Workers’ Compensation coverage is provided by the District for any District Employee who is injured on the job. The program is self-insured and is administered by the Division of Risk Management and Insurance Services (RM).
Benefits under Workers’ Compensation are set by the State of California and are governed primarily by the Labor Code and the Education Code.
Claims submitted for Workers’ Compensation benefits are administered by a third party administrator (TPA) Sedgwick Claims Management Services, Inc. The TPA is responsible for establishing claim files and directing payment of any medical and/or salary continuation benefits that are due to the injured employee. The Workers’ Compensation Section of RM is responsible for the direction and oversight of the TPA.
Contact Information
Sedgwick CMS, Inc. is the “third party administrator” with which the District has contracted to process LAUSD employee’s workers’ compensation claims.
An employee who experiences a work-related illness or injury should report it to his/her supervisor or site administrator immediately. The supervisor or administrator reports the claim to Sedgwick CMS by calling the telephone number listed below.
After a claim is filed, the injured employee may refer claims questions to Sedgwick by calling the customer service number listed below.
To report a claim: 1-800-LAUSDWC (1-800-528-7392) For customer service: 1-866-247-2287 (To inquire about a claim already filed) For LAUSD Workers' Compensation Department: 213-241-3138
New State regulations require use of a mandatory new Workers' Compensation Claim Form (DWC 1, Rev. 6/10) effective October 8, 2008. The new claim form can be viewed and/or uploaded here.
