Workers' Compensation

Anita Vasquez
Manager, Benefits & Payroll
(408) 924-2271 

Workers' Compensation (WC) is a state-mandated, employer-paid benefit for employees that sustain occupational injuries or illnesses while working for or on behalf of the University. San José State University (SJSU) employees, including staff, faculty, special consultants, student assistants, work-study students and appointed volunteers are covered.

If an employee sustains a qualifying injury or illness, WC benefits will cover any approved medical bills and temporary or permanent disability payments to which an employee is entitled.

If an employee is unable to work as a result of an accepted work-related injury or illness, he or she may be eligible for Industrial Disability Leave (IDL) that provides full pay for the first 22 days of disability, with two-thirds pay for the next 11 months of disability. Employees disabled for 14 days or less do not receive IDL for the first three days (waiting period) unless hospitalized.

All WC benefits are administered by Sedgwick CMS, a Third Party Administrator who determines eligibility:

Sedgwick CMS

P.O. Box 14629

Lexington, KY  40512-4629

Ph: (510) 302-3041   Fax:  (916) 851-8089

To qualify for WC benefits, all work-related injuries or illnesses should be immediately reported to the employee's supervisor or Human Resource Services (4-5444). The supervisor completes Employer's Report of Occupational Injury or Illness (.pdf) and provides the injured employee with a Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility (.pdf) (to complete and return to HR. See Employee Injuries & Accidents for more information.

SJSU has predesignated
medical treatment for work-related injuries. If prior to an injury, HR has been provided with a Predesignation of Personal Physician Form (.pdf) naming a personal physician, employees may seek medical care from this physician immediately after injury. Under Labor Code Section 4600 (d) the designated physician must (1) be the employee's primary care physician, (2) have treated the employee in the past, (3) retain his or her medical records (including medical history), and (4) agree to be predesignated.


For more information, see: