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  1. UNT Dallas
  2. Compliance and Integrity
  3. Risk Management
  4. Workers' Compensation
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Workers' Compensation

The Workers’ Compensation program at the University of North Texas at Dallas is administered by the State Office of Risk Management (SORM).  All UNT Dallas employees who are injured in the course and scope of their employment are eligible to file a Workers’ Compensation claim. 

All work-related injuries must be reported to Risk Management.  Risk Management will file all claims with SORM.

Employees must complete the following forms:

  • Employee Report of Injury
  • Employee Leave Election
  • Authorization to Release Information
  • Witness Form (if applicable)
  • Spanish Employee Report of Injury
  • Spanish Leave Election
  • Spanish Authorization to Release Information
  • Spanish Witness Form (if applicable)

 

Network Physician

Employees who elect to pursue a Workers’ Compensation claim, must seek treatment from a physician within the Network of Physicians designated by SORM and administered by CareWorks.  A list of network physicians can be found here:  Select Option (talispoint.com)

Network physicians closest to UNT Dallas are listed below.

 

Concentra
5520 Westmoreland, Suite 200
Dallas, TX 75237
214/467-8210

1111 N. Interstate 35E
DeSoto, TX 75115
972-521-1347

 

Nova Medical Center
814 E. Camp Wisdom Road
Duncanville, TX  75116
214-217-0303

 

CareNow
39769 Interstate 20
Dallas, TX  75237
972-780-0802

 

In the event of an emergency, the injured employee should seek treatment at the nearest hospital. 

 

Methodist Charlton Medical Center
3500 W. Wheatland Road
Dallas, TX 75237
214-947-7777

 

Methodist Dallas Medical Center
1441 N. Beckley Avenue
Dallas, TX 75203
214-947-8181

 

Pharmacy Benefit

Injured employees who elect to pursue a Workers’ Compensation claim are eligible for pharmacy benefits when their network physician writes them a prescription.  MyMatrixx administers the pharmacy benefit.  Workers' Compensation Resources for Injured Workers (mymatrixx.com)

Injured employees need to present a First Fill form to the pharmacy.  Risk Management can provide this form upon the filing of a Workers’ Compensation claim.

 

Resources

For more information on Workers’ Compensation and for a list of your Rights & Responsibilities, see the following resources.

Injured employee resources (texas.gov)

Office of Injured Employee Counsel (texas.gov)

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