Schools are dynamic workplaces: on a single day, you can have staff teaching classes, working in bustling kitchens, driving students across the district, or performing maintenance projects. So much activity presents many opportunities for workplace accidents and injuries. If your employees get hurt on the job, the Fund’s Workers’ Compensation program is available every step of the way to help them get the care they need.
Expert claims service
Your injured employees don’t have to suffer alone. We’re there through the whole recovery process to help staff get better and back to work.
Our dedicated case managers help injured employees quickly get help from medical professionals. We have an in-house team of licensed review agents, registered nurses, and a board-certified physician who reviews cases to ensure proper treatment.
Superb quality and cost-effective medical care
The Fund belongs to a medical provider network with four other risk pools. The Political Subdivision Workers’ Compensation Alliance helps employees receive timely medical care from qualified health care providers.
With the lowest pharmacy costs and second-lowest overall medical costs, the Alliance achieves the highest care satisfaction among Texas workers’ compensation networks.
The Fund saves costs on medications and reduces the unnecessary use of opioids with pharmacy benefits from OptumRX.
Injured employees won’t have to travel far to receive quality medical care. At no extra cost, Fund members can set up telemedicine for Workers' Compensation with Concentra or RediMD.
Compliance and high tier performance
The Fund stays current on regulations to ensure all claims are adjusted in a proper and timely fashion. Our Workers’ Compensation program has been named a High Tier performer by the Texas Department of Insurance every year since the rating began in 2007.
Employee training and resources
Members can count on reliable training and resources from the Fund. Our expert program consultant trains new members and offers guidance on workers' compensation compliance, and our Risk Solutions team provides personal, hands-on guidance to help your school prevent employee injuries altogether.
We also offer digital resources like articles on the InsideRM blog, forms in the member library, and online training with the SafeSchools courses.
Flexible funding options
We’re flexible to accommodate members’ different needs. We offer three ways to take advantage of Workers’ Compensation coverage:
- Fully-funded plan: a contribution covers administration, loss prevention, stop-loss coverage, claims handling, and medical cost containment. All claims are paid; there are no extra fees.
- Aggregated deductible plan: a reduced contribution covers claims after the total deductible level is met.
- Administrative services only plan: there is a claims administration fee and the organization reimburses the Fund for claims paid.
Contact your marketing consultant to find out more about Workers' Compensation coverage.