation claims process, including how to handle employee absences and the necessary documentation.

Full document text

jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Table of Contents Overview..................................................................................................................................................2 Introduction ..........................................................................................................................................2 Workers' Compensation Awards .........................................................................................................2 DHRM Workers' Compensation Supplement......................................................................................3 Using Personal Leave to Augment Workers’ Compensation ..............................................................4 Synopsis of the Workers' Compensation Process ................................................................................4 Payroll Summary .................................................................................................................................5 Coordination with Payroll, Benefits, and Leave......................................................................................6 Importance of Timely Processing and Communication.......................................................................6 Fringe Benefit Eligibility .....................................................................................................................6 Leave Processing .................................................................................................................................7 Workers' Compensation Program Award Payments................................................................................8 Workers' Compensation Program Award Payments - Paid Leave of Absence Status.........................8 Workers' Compensation Program Award Payments - LOA Status .....................................................9 Agency Payroll Processing ....................................................................................................................10 Pre-award Absences – Key Internal Control .....................................................................................10 Earnings Codes ..................................................................................................................................11 Biweekly to Semimonthly Conversion ..............................................................................................11 Deduction Overrides ..........................................................................................................................12 Post-award Pay, Benefits and Leave Adjustments ............................................................................13 Calendar Year End.............................................................................................................................14 Internal Control......................................................................................................................................14 Internal Control..................................................................................................................................14 Records Retention..................................................................................................................................15 Time Period........................................................................................................................................15 Contacts..................................................................................................................................................15 DOA Contact .....................................................................................................................................15 Subject Cross References.......................................................................................................................15 References..........................................................................................................................................15 Office of the Comptroller 1 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Overview Introduction This topic provides guidelines for making workers’ compensation payments to eligible non-VSDP employees. Employees who are enrolled in the Virginia Sickness and Disability Program (VSDP) and have workers’ compensation claims receive different benefits than non-participants in VSDP. VSDP workers' compensation payment processing guidelines are in CAPP Topic 50525, Virginia Sickness and Disability Program. This topic governs only non-VSDP workers’ compensation processing. Workers' Compensation Awards Employees injured during the course of employment are eligible for benefits under Virginia's Workers' Compensation Act if the injury is deemed compensable. Claims for work-related injuries are in a “pending” status until deemed “compensable” or “non-compensable” by the Department of Human Resource Management’s Workers’ Compensation Program. Payments to employees for such awards are generally paid by the employing agency for at least the first 92 calendar days following the injury. Agencies are subsequently reimbursed by the WORKERS’ COMPENSATION PROGRAM. The Workers’ Compensation Program (WCP) is responsible for administering the state workers’ compensation program under Title 65.2 of the Code of Virginia. WCP initially identifies employees eligible to receive workers’ compensation benefits and handles all related payments to physicians, agencies and employees (if applicable). The Workers’ Compensation Claim Procedure Manual provides agency and employees responsibilities.

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Workers’ compensation award amounts are determined by WCP and approved by the Workers’ Compensation Commission. The amount is always less than an employee’s regular salary. Continued on next page Office of the Comptroller 2 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Overview, Continued DHRM Workers' Compensation Supplement To make up the difference between the workers’ compensation award and regular salary, eligible non-VSDP employees covered by the Virginia Personnel Act (VPA) are entitled to receive supplemental salary payments in accordance with DHRM Policy 4.60. Review this policy in detail prior to processing. Supplemental salary payments (agency supplement) are calculated as the difference between regular salary and the workers’ compensation award. Such payments are only made post-award. Employees are eligible for the agency supplement during the first 92 calendar days of compensable work- related absences. Agencies may extend this period by 480 work hours. Continued on next page Office of the Comptroller 3 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Overview, Continued Using Personal Leave to Augment Workers’ Compensation Once the eligibility period for the agency supplement expires, employees can replace the earnings difference between the workers’ compensation award and their regular salary by using available personal leave balances (annual, sick, compensatory, and/or overtime). When all personal leave is exhausted, employees receive only the workers’ compensation award and are in a Leave Without Pay (LOA) status. Refer to the Cardinal job aid HR_351, Action Reason Codes for the applicable reason/action reason used by HR. Synopsis of the Workers' Compensation Process Employing agencies must report work-related injuries within 10 days of the injury to the Workers’ Compensation Program who investigates and determines eligibility (some services are contracted out). The investigation, receipt of information, and eligibility determination may take 1-90 days. During the eligibility determination period, employees typically use personal leave in order to continue to be paid. Employees with no personal leave balances typically go into a leave without pay (LOA) status. After the workers' compensation claim is deemed compensable, agencies may be required to process adjustments to pay, benefits, and leave including: • Retroactive payroll adjustments to reclassify taxable regular payments made to the employee during the eligibility determination period into the appropriate taxable agency supplement and nontaxable workers’ compensation earnings codes. Or, • Large one-time payments to employees in cases where employees went into a leave without pay status during the eligibility determination period. After eligibility determination, workers’ compensation awards (i.e., agency reimbursements) are usually received on a timely basis, and agencies can categorize payments to the employee appropriately and timely. Once the employee is no longer entitled to the agency supplement and has exhausted all personal leave balances, workers’ compensation awards should be mailed directly from the Workers’ Compensation Program to the employee. To assure there is no break in pay for the employee, two weeks prior to the date the employee is no longer entitled to the agency supplement and has exhausted all leave, notice must be provided to the Workers’ Compensation Program. At this point, agencies should perform a complete audit of the claim, ensuring all award related payments due the agency and employee have been received, paid, and accounted for properly. Continued on next page Office of the Comptroller 4 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Overview, Continued Payroll A summary of payroll, benefits, and leave processing required in conjunction Summary with compensable worker’s compensation claims follows: Days Payroll Processing/WCP Reimbursement Summary Day 1-7 • Pay regular taxable salary. • Process benefits as normal. Agencies are reimbursed only if claim extends beyond 21 days. Day 8 -92 • Pay workers’ compensation amount (WCP) – nontaxable. • Pay agency supplement (WCS) – taxable. • Process benefits as normal. Agencies are reimbursed the amount of the workers' compensation award (WCP). Day 93 - • Pay workers’ compensation amount (WCP) – nontaxable. forward • Agency supplement (WCS) expires unless agency approves extension (see DHRM policy 4.60). Absent an extension, or after the extension expires, employees must use personal leave (if available) on the timesheet to augment the workers' compensation award up to their regular salary. • Pay regular taxable salary (RGS) for personal leave used; leave entered on the timesheet will be reclassified to non-productive time once the timesheet has been processed. • Process benefits as normal. Agencies are reimbursed the amount of the workers' compensation award (WCP). After Agency • Agency places employee on leave without pay (LOA) status. Supplement • Agency contacts the Workers’ Compensation Program two and Personal weeks prior to anticipated LOA date to have workers' Leave compensation payments mailed directly to employee. Balances • Benefit processing stops. Expire Continued on next page Office of the Comptroller 5 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Coordination with Payroll, Benefits, and Leave Importance of Timely Processing and Communication Processing payroll, benefits, and leave for employees affected by work- related absences can be among the most complex areas of payroll administration. This complicated process is frequently made more challenging by processing delays and/or poor communication, such as: • Payroll and the Workers’ Compensation Program are not notified timely of absences due to work-related injury. • Workers’ compensation eligibility determination is delayed either by the agency or the Workers’ Compensation Program. • Workers’ compensation award payments to agencies are delayed. • Payroll is not provided with timely notification of awards. Delays and poor communication nearly always affect employee take-home pay, resulting in incorrect classification of pay (i.e., taxable vs. nontaxable, regular pay vs. special pays), under or overpayments, and incorrect benefit deduction processing. Fringe Benefit Employees retain eligibility for certain benefits during the period in which Eligibility they receive workers’ compensation awards as summarized below. Benefits WC with Agency Supplement or Personal Leave Payments Workers’ Compensation Only Healthcare Yes Yes – HCM BN Only Retirement & Health Credit Yes No – Service Credit may be purchased later Group Life Yes Yes Deduction overrides may need to be entered (as outlined later in this topic) in order to ensure accurate recording of certain benefits while the employee is receiving workers' compensation. Continued on next page Office of the Comptroller 6 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Coordination with Payroll, Benefits, and Leave, Continued Leave Absences from work for compensable workers’ compensation claims should Processing be tracked and charged in hours on timesheets as workers’ compensation based upon the employee’s standard workday. Time lost: AM Absence Code TRC Earnings Code FIN Acct Code Day of injury WCI WCIR OTL 50112304 Covered by WC benefit WCP WCPR WCP 5011510 Covered by agency supplement WCS WCSR WCS 5011520 Absences for employees receiving the agency supplement are also charged as workers’ compensation leave. Employees whose absence extends beyond the period of time they are eligible for the agency supplement may elect to use personal leave (i.e., annual, sick, compensatory) to augment the workers’ compensation pay up to the amount needed to replace regular salary. In this case, leave time (i.e., absence from work) is split between workers’ compensation leave and personal leave in accordance with established agency policy. Please note that TRCs for workers’ compensation should be entered timely and are used only for payment distribution and do not generate payments. Payments must be entered through SPOT transactions. Office of the Comptroller 7 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Workers’ Compensation Program Award Payments Workers’ Compensation Program Award Payments – Paid Leave of Absence Status Workers’ compensation award payments must be paid to employing agencies by the Workers’ Compensation Program for employees within the 92- calendar day window. These payments are provided to agencies by the Workers’ Compensation Program on a biweekly basis as reimbursement for the workers’ compensation award payments made by agencies to injured employees through payroll. Employees are in a paid leave of absence status (Action/Action Reason – PLA/WRC) during the period they are either receiving the agency supplement or using personal leave balances to augment the award amount. The first seven days of absence for a compensable claim are not reimbursed to the agency unless the absence extends beyond 21 days. Agencies are responsible for notifying the Workers’ Compensation Program that the agency is to receive the payments during this period. Agencies should deposit the payment as a credit against the payroll expenditures in accordance with CAPP Topic 20205, Deposits. Continued on next page Office of the Comptroller 8 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Workers' Compensation Program Award Payments, Continued Workers' Compensation Program Award Payments - LOA Status Workers’ compensation award payments are made directly to employees by the Workers’ Compensation Program once employees are in a leave without pay (LOA) status. Employees are moved to a leave without pay status (LOA/WCP) once they are no longer receiving pay for the agency supplement or using personal leave balances to augment the workers’ compensation award. The agency must notify the Workers’ Compensation Program, in writing, at least 14 to 21 days prior to the time employees are placed on leave without pay. This notification helps to ensure checks are sent to the employee timely and prevents an assessment to the agency of a 20% penalty on late workers’ compensation payments. Agencies should review each workers' compensation case and reconcile payments to the employee with the workers' compensation reimbursements prior to notifying the Workers’ Compensation Program. If overpayments or underpayments are identified, agencies must take the necessary actions to correct the inconsistency prior to releasing the case solely to the Workers’ Compensation Program. Office of the Comptroller 9 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Agency Payroll Processing Pre-award Absences – Key Internal Control Agencies must carefully consider their actions during the period of time the Workers’ Compensation Program investigates claims (pending status) in order to safeguard Commonwealth assets and minimize the possibility of collection problems. During this time, agencies should charge employee absences to personal leave or, if personal leave is not available, employee pay should be docked. If the claim is subsequently determined to be compensable, agencies will credit leave charged or provide back-pay for workers’ compensation awards and agency supplements to which employees become entitled following the award. If the claim is subsequently determined to be non-compensable, no adjustments are required. If agencies continue employees’ normal pay, benefits, and leave processing during the eligibility determination period, the complexity and magnitude of post-award adjustments are greatly increased. This same process applies in new unexpected periods of absence that the employee relates to their original injury. Prior to authorization by the Workers’ Compensation Program of coverage for new periods of disability, employees should use personal leave in order to continue pay. Continued on next page Office of the Comptroller 10 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Agency Payroll Processing, Continued Earnings Codes The following table provides key information regarding HCM workers’ compensation pay types. HCM will automatically: • not take taxes from earnings code WCP. • charge earning codes WCP and WCS to the correct object codes for workers’ compensation and agency supplement. See Cardinal job aids, PY381_Earnings Codes and PY381_Using the Single- Use Payroll Online Tool (SPOT) for more information. Workers’ Comp Agency supplement Personal Leave Earnings Code WCP WCS RGS Court-ordered Deductions Yes Yes Yes Withhold Taxes No Yes Yes Biweekly to Semimonthly Conversion Since workers’ compensation award payments to agencies are made for biweekly periods, agencies must convert the biweekly award from WCP to a semimonthly amount as outlined in the following table. Before you begin, obtain the biweekly indemnity amount (from the Workers’ Compensation Program), semimonthly salary, and the number of calendar days in the applicable semi-monthly pay period: Step Action 1 Divide the biweekly indemnity amount by 14 (i.e., calendar days in a biweekly period). This is the daily indemnity amount. 2 Multiply the daily indemnity amount by the number of calendar days in the semimonthly pay period. This is the semimonthly workers’ compensation payment to the employee. 3 Subtract the semimonthly workers’ compensation payment from the semimonthly salary. The results of step 2 and 3 should never total more than regular semimonthly salary. • If eligibility for the agency supplement remains, this is the agency supplement payment to the employee. • If eligibility for the agency supplement has expired but personal leave is available and charged, this amount is paid as regular salary. Continued on next page Office of the Comptroller 11 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Agency Payroll Processing, Continued Deduction If needed, the agency will enter deduction overrides for both benefit and Overrides general deductions into Cardinal HCM using the Single-Use Payroll Online Tool (SPOT). Refer to the “Using the Single-Use Payroll Online Tool (SPOT)” Job Aid for detailed instructions. See CAPP Topic 50605, Tax and Deduction Overrides, for additional information on processing deduction overrides in Cardinal HCM. Continued on next page Office of the Comptroller 12 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Agency Payroll Processing, Continued Post-award Pay, Benefits and Leave Adjustments As a practical matter, payroll must gather all the available facts and information for each case and compare the pay and benefits the employee received (or is receiving) with the pay and benefits the employee was (or is) entitled to receive. Differences in pay, benefits, or leave must be identified and corrected. Timely processing and good communication minimize the magnitude of these differences and the corresponding adjustments to correct payroll, benefits and/or leave records. However, the need for adjustments can never be completely eliminated. For example, since eligibility determination may take up to 90 days, employees must use personal leave to continue pay, or go on LOA during this period. Once claims are deemed compensable, immediate retroactive adjustments are required. Similar adjustments are required for the first seven days of absence when the claim extends beyond 21 days. Agencies should provide employees with written verification documenting that personal leave balances were restored. As outlined in the following table, the types of post-award adjustments needed for compensable claims varies depending on whether employees have personal leave balances available during the absence: Pay/Benefit/Leave With Leave Without Leave Regular Pay Reduce No adjustment WCP Increase by the amount of WC award. Pay the amount of the WC award. WCS Increase by the difference between regular salary and the WC award. Pay the difference between regular salary and the WC award. VRS Retirement No adjustment VRS will charge agency in the monthly snapshot. Personal Leave Return leave charged. Credit for non-accrued leave (if appropriate). Employee-paid Benefits No adjustment Process according to routine LOA procedures. Continued on next page Office of the Comptroller 13 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Agency Payroll Processing, Continued Calendar Year In the event the award is approved for time lost in the prior calendar year, End how it is processed depends on whether the employee used personal leave to continue to receive payment for the time lost during the prior calendar year. If yes, then leave balances may need to be adjusted and a W2C must be requested to correct the taxable wages for the prior calendar year. Do not reclassify wages in the current year. If the employee is still due any payments related to the award, the payments will be made in the current year and treated as workers comp in the year payment is made. Internal Control Internal Agencies must establish and maintain consistent standards and procedures for Control the payment of workers’ compensation awards and the calculation of related pay, fringe benefits, and leave. Agencies must verify that the information processed is complete, properly authorized, and entered accurately into the system. The technical accuracy of payroll actions made in Cardinal HCM is a shared responsibility of the person who collects and processes the source documents and the agency fiscal manager who must oversee the payroll operation to ensure consistent application of internal control procedures. Office of the Comptroller 14 Commonwealth of Virginia jitcARDINAr I Volume No. 1 - Policies & Procedures TOPIC NO. 50520 - Cardinal Section —Paying the Employee TOPIC WORKERS’ COMPENSATION NON-VSDP DATE June 2023 Records Retention Time Period Payroll reports should be retained for five (5) years or until audited, whichever is later. Agency policy and procedures determine the retention of the related agency source documents/records. Please see CAPP Topic No. 21005, Records and Retention. Contacts DOA Contact Director, State Payroll Operations Voice: (804) 225-2245 E-mail: Payroll@doa.virginia.gov Assistant Director, State Payroll Operations Voice: (804) 371-7800 E-mail: Payroll@doa.virginia.gov Subject Cross References References CAPP – Topic No. 20205, Deposits. CAPP – Topic No. 21005, Records and Retention CAPP – Topic No. 50525, Virginia Sickness and Disability Program CAPP – Topic No. 50605, Tax and Deduction Overrides Refer to suggested job aids and training information for data entry and processing on the Cardinal website: http://www.cardinalproject.virginia.gov/. Office of the Comptroller 15 Commonwealth of Virginia

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TCDS A13CERev 25· Issued 2007
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