Lac Courte Oreilles Law Library
Lac Courte Oreilles Tribal Code of Law.

CMP.6.4.020 Limitation of Claims and Reports

No compensation shall be due under this Ordinance unless the Employee provides the Employer with notice of such claim as outlined in Section 7 of this Ordinance. In the case of mental or physical incapacity, the period of limitation shall be extended for fifteen (15) workdays from the initial date of occurrence. A repetitive traumatic injury or occupational disease is deemed to have occurred when the Supervisor/Director/Manager is notified that the injury or disease caused the Employee to be unable to work.

The Plan Administrator shall supply the Employee's Supervisor/Director/Manager with any forms that may be required for completion, specifically the Report of Work Ability form that must be completed and submitted after each visit by the Employee with their Medical Provider. It is the responsibility of the Supervisor/Director/Manager to give such forms to the Employee for completion by either the Employee, their primary physician or approved Medical Provider. It is the responsibility of the Employee to return all completed forms to their Supervisor/Director/Manager, who will then immediately forward them on to the Plan Administrator.

All medical records are to be forwarded to the Claims Administrator/Managed Care Provider. The Employee must continue to keep the Employer notified and advised during the course of treatment The Employee must cooperate with Employer in obtaining all related medical records. A failure to do so may result in the termination of benefits. The Employee shall not return to work without a written release from the primary physician or approved Medical Provider and the authorization from the Plan Administrator.