GUIDE TO BENEFITS AND 
CLAIMS FILING

State Employee Injury Compensation Trust Fund 
SEICTF

DEPARTMENT OF FINANCE   -   DIVISION OF RISK MANAGEMENT

HOW TO INITIATE SEICTF BENEFITS 

Please  notify  your  supervisor  of  any 
accident causing injury within five days. 
If you need care use a SEICTF  network 
authorized  provider. 
  Refer  to  our 
website for a gatekeeper listing. 

SEICTF-WHAT IS IT? 

(SEICTF)  -  The  State  Employee  Injury 
Compensation  Trust  Fund    covers  medical 
costs from injuries incurred on the job, lost 
wages,  payment  for  permanent  disability, 
and payments to dependents in the event of 
a  fatal injury.  

IF YOU ARE INJURED AT WORK 

Report  any  injury  immediately  to  your  supervisor  in 
accordance with your agency's reporting procedures.  

Check  with  your  supervisor  about  which  doctor  you 
should see for your work injury.  

If  the  injury  is  serious  don't  delay  treatment;  go  to  the 
Emergency Room. 

          
If  you  are  exposed  to  blood,  body  fluid,  or  other 
potentially infectious materials, do the following: 

1. Clean  the  site.  2.  Complete  the  Blood/Body  Fluid
Exposure Report, as soon as possible. 3. Go to the near-
est SEICTF participating hospital/gatekeeper for imme-
diate treatment. 4. Make an appointment for follow-up.  

 If you need assistance for the name of SEICTF hospitals 
or  physicians  contact  your  supervisor  or  refer  to  our 
website. 

State of Alabama Department of Finance 
Division of Risk Management 
(SEICTF) State Employee Injury Compensation Trust Fund 
Montgomery, Alabama  

Phone: (334) 223-6162 or (800) 388-3406 
Fax:      (334) 223-6170 or (888) 827-6753 
E-mail: SEICTF@finance.alabama.gov 

Visit our website 

www.riskmgt.alabama.gov

FIRST REPORT OF INJURY 

 INSTRUCTIONS FOR 

SUPERVISOR/EMPLOYER: 

Complete  all  items  on  the  First 
Report of Injury (SEICTF Form 
1).  If  there  is  an  exposure  to 
blood,  body  fluid,  or  other 
infectious  materials,  complete 
the Blood/Body Fluid Exposure 
Report. 

Within  24  hours  of  notification 
of  injury,  fax  the  completed 
forms  to  Risk  Management  at 
(334)  223-6170  or  (888)  827-
6753  or  submit  via  email  to 
SEICTF@finance.alabama.gov. 
is  not 
If 
fax  machine 
t o 
r e f e r  
a v a i l a b l e ,  
www.riskmgt.alabama.gov 
for 
online submission of forms. 

a 

Retain  the  original  forms  for 
your files. File other copies with 
your agency as  required. 

If  the  employee  is  out  of  work 
for more than 24 hours after the 
injury,  the  employee  must  se-
lect  a  payment  option  under 
Item  A  and  also  under  Item  B 
on  the  Employee  Election  for 
Lost Time Benefits (EOB). Item 
A concerns time lost from work 
up  to  three  days  and  Item  B, 
time lost in excess of three days. 
Delay in selection will postpone 
compensation  payments  to  the 
the  employee 
employee. 
misses  more  than  three  days  of 
work, 
the 
fax 
immediately 
completed EOB to SEICTF. 

If 

(SEICTF) State Employee Injury Compensation Trust Fund 

HOW DOES IT WORK? 

MEDICAL.  Covered  employees  who  are 
injured  on  the  job  receive  medical  care 
specific  health  care  providers 
from 
(physician,  hospital  or  clinic).  SEICTF  is 
responsible  for  payment  to  the  medical 
care provider. The employees will not be 
charged for co-payments and deductibles.  

LOST TIME. Benefits received after 
employee is out of  work longer than 
three work days.  

1. Waiting Period. There is a three work
day period for which no lost time benefit 
is  paid.  Compensation  begins  on  the 
fourth  work  day  after  disability,  when 
excused  by 
a  physician/gatekeeper. 
Should the lost time reach  

twenty-one  calendar  days,  the 
initial 
three  day  period  is  then  paid.  The  em-
ployee  may  elect  to  use  sick  or  annual 
leave  to cover the  waiting period  or take 
leave without pay.  

2. Choice  of  Compensation  Options  for
Lost Time. 

SEICTF 2/3. When unable to work due to 
injury, employee is paid by SEICTF.  

You  receive  two-thirds  of  your  current 
wage  by  SEICTF  warrant,  subject  to  the 
minimum/maximum  compensation  rates 
in effect at the time of the accident. Pay-
ment  of  SEIB  dependent  health  care  cov-
erage  and  other  pre-authorized  payroll 
deductions  are  the  responsibility  of  the 
employee.  Direct deposit is not available. 

Leave is accrued at a 2/3rds rate.  Retire-
ment  credit  stops  while  2/3rds  benefits 
are being paid. 

OR 

Election to use accrued leave. 

You  receive  your  usual  net  pay  by  State 
Payroll  warrant.    Semi-monthly  payroll 
pay and deductions remain the same. 

Two-thirds  of  your  current  wage  would 
be  non-taxable  subject  to  the  minimum/
maximum  compensation  rate  amount  in 
effect at the time of your accident. 

You  continue  to  accrue  leave  and  retire-
ment  credit    in  accordance  with  State 
Personnel rules. 

SUMMARY OF KEY FEATURES 

1. Medical Costs

All  reasonable  and  necessary  medical 
expenses are covered. 

Co-pays and deductibles are covered.  

Employee  compensation  is  paid  by 
SEICTF  unless using leave time. 

Employee  compensation 
is  paid  via 
state payroll check when leave option is 
elected.  

2. Lost Time

3. Disability

Payment  is  non-taxable  -  2/3  current 
wage  subject  to  weekly  minimum/
maximum rate.  

Payment for temporary total disability 
continues  as  long  as  the  disability  ex-
ists.  

A schedule of defined benefits for per­

manent partial disability applies. 

Vocational rehabilitation may be availa-
ble  when  injury  prevents  return  to 
work.  

4. Death

Burial expense.  

Payments to eligible dependents up to 
500 weeks.  

CIRCUMSTANCES WHICH AFFECT AN EMPLOYEE’S CLAIM 

When  accident  is  caused  by  willful  mis-
conduct of the employee with purpose of 
intent or design to injure himself/herself 
with  knowledge  of  peril  to  himself/
herself.  

Employee's intention to bring about the 
injury or death of himself/herself.  

His/her  willful  failure  or  willful  refusal 
to  use  safety  appliances  provided  by  the 
employer, or willful or intentional viola-
tion of specific written safety rules of the 
employer  which  resulted  in  injury  or 
death.  

Willful and intentional removal of manu-
facturer's  safety  devices  or  safety  guards 
from  machinery  with  knowledge  that  it 

may  cause  injury  or  death  to  himself/
herself.  

His/her  intoxication  from  the  use  of  alco-
hol or being impaired by illegal drugs.  

Employee's  failure  to  comply  with  physi-
cian's  treatment  and/or  cooperate  with 
DORM  or  its  agent  including  efforts  to 
return to work.