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HomeMy WebLinkAboutS06-City Administrator CIgt'OF SAN BERNARD()IO - REQUryT FOR COUNCI&ACOoN From: Marshall W. Julian, City Administrator Subject: Authorization to Initiate Process to Employ Consultant for Workers' Compensation Services - Risk Management Division Dtpt: One: June 29, 1989 Synopsis of Previous Council action: None. Recommended motion: That the concept of entering into consultant contract for the purpose of training workers' compensation personnel in Risk Management and making needed corrections to workers' compensation files be approved, and that the City Attorney prepare a contract governing the duties of the consultant for approval and execution by the Mayor and Common Council, with the compensation to be paid said consultant to be decided at the time the contract is executed. ~fJ!.~.~ Ignature Contact person: Arthur Schubert Phone: 5308 Supporting data ntached: Staff Report Ward: FUNDING REQUIREMENTS: Amount: Source: (Acct. No.) 001 451 5 3150 ( Acct. Descriotion) Profe8sinn~1/rnn~r~~tu.l Finance: Council Notes: Agenda Item No. S - ID - Cli'i OF SAN BERNARDICb - REQUIOr FOR COUNCIL ACQoN STAFF REPORT The city has been advised)based on an operations audit by the S~ate, that the Workers' Compensation self-insurance program is not acceptable and that a major overhaul will be necessary if the City wishes to continue to administer the program. A number of needed corrections were indicated by the audit in individual files, as well as recommendations for some procedural changes. The City has also failed to submit certain documentation in a number of instances. The letter from the Department of Industrial Relations Self-Insurance Plans also points out that the claims processing is currently being performed by a clerical employee who does not have ~e certification required by the Labor Code to administer workers' compensation claims. It is necessary that the City proceed immediately to certifv staff personnel and to correct the deficiencies in several of the files. Staff has discussed the matter and concluded that the most effective manner of solving this situation is to employ a qualified consultant to work full-time (on-site.) The consultant would train current personnel and prepare them to pass the certification test, and also supervise/correct the file problems noted in the audit. It is anticipated that the period of consultant will be at least 6 months months. The program will be closely consultant contract will be concluded as time required of the and not exceed 12 supervised and the soon as possible. Compensation for a qualified consultant (particularly in light of the short-term of the "employment" and/or tentative duration of the contract) is not knoWlat this time. We are presently contacting various firms, agencies, other insurers, etc. in order to locate an appropriate person to handle the above responsibility. At such time as we believe we have located a qualified individual, the Mayor and Common Council will be requested to authorize the execution of a contract. The cost will be negotiable and is not known at this time. JUSTIFICATION FOR PLACEMENT ON SUPPLEMENTAL AGENDA This action is considered state recommendations on compensation program by the urgent in order to comply with the self-administered workers' State. 75-0264 i,./t} r' "-' C I T Y .. 0 A N B E R 0 R D IeO INTEROFFICE MEMORANDUM 8906-1903 C//y C.c:::c~ ~~ !j;.... TO: Art Schubert, Director of Risk Management FROM: Marshall W. Julian, City Administrator SUBJECT: Self Insurance -- Workers Compensation DATE: June 16, 1989 COPIES: James E. Robbins, Deputy City Administrator Administrative Services ------------------------------------------------------------- :~ ~... m otfE se~ I I W Q After discussing this matter with you, I concur withyout recommendation that we proceed to hire a third party adllni~ trator, for a term not to exceed one year, whose duties~wifd be accomplished in house. It is equally important tftBt ii take positive steps, such as those you have outlined, to insure that we are in compliance with State-established standards. This is in response to your memorandum relative to insured Workers' Compensation program. .0 Please coordinate your efforts to meet these standards with Jim Robbins, Deputy City Administrator/Administrative Services. It is anticipated that, through your combined efforts, we will be in a much better position at this time next year and able to operate this program without the benefit of an outside third party administrator. It is my understanding that you will be corresponding, periodically, with the Department of Industrial Relations to I would appreciate a copy MWJ/djn Soot: o o o o C I T Y 0 F SAN B ERN A R DIN 0 INTEROFFICE MEMORANDUM 8906-3904 FROM: MARSHALL JULIAN, CITY ADMINISTRATOR ARTHUR J. SCHUBERT, DIRECTOR OF RISK MANAGEMENT TO: SUBJECT: TERMINATION OF CONSENT TO SELF-INSURE WORKERS' COMPENSATION LIABILITIES DATE: June 15, 1989 COPIES: JAMES E. ROBBINS, DEPUTY CITY ADMINISTRATOR ------------------------------------------------------------- As you know, the State of California, Department of Industrial Relations, Self-Insured Plans has terminated our permission to self-administer workers' compensation claims effective July 23, 1989. We are instructed to obtain the services of a competent third party administrator or face revocation of our Certificate of Consent to Self-Insure. A copy of the State letter dated May 24, 1989, is attached (the audit report is available). Although the State letter is rather strongly written, I believe they have made several administrative errors which will not allow them to promptly follow through with their threat to revoke our certificate. I do not ordinarily recommend delaying tactics: however, in this case it may be to our advantage to slow down the process so that the City maintains some control over the future of our workers' compensation program. I simply do not want the State dic- tating the method we use to administer our program and will continue to delay any actions on their part. We have several options which will be explored later in this memo. To solve our problem, we need to accomplish the following. First, we must retain the services of a certificated third part administrator or consultant. Second, we need to improve our workers' compensation claim handling, correct the deficiencies noted in the audit and convince the State to reauthorize self-administration. Third, we must get one or more of our own people certified to administer workers' compensation claims. The next State test is in December, 1989. However, until that time it will be necessary to work through a third party. This approach will work to our favor in two ways. It will permit us to stay in the workers' compensation business of self-insurance and will provide a certificated person to overhaul our program and train our personnel. Along this o c o o INTEROFFICE MEMORANDUM: 8906-3904 TERMINATION OF CONSENT TO SELF-INSURE WORKERS' COMPENSATION LIABILITIES June 15, 1989 Page 2 line, it will be important to maintain the integrity of our workers' compensation program while insuring that no current employees become redundant. What follows is an outline of our options along with the pros and cons of each: 1. Hire third party administrator (outside company) adjusting A. Pros- 1. Competent handling of workers' compensation claims. 2. Certified administrator. 3. Insulation between City employees and City Administration provided by TPA. 4. Better fix on reserves/costs/exposure/loss control. B. Cons- 1. High initial cost to City. 2. Less control over w/c program. 3. Possible termination of City employee current- ly administering w/c program. 2. Hire third part administrator (in-house consultant) . A. Pros- 1. Competent handling of w/c claims. 2. Certificated administrator. 3. Lower cost to City than outside TPA. 4. Would train current City employees. 5. Maintain control over w/c program. B. Cons- 1. May be temporary solution only. 2. No certificated City employee on staff. 3. Moderate cost to City. 3. Purchase workers' compensation insurance through State Compensation Insurance Fund. A. Pros- c o o .:) INTEROFFICE MEMORANDUM: 8906-3904 TERMINATION OF CONSENT TO SELF-INSURE WORKERS' COMPENSATION LIABILITIES June 15, 1989 Page 3 1. Instant administration and handling of new w/c claims. 2. Release of w/c self-insured reserves. 3. No training or certification requirements. 4. Loss control/safety services provided. B. Cons- 1. Old w/c claims would not be covered. 2. TPA needed to administer old w/c claims. 3. High cost. 4. Probable loss of City employee currently administering w/c program. We can discuss our optionsl however, it appears that option '2 would be our best choice. The hiring of a certificated in-house consultant for an initial period of one year, renewable as needed, would satisfy the State requirement for self-administration and would allow us to improve the quality of our workers' compensation claim handling. I would expect the consultant to train Josie Nagy and Nancy Fogassy in the areas of medical terminology, disability rating, rehabilitation, the Labor Code and other important areas found on the State workers' compensation administrator exam. We obviously need to have a certificated administrator on staff and must be prepared to reclassify the Workers' Compensation Specialist position to a higher range and require State certification for all future incumbents. Option '2 would also appear to be the most cost efficient to the City at approximately $60,000/year. We need to move on this problem fairly soon. Your thoughts would be appreciated, particularly in the area of funding. a; Arthur J. Schubert Director of Risk Management AJS/sf ." (.) o o o GEORGE DEUKMEJIAN, Gcwemor STATE OF CAUFORNlA DEPARTMENT OF INDUSTRIAL SELF-INSURANCE PLANS 2848 Arden Way, Suite 105 Sacramento, CA 95825 Phone (916) 924-4866 FAX (916) 920.7095 RELATIONS May 24, 1989 ~ ElmE~'E ~ MAY 2 6 1989 Our File :P-0124 RISK MANAGEMENT Mr. Tom Cain Risk Manager City of San Bernardino 300 North Delta Street San Bernardino, CA 92418 Dear Mr. Cain: I have received the recent audit of the City of San Bernardino workers' compensation self-insurance program by our staff. The audit describes a program that is not acceptable and a major overhaul will be necessary if your City wishes to continue to self-insure workers' compensation liabilies. The existing program is run by a person who has not demonstrated competency as required by California Labor Code Title 8, Section 15401.1 and, it would appear, your adjusting location does not have a competent person either as required by Section 1501.'2. Your administrator, perhaps due to her lack of competence, fails to maintain required case file pursuant to Section 15400 and has no case log as required by Section 15400.1. The estimates of future liability are routinely understated by your administrator and she apparently does not know the difference between an indemnity claims or a medical only claim. You do not send DIA Form 500's and file documentation is minimal at best. I cannot permit thj.s type of ~rogram a~~inistration to continue. The City of San Bernardino's permission to self administer workers' compensation claims is terminated and you are hereby notified to obtain the services of a competent third party administrator to administer all of the City's workers' compensation claims within 60 days. If you have not done so by that date, we will move to revoke the City's Certificate of Consent to Self-Insure for cause. If the Certificate -is revoked, the City will have to purchase insurance for workers' compensation coverage and the prior self-insured claims will still have to be administered by a competent third party administrator. e o o o - .-J Hr. Tom Cain Page 2 Should you have any questions regarding this matter, please contact this office. c~ MBA/dg Enclosures cc: Kim Kunkel, Self Insurance Plans, Los Angeles Gary O'Hara DIR Legal Unit ...... o o o GEORGE DEUKMEJ'AN. Governor STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATION SELF-INSURANCE PLANS 107 South Broodwoy, Room 5043 JUN 9 iSE3 Lo. Angele.. Callfornta 90012 Phone (21 S) 620-SS78 RISK MANAGEMENT FAX (21S) 620-6130 . Our File: 6-0124-0 I May 12, 1989 Mr. Tom Cain Risk Manager CITY OF SAN BERNARDINO 300 North Delta Street San Bernardino, California 92418 Dear Mr. Cain: A routine audit was conducted of your workers' compensation files at your San Bernardino office, Ms. Jose Nagy, Claims Administrator. A total of seventy six indemnity files and 79 medical only files were reviewed for the fiscal years 1985-86, 1986-87 and 1987-88. The City was self-administered for each of the fiscal years audited. Files were under the administration of Ms. Nagy for each year. The following general comments were applicable: AVAILABILITY OF FILES All files requested were available for audit. CASE LOAD Self-Insurance Plans recommends no more than 250 active indemnity files per certified Administrator. Ms. Nagy'S claims count is 283. This number should be reduced. QUALIFICATIONS OF ADMINISTRATOR To be considered qualified by this office to undertake the Administration of your self-insurance workers' compensation files, your Administrator must have taken and passed the Administrator's certification examination. Ms. Nagy has not taken and passed the examination and cannot be considered qualified by this office. It is necessary that Ms. Nagy pass the test at her earliest convenience and in the meantime that her case load be supervised by a certified Administrator. ,:) . o CITY OF SAN Certificate Page -2- BERNARDINO ~ IE ~ IE U ~. \ill No. 6-0124-01 JUN ~1?~~ l~ RISK MANAGEMENT ESTIMATES OF LIABILITY OF CLAIMS Our variance analysis shows, that your Administrator raises estimates of incurred liability of claims between the first and third years, on an aggregate basis by approximately 100%. The extent of the reserve increase noted is cons~dered excessive. The Administrator should endeavor to place an adequate estimate of incurred liability on the files at the end of the first year. By the end of the third year, claims reserve appear to be adequate. Of the files reviewed one was in need of a reserve increase. That file is listed in the Appendix to this letter. ANNUAL REPORTS AND CASE LOGS Annual reports appear to be completed in accordance with the California Code of Regulations, Title 8, Section 15252. The total number of indemnity claims reported according to the annual reports, for the three years, totaled 291. The Administrator does not keep "case logs". Beginning with the 1988, 1989 fiscal year, logs must be kept in accordance with the California Code of Regulations, Title 8, Section 15201. Your case logs must be a listing of work injury cases by fiscal year reported and must contain the following: 1. Injureds Name; 2. Date of Injury; 3. An indication as to whether the file is an indemnity or medical only file; 4. An indication as to whether the claim was accepted or denied. The Administrator is unaware of what constitutes an indemnity versus medical only claim. The following definition is applicable: An indemnity claim is any claim in which an inde~~ity reserve is placed. &~ inderr~ity reserve should be placed on all files when it appear that the payment of temporary disability or permanent disability will be made. Temporary disability must be paid on all files in which the injured has lost more than 3 days from work. Your Administrator computes temporary disability on a 5-day week and does not consider files indemnity files unless disability extends past the City'S automatic one week wage continuance. This is improper. Temporary disability is to be computed on a 7-day week and is to be paid on the fourth day of lost time. If salary is continued in lieu of temporary disability, the file must still be considered an indemnity file. This includes safety members that are paid 4850 time for up to one calendar year, even if they only receive 4 days of 4850 time. c 0 CITY OF SAN BERNARDINO Certificate No. 6-0124-01 Page -3- o \Wt\\Dtu"~\ill 0 JUN ~ l~?J RISK MANAGEMENT LITIGATION RATE The litigation rate for the 1987-1988 fiscal year as a percentage of new indemnity claims reported was 17%. The industry for that same time period approximately 27%. This 17% number is unreliable since the number of indemnity claims reported is unreliable. TIMELINESS OF FIRST TEMPORARY DISABILITY PAYMENTS According to the sample audited, your average late pay percentage for the 3 years was 5.7%. The Administrative Director views as exceptable any percentage under 20%. Again, it was noted that in the majority of the indemnity claims reported to the City, 4850 time was paid and in those cases in which 4850 time was not paid, the injured worker received one week of salary continuation. DIA SOD'S AND CHECK COPIES It was noted that your Administrator is not reporting temporary disability payments to the Division of Labor Statistics via DIA Form sOO's. This is unacceptable. Your Administrator must begin reporting all temporary disability payments to the Division. Again, the payment of temporary disability has occurred by either the direct payment of temporary diSability to the injured or upon the fourth day of lost time from work when salary is continued. Your Administrator also does not send DIA Form SOD's to the injured worker. This is not acceptable. Check copies are not contained in the claims files, but are available for audit. FILE DOCUMENTATION Your Administrator utilizes employers' first report of work injury forms (DIA 5020) which are not acceptable. The Form 5020 must be the form approved by the Division of Labor Statistics and must not be altered. Your Administrator should begin using the proper form at once. Again, DIA Form 500's are not sent and therefore do not appear as required in the claims files. File documentation was good relative to dates off work and medical control. Documentation relative to the exact dates temporary disability or salary continuation was paid was sketchie. The exact dates TD or salary continuation was paid must appear in the files. C CITY OF SAN Certificate paqe -4- BERNARDINO No. 6-0124-01 o \elElIDrEUWt\DJ JUN Q lc': ~ ... ...~ "". :) REHABILITATION RISK MANAGEMENT Your Administrator does not send "WEBB/RENFRO" letters to the injured workers at the appropriate time nor does your Administrator send proper notification to the rehabilitation bureau at the desiqnated time. The Administrator must beqin properly advisinq injured workers of their riqhts to rehabilitation benefits and must properly advise the rehabilitation bureau. NOTE Section 15400 of the California Code of Requlations, Title 8, Administration of Self-Insurance indicates one case file should be made up for each work injury case. Your Administrator consistently puts all applications for each injured in one file. In the future, it is necessary that the Administrator make one file for each application. MONETARY ERRORS Of the files reviewed it appears there are 16 in further need of indemnity payments. This number is tentative since further clarification must be made of file documentation. Specifically, since your Administrator computes temporary disability due on a 5 day week and since 5 days of waqe continuation are paid and since reqular days off are considered, it was difficult to determine whether further temporary disability was due. Of the 16 case, however, 5 appear to be in need of permanent disability advances. All files are listed in the appendix of this letter. Within 45 days from the post audit conference April 7, 1989 we require a written response to each item listed on the addendum of this letter. If a medical examination is requested, the appointment must be arranqed and a copy of the letter to the injured employee must accompany first reply letter. Also required are copies of checks in payment TO, PO, Medical, etc.; copies of F & A's or C & R's; copies of waqe statement for a period or one year prior to the date of injury or as otherwise stated in the addendum; and any other document to prove compliance. Each 45 day period thereafter a follow-up letter must be received by this office or as otherwise instructed by this consultant. c o ~ lE ~ IEO~ ~ lOJ JUN ~ E::: o CITY OF SAN BERNARDINO Certificate No. 6-0124-01 Page -5- Should you have any questions regarding this matter, please do not hesitate to contact Kim T. Kunkel in the Los Angeles Office. RISK MANAGEMENT Sincerely . VV\ KIM T. L Workers' Compensation Consultant /lch o o APPENDIX o o It is noted that the City continues full salary for 1 week in the event a non-safety member is injured. The files listed below appear to be in need of further temporary disability payments. The dates listed begin on the 8th day after the injury date inaccordance with the 1 week salary continuation. Darryl Brooks November 25, 1986 ~ E~E~WE JUN 91SE9 .lW= Datp- nf Inju~y According to file documentation, it appears temporary disability is due for the period December 3 through December ~ ~ 7, 1986 at $223.04 per week for a total of $159.31. Please insure that this amount has been paid to the injured. Victor Alexander August 14 1985 According to file documentation, temporary disabilities due for the August 23 through September 8, 1985 at $112.00 per week for a total of $272.00. $144.00 was paid. Please pay the remainder to the injured at this time. Jeff Velliquette October 24, 1985 According to file documentation, temporary disabilities due for the period November 1 through November 6, 1985 at $156.00 per week a total of $133.71. Since $111.40 was paid, please pay the additional $22.31 at this time. Curtis Lee August 10, 1985 According to file documentation, temporary disabilities due for the period August 18 through August 19, 1985 at $224.00 per week for a total $64.00. Since $32.00 was paid, please pay the additional $32.00 to the injured. David Tatman June 19, 1987 According to file documentation, temporary disabilities due for the period June 27 through July 6, 1987 at $224.00 per week for a total of $320.00. Since $224.00 was paid, please pay the additional $96.00 to the injured. Gilbert Lopez November 13, 1986 According to file documentation, it appears temporary disabilities due for the period November 21 through December 10, 1986 at $200.00 per week for a total of $571.43. Since $485.71 was paid, please pay the additional $85.72 to the injured. Martk Becerra July 31, 1987 According to file documentation, it appears temporary disabilities due for the period August 8 through August 9, 1987 at $117.33 per week for a total of $33.52. Since zero was paid, please pay the $33.52 at this time. '. (.) 0 0 !WlEiHlfl~ Appendix CITY OF SAN BERNARDINO Certificate No. 6-0124-01 JUN 111C'~:) Page -2- be nA~~ nf tn':"ury RISK MANAGEMENT Darryl Brooks December 12, 1987 According to file documentation, temporary disability is due for the date December 20, 1987 in the amount of $32.00. Since zero was paid, please pay the $32.00 at this time. Oliver Aguayo March 16, 1988 According to file documentation, temporary disability is due for the period March 28 through March 30, 1988 at $224.00 per week for a total of $96.00. Since zero was paid, please pay the $96.00 at this time. Kevin Ware April 2, 1988 According to file documentation, temporary disability is due for the period April 14 through May 4, 1988 at $133.33 per week for a total of $399.99. Since $361.90 was paid, please pay the additional $38.09 at this time. The claims listed below are in need of the corrective action indicated. Gary McCafferty June 23, 1986 The injured was due temporary disability for the period of June 27 through July 1, 1986. He received full salary in lieu of temporary disability. Temporary disability should have been charged against the case in a DIA Form 500 sent. Neither was done. This should be done on all such cases in the future. Charles Randsom August 3, 1986 The injured is a fireman and received full salary in lieu of temporary disability. However, no DIA Form 500 was sent. This should have been done. In addition, the file does not appear to have temporary disability payments charged against it. Please account for temporary disability against this case at this time. Please obtain a final medical report which outlines any and all factors of permanent disability, and need for rehabilitation, and the need for lifetime medical care. Please advance permanent disability inaccordance with Labor Code Section 4650. We will look for a lump sum payment and the appropriate week benefit thereafter. o 0 Appendix CITY OF SAN BERNARDINO Certificate No. 6-0124-01 Page -3- o ~ ~u~ E9~g~9~ @ RISk ~ ~ ntl!l~flII of Tnjury Maurice McKnight June 20, 1985 Please advise the injured that if he in the need of further medical care or has any permanent residuals as the result of his injury that he is entitled to the further care or compensation for residuals. This should be done via letter. David Baily The injured is a fire fighter and received full salary in lieu of temporary disability. The injured did not receive a DIA Form 500 nor was temporary disability charged against this case. No action is required. Robert Clayton February 8, 1988 Please obtain a final medical report. John Terry October 20, 1986 This injured is a fireman. It is noted that the public safety disability and rehabilitation committee of the City of San Bernardino decided that the injury was industrial and that said injury incapacitated the injured from returning to his usual customary occupation. Commission additional granted disability retirement effective November 28, 1988. You should be aware that a certified Administrator only (in non-disputed cases) should be the only City employee to make the determination of injury RB-101. In addition, Administrator through his/her Doctor, and with the assistance of a job analysis, should make the determination as to whether the injured is capable of returning to his/her customary occupation. Since permanent disability is obvious in this case, please advance permanent diSability inaccordance with Labor Code Section 4650. We will look for a lump sum advance to be followed by bi-weekly checks. Have you offered vocational rehabilitation? Did you report the case to the rehabilitation bureau of the RB-101? Your permanent stationary medical report is inadequate. The Doctor indicates the condition is permanent stationary but does not outline permanent disability factor. Please therefore obtain a definitive permanent stationary medical report. We do not appear to have reserved for temporary disability. It appears that because you paid 4850 time that you did not so. Please do so at this time. c 0 0 0 Appendix {F? re~IE~WIE rID CITY OF SAN BERNARDINO Certificate No. 6-0124-01 Page -4- JUN !ll?e? lWII& n"t:~ nf Tn;nry RISK MANAGEMENT . Cezar Rodriquez June 5, 1986 Please use payroll records to determine temporary disability needs and insure that the proper amount of temporary disability has been paid. Robert Reynolds Please pay permanent disability continuing to the extent to the permanent disability. February 20, 1988 from February 23, 1989 and non-disputed portion of the There are three applications in one file for each injury date. office of your action. one file. Your must establish Please do so and advise this Chad Williams February 15, 1988 Please advance permanent disability from February 16, 1989 and continuing through the extent of the non-disputed portion of the permanent disability. You have two application in one file. Please establish a new file and advise this office of your action. Your Dr. Rouhe does not outline the permanent disability in a timely fashion or at all. Timely insure you receive a definitive permanent and stationary medical report which outlines any and all factors of permanent disability, etc. Terry Wood August 25, 1987 There appears to be 3 applications in one file. Please insure that there are 3 files opened, one for each application. Was a RB-101 filed with a Bureau and a Webb/Renfro sent to the injured? If not, do so at this time. Unless the injured desires rehabilitation, please advance permanent disability from August 25, 1988 and continuing through the undisputed portion of the permanent disability. Daniel Adomy May 17, 1988 Using payroll records, please determine the last day worked and insure that the proper amount of disability has been paid. Please also realize that this should be an indemnity and not a medical only file. . .() 0 Appendix CITY OF SAN BERNARDINO Certificate No. 6-0124-01 Page -5- o o ~ ~u~ E9B1E~,E IDJ liAme. Dat".. n~ Tnjllrv RISK ~ 'Bill DeBarr March 16, 1988 The injureds last day at work was March 16, 1988 and his return to work day was March 22, 1988. Full salary was paid. The file is a medical only file, but should be an indemnity file with an indemnity reserve and a DIA Form 500 sent to the injured. Paul Florres June 30, 1988 The injureds last day of work was June 30, 1988 and the return to work date was July 5, 1988. Full salary was paid. The same comments as for William DeBarr above applies to this case. Kevin Gladden February 9, 1988 The injureds last day of work was February 9, 1988 and the return to work day was February 15, 1988. Full salary was paid for the period February 10 through February 12, 1988. This claim should be an indemnity file and a medical only file and a DIA Form 500 should have been sent to the injured worker.