Workers' Compensation

If you suffer a work-related injury while employed at Lincoln University, PA, your reasonable medical and surgical services and supplies will be covered by Traveler's Insurance.  This includes orthopedic appliances and prostheses, and/or training in their use.

How to File a Claim

PowerPoint Presentation: Online Claim Reporting on Travelers.com

Forms:

• Traveler's Workers' Compensation Reporting Worksheet
• Return to Work Form
• Injured Employee Prescription Fill Form
• Pennsylvania Workers’ Compensation Information Acknowledgement
• Pennsylvania Dept. of Labor & Industry Form LIBC-500
• Pennsylvania Dept. of Labor & Industry Notification of Rights and Duties

In order to ensure that your medical treatment will be paid for by Traveler's Insurance, you must select from one of the designated health care providers listed below:

You must continue to visit one of these health care providers listed above, if you need treatment, for ninety (90) days from the date of your first visit.

After this ninety (90) day period, if you still need treatment and your employer has provided a list as set forth above, you may choose to go to another health care provider.  You MUST notify your employer of this action within five (5) days of your visit to the health care providers of your choice.

Your bills will be considered IF: your health care provider files written reports on a form prescribed by the Department (these reports must be filed within ten (10) days of commencing treatment and at least once a month thereafter, as long as treatment continues).

If one of the health care providers listed above refers you to another health care provider, your Worker's Compensation Insurance Provider will pay the bill for these services provided they are reasonable and necessary.

If you are faced with a medical emergency, you may secure assistance from a hospital or health care provider of your choice.