Workers Compensation is a policy that pays benefits to an employee (or an employee’s family) if the employee suffers a job-related injury (including death) or disease related to work.
Any time an employer is aware an employee has sustained an injury in the course of their employment, it is critical that a Maryland First Report of Injury form be submitted via online claims reporting below. The state online reporting form must be completed by the injured worker’s supervisor or next higher level supervisor. Under no circumstances is the state online reporting form to be completed by the injured worker. If you should have any questions about reporting a claim, please contact the SISCO associate listed below. You can present the injured worker with this Frequently Asked Questions brochure.
If the worker is refusing treatment, the injury should be reported and the appropriate refusal of treatment document should be completed. Please complete the online First Report of Injury and provide a copy of the completed refusal document to riskmanagement@archbalt.org. Additionally, this document should be kept on file with the employer in accordance with your record keeping policies.
AOB- WC Refusal of Treatment ACC – WC Refusal of Treatment
For more information about Workers Compensation benefits, contact Tom Alban
Please select your employment category below to complete the online First Report of Injury Form for the correct Claims Administrator. There are 3 choices below: AOB Employee, ALL Catholic Charities Employees including Jenkins Memorial Nursing Home, Inc. ~ St Elizabeth Rehab and Nursing Center Union AND Non Union Employees, and lastly, NH claims prior to 7/31/2022.
Archdiocese of Baltimore Employees |
|
Claims Administrator: | RCM&D/SISCO 555 Fairmount Ave. Towson MD 21286 |
SISCO Claims Adjuster: | Allison Boden aboden@rcmd.com 410-339-5882 |
Online Claim Reporting Form: | Report an Injury |
Incident Report Entry Guide |
Catholic Charities |
|
Claims Administrator: | RCM&D/SISCO 555 Fairmount Ave. Towson MD 21286 |
SISCO Claims Adjuster: | Allison Boden aboden@rcmd.com 410-339-5882 |
Online Claim Form: | Report an Injury |
Incident Report Entry Guide |
|
Jenkins Memorial NH – St Elizabeth Rehab and Nursing Ctr UNION Employees ONLY |
Claims Administrator: | Chesapeake Employers Insurance 8722 Loch Raven Boulevard Towson MD 21286 |
Contact: | FROI@ceiwc.com Or call Injury Reporting Hotline: 888-410-1400 |
Report an Injury: | www.ceiwc.com |