Galt, CA
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Responsible for creating a safe work environment for employees and a safe City for its citizens by administering safety training and OSHA mandated programs, assuring safe and healthy work environments, administering liability insurance programs, and responding to citizen and employee safety concerns.
Workers' Compensation Program
Workers’ Compensation benefits are provided to all City employees who are injured or suffer from an illness in the performance of assigned duties. These benefits include medical examination, medical care, and compensation benefits such as temporary disability, permanent disability, rehabilitation and death benefits.
How to Obtain Treatment
In the event that you experience a work-related injury or illness, immediately notify your supervisor and contact Company Nurse or obtain medical authorization from your employer to designate an initial care provider within the network. If you are unable to reach your Supervisor, Department Head, please contact Human Resources at (209)-366-7105.
For non-emergency services, we must ensure that you are provided an appointment for initial treatment within 3 business days of your request for treatment. Below please find information regarding the City's designated health provider.
Co Occupational Medical Partners
Stockton Location Manteca Location
1530 E. Hammer Lane 165 St Dominics Drive #202
Stockton, CA 95210 Manteca, CA 95337
Phone: 209-954-3200 Phone: 209-824-1893
Hours: 8:00 a.m. – 5:00 p.m. Hours: 8:00 a.m. – 5:00 p.m. (closed from 12-1 for lunch)
Sat & Sun CLOSED Sat & Sun CLOSED
Kaiser Permanente On-the-Job – South Sacramento
6600 Bruceville Road Bldg. 3 2nd Floor
Sacramento, CA 95823
Hours 8:30 am – 5:30 pm
916-688-2005
If emergency care is needed, CALL 911 or report to the nearest emergency room to get immediate care.
Adventist Health Lodi Memorial
975 S Fairmont Ave,
Lodi, CA 95240
In an emergency, defined as a medical condition starting with the sudden onset of severe symptoms that without immediate medical attention could place your health in serious jeopardy, call 911 or go to the nearest emergency room as listed above. If your injury is work-related, advise the emergency care provider to contact LWP Claims Solutions Platinum to arrange for a transfer of your care to a MPN provider at the medically appropriate time.
LWP Claims Solutions Platinum MPN
MPN identification number: 2376
Toll Free: (800) 565-5694
Email: www.lwpclaimsplatinummpn.com
If you need assistance making an appointment with a doctor, the MPN's Medical Access Assistant will help find available MPN physicians of you choice and can assist with scheduling appointments.
Medical Access Assistant
Monday - Saturday 7:00am - 8:00pm
Toll Free: (855) 622-6474
Fax: (714) 892-4825
Email: LWPMAA@snp-plus.com
The employee may see their own physician if a Physician Pre-Designation form has been completed and filed in the Human Resources office prior to the work related illness or injury.
Pre-designation of Personal Physician
Process of Notification by Department
If an employee is injured on the job, the Department Head shall notify Human Resources and shall promptly provide such forms and other information which may be required by Human Resources. The following forms shall be submitted at time of injury by the employee’s department:
- Employee’s Claim Form (DWC-1)
- Acknowledgement of Receipt of Employee Claim Form (WC004-9/01)
- Supervisors Report of Employee Injury (WC001-4/91)
Liability Program
The Liability Program provides coverage for damages due to:
- Bodily Injury
- Property Damage
- Personal Injury
If you wish to file a claim against the City, a claim form is required. Claims against the City Form
The original and one identical copy of this form, together with one copy of all attachments, are to be filed with the City Clerk. Retain one copy for your records. Please send all documentation including the claim form to:
The City of Galt
ATTN: City Clerk
380 Civic Drive
Galt, CA 95632
Procedures
Claims received by the City Clerk are forwarded to the City of Galt's Claims Administrator - Human Resources. All claimants are then notified that action will be taken within 45 days, or otherwise notified as to the claim itself.
If recommended for denial by the Administrator, the claim will then be submitted to the City of Galt for final, official rejection. You will be sent a letter from Human Resources or its designee, notifying you of the action taken and of any further action necessary or available to you.
