About Workers Compensation

What is workers' compensation?

Workers' compensation is a state-regulated insurance program that pays medical bills and replaces some lost wages for employees who are injured at work or who have work-related diseases or illnesses.
Workers' compensation will pay for the medical treatment of an injury or illness if:
  • The injury occurred at work or the disease or illness is job-related; and
  •  The worker's employer has workers' compensation insurance or is certified by the Texas Department of Insurance, Division of Workers' Compensation to self-insure.
Workers' compensation will also replace some of the worker's lost wages if:
  • The injury or illness caused the worker to lose some or all income for more than seven days.
Texas employers may choose whether or not to maintain workers' compensation insurance. Employers who choose to have insurance may:
  • Purchase insurance policies from private insurance companies; or
  •  Self-insure, if they meet the requirements of the Texas Workers' Compensation Act and are certified by the Texas Department of Insurance, Department of Workers' Compensation. Self-insured employers have the same rights and responsibilities as employers who buy policies from private insurance companies.


NOTICE TO EMPLOYEES CONCERNING
WORKERS’ COMPENSATION IN TEXAS

COVERAGE: Edinburg CISD has workers’ compensation insurance coverage from Tri Star RM, Inc. to protect you in the event of work-related injury or illness. This coverage is effective from 2011- present.  Any injuries or illnesses which occur on or after that will be handled by Tri Star RM, Inc. An employee or a person acting on the employee’s behalf must notify the employer of an injury or illness not later than the 30th day after the date on which the injury occurs or the date the employee knew or should have known of an illness, unless the Division determines that good cause existed for failure to provide timely notice. Your employer is required to provide you with coverage information, in writing, when you are hired or whenever the employer becomes, or ceases to be, covered by workers’ compensation insurance.


EMPLOYEE ASSISTANCE: The Division provides free information about how to file a workers’ compensation claim. Division staff will explain your rights and responsibilities under the Workers’ Compensation Act and assist in resolving disputes about a claim. You can obtain this assistance by contacting your local Division field office or by calling 1-800-252-7031.

SAFETY HOTLINE: The Division has established a 24-hour toll-free telephone number for reporting unsafe conditions in the workplace that may violate occupational health and safety laws. Employer are prohibited by law from suspending, terminating, or discriminating against any employee because he or she in good faith reports an alleged occupational health or safety violation. Contact Health and Safety at 1-800-452-9595.


AVISO SOBRE COMPENSACION PARA
TRABAJADORES EN TEJAS

COBERTURA: Edinburg CISD tiene aseguranza para compensar al trabajador con Tri Star RM, Inc. para protegerlo en el caso de una lesión o enfermedad relacionada con su trabajo. Esta aseguranza está vigente desde 2011 - presente . Cualquier lesión o enfermedad que ocurra en o a partir de esa fecha sera manejada por Tri Star RM, Inc. El trabajador o la persona que lo representa debe notificar al patrón cuando ocurra una lesión o enfermedad antes de treinta (30) días después de que ocurra la lesión o dentro de treinta (30) días de la fecha en que el empleado se entero o debería estar enterado de la enfermedad, salvo que la División determine que existía un buen motivo para no haber notificado al patrón dentro del tiempo señalado. Su patrón está obligado a proporcionarle información sobre la aseguranza, por escrito, cuando lo contrate para trabajar y asi mismo debe de informarle cuando obtenga o deje de tener seguro de compensación para el trabajador.


ASISTENCIA AL EMPLEADO: La División le proporcionará información gratuita sobre como someter un reclamo de compensación para el trabajador. El personal de la División le explicará cuales son sus derechos y responsabilidades bajo la Ley de Compensación para el Trabajador y le asistirá para resolver cualquier controversia que surja al hacer su reclamo. Usted puede obtener esta ayuda comunícandose con la oficina local de la División o llamando al número 1-800-252-7031.

LINEA PARA REPORTAR CONDICIONES INSEGURAS: La División ha establecido una línea telefónica gratuita las 24 horas del día, para reporter condiciones inseguras en el lugar de trabajo que pudiera violar las leyes ocupacionales de salud y seguridad. La ley prohíbe que los patrones suspendan, despidan o descriminen al empleado o empleada porque él o ella, de buena fe, reporta una alegada violación ocupacional de salud o seguridad. Comuníquese con la Sección de Salud y Seguridad Laboral al número 1-800-452-9595.



The Texas Department of Insurance
333 Guadalupe, Austin 78701 • P.O. Box 149104, Austin 78714-9104
(512) 463-6169 - 800-578-4677 (in Texas) • Consumer Helpline 800-252-3439 (463-6515 in Austin)
Division of Workers' Compensation Customer Services 800-252-7031 (800-372-7713 x4636 in Austin)

Website: www.tdi.state.tx.us/wc