1
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Step
Report accident
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Responsible Party
Staff member
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Template/Guideline
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Explanatory Notes
The staff member is responsible for reporting an accident as soon as possible to his/her HR administrator
The staff member should refer to all Appendix D documentation for information on the conditions under which compensation may be granted
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2
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Step
Fill in a Claim for Compensation form; Attach all original supporting documentation; Submit to HR administrator
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Responsible Party
Staff member
|
Template/Guideline
|
Explanatory Notes
Staff members are personally responsible for payment of all medical expenses incurred and are expected to pay all bills, then claim reimbursement
Under no circumstances should physicians or hospitals be instructed to send bills to UNDP or the UN Health and Life Insurance Unit
TPAs (Blue Cross, Aetna, Cigna and HIP/HMO) are not required to provide coverage for service-related injuries or illness (as their insurance contracts exclude coverage of this nature), but may, upon request, do so, pending the outcome of the claim for compensation
All bills for medical, hospital, and related services must be listed and provided by the claimant
Reimbursement will be authorized only when original detailed bills are submitted
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3
|
Step
Assist staff member in completing documentation; Vet all forms and documentation submitted by the staff member
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Responsible Party
|
Template/Guideline
|
Explanatory Notes
Upon vetting all documentation, the HR administrator must submit documentation to the respective HR associate GSSC
|
4
|
Step
Provide guidance to HR administrator; Vet all forms and documentation submitted by the HR administrator; Submit documentation to ABCC
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Responsible Party
|
Template/Guideline
|
Explanatory Notes
The HR associate, GSSC is responsible for timely submission of forms and documentation to the ABCC
Claims for compensation under Appendix D must be submitted to the ABCC no later than four (4) months after the date of injury or onset of illness
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5
|
Step
Determination of eligibility and compensation
|
Responsible Party
ABCC
|
Template/Guideline
|
Explanatory Notes
The ABCC makes recommendations to the Secretary-General concerning claims for compensation under Appendix D
The Secretary-General can consult with the ABCC on any matter connected with the implementation and administration of Appendix D
The Secretary-General may require a medical examination of any person claiming, or in receipt of, compensation for injury or illness under Appendix D
Based on documentation provided, and documentation requested, the ABCC will make a determination on the case
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6
|
Step
Announcement of decision (I)
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Responsible Party
ABCC
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Template/Guideline
|
Explanatory Notes
Upon making its decision, the ABCC notifies the Director, OHR
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7
|
Step
Payment
|
Responsible Party
OHR Copenhagen
|
Template/Guideline
|
Explanatory Notes
Payment of compensation by UNDP to an eligible staff member is made in accordance with ABCC decision/direction
|
8
|
Step
Appeal
|
Responsible Party
Staff member
|
Template/Guideline
|
Explanatory Notes
Reconsideration of the decision of the ABCC may be requested within 30 days of notice of the decision
In exceptional circumstances, the ABCC may accept requests made at a later date
Requests for reconsideration shall be accompanied by the name of the medical practitioner chosen by the staff member to represent him/her on the medical board
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9
|
Step
Determination of compensation, if any, based on appeal
|
Responsible Party
ABCC
|
Template/Guideline
|
Explanatory Notes
If, after reviewing the report of the medical board and the recommendations of the ABCC, the Secretary-General alters his original decision in favour of the staff member, the UN will bear the medical fees and incidental expenses
If the original decision is sustained, the staff member shall bear the medical fees and the incidental expenses of the medical practitioner whom he selected and half of the medical fees and expenses of the third (independent) medical practitioner on the medical board. The balance of the fees and expenses shall be borne by the UN.
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10
|
Step
Announcement of decision (II)
|
Responsible Party
ABCC
|
Template/Guideline
|
Explanatory Notes
Upon making its decision, the ABCC notifies the Director, OHR, HR associate, GSSC and the HR administrator
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11
|
Step
Payment (if applicable)
|
Responsible Party
OHR Copenhagen
|
Template/Guideline
|
Explanatory Notes
If the appeal by a staff member is successful, payment of compensation by UNDP is made in accordance with ABCC decision/direction
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12
|
Step
Payment of costs (if applicable) related to appeal
|
Responsible Party
Staff member
|
Template/Guideline
|
Explanatory Notes
If the original decision by the ABCC is sustained, the staff member must pay: - The medical fees and the incidental expenses of the medical practitioner whom the staff member selected - Half of the medical fees and expenses of the third (independent) medical practitioner on the medical board
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