Workers' Compensation Claims
The City of Stockton is self-insured for Workers' Compensation benefits. This means the City pays benefits directly to injured employees, rather than purchasing an insurance policy to pay these benefits.
All City employees are eligible for Workers' Compensation benefits if injured or made ill by their jobs. There is no qualification period for eligibility, such as working a minimum time period or a minimum number of hours per week. If an employee believes he or she was injured on the job, a claim for benefits can be filed with the employee's supervisor.
Effective December 15, 2012, the City of Stockton implemented a Medical Provider Network (MPN) Program in an effort to control the costs of Workers' Compensation claims.
City employees not in sworn public safety positions will automatically be enrolled in an Integration Program for a Workers' Compensation Claim. This program ensures employee pay is made whole through accrued leave balances until these balances are exhausted. Employees who do not wish to participate may opt-out, but this decision is final; the employee will not be allowed to opt back in.
Workers' Compensation Forms
- Employee Workers' Compensation Claim Form (DWC-1) - See External Links below
- Form 5020 - Employer's Report of Occupational Injury or Illness - Only use if the online 5020 system is unavailable
- How to File Workers' Compensation Claim
- Medical Provider Network
- Notice to Employees - Injuries Caused By Work - DWC-7; English and Spanish
- Opt-out Form - Temporary Disability Integration
- Pre-Designation of Medical Physician Form
- Supervisor's Investigation Report
Plan Administrator
Athens is the local Third Party Administrator for the City's Workers' Compensation Claims.
External Links
Employee Workers' Compensation Claim Form (DWC-1)
State of California - General information about California Workers Compensation
State of California - Frequently asked questions and workers' comp reforms
This City of Stockton web page last reviewed on --- 12/20/2022