Workers Compensation

While Dow Aero (“Company”) aims to provide the safest working environment possible for all of it’s employees, workers compensation benefits are available as appropriate to employees in the event they experience a significant work-related injury or illness.

Reporting Injury or Illnesses

Employees are required to report every work-related injury or illness to their direct/indirect superior, Environmental Health & Safety (“EHS”), and/or Human Resources (“HR”) regardless of how minor the injury or illness may appear. Failure to promptly report a work-related illness or injury could result in a delay or denial of benefits.

If an employee is seriously injured or ill, call 911 immediately or proceed to an emergency/urgent care facility as appropriate. For example, one of the nearest major hospital’s from our South Oklahoma City premise at 6800 Camille Avenue is:

    University of Oklahoma Medical Center
    Emergency Room
    700 Northeast 13th Street
    Oklahoma City, Oklahoma 73104

Additionally, an example of the closest urgent care center from the previously identified premise is:

    Immediate Care of Oklahoma
    5700 SE 74th Street
    Oklahoma City, Oklahoma 73135

For non-emergency injuries or illnesses that occur at the workplace, an employee or involved management can contact the 24/7 ConsultCare nurse advice hotline at 1.855.310.5448 for immediate assistance.

If appropriate, injured or ill employees can be referred to a medical care facility. Employees should retain all paperwork provided to them by the medical facility.

A representative from the Company’s EHS team may conduct an Incident Investigation Report. When performed, this report should contain as many details as possible, including the date and time, place of the incident, description of the illness or injury, along with names of any witnesses.

Provider

The Company’s current workers compensation provider is CompSource Mutual Insurance Company.

A Company HR representative may submit a claim:

A claim may also be submitted by an HR representative completing the CC-Form-2, and sending by either fax to 1.866.894.5410 or by mail:

    CompSource Mutual
    PO Box 53505
    Oklahoma City, OK 73152-3505

Third-Party Administrator

A Company approved third-party may administer the workers compensation insurance benefits. Representatives of this organization may contact injured employees regarding their benefits under the plan.



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