This document outlines the procedure for reporting COVID-19 claims to the Compensation Fund in South Africa. It details the criteria for a COVID-19 illness to qualify for compensation, including being diagnosed by WHO guidelines and having a link to occupational exposure. It describes the required documentation to submit a claim, such as medical reports and an exposure questionnaire. Claims are to be submitted online or via email, providing an ICD-10 code of U07.1 to indicate COVID-19. The Office of the Compensation Commissioner will then consider liability and medical officers will accept or reject each claim.

1. [COMPANY LOGO]
DOC NO
REV DATE 2021/04/30
ISSUED 2020/05/01
PAGES 2
SECTION RISK MANAGEMENT
SUB-SEC HSE GUIDELINES
SUBJECT COVID-19 COIDA REPORTING PROCEDURE
1. INTRODUCTION
1.1. The Compensation Commissioner has issued the Notice on Compensation for Occupationally-Acquired
Novel Corona Virus Disease (COVID-19) to clarify the position of the Compensation Fund with regards
to occupationally-acquired COVID-19. The notice applies only to COVID-19 acquired by employees
arising out of and in the course of the employees' employment through exposure to confirmed cases in the
workplace or after an official work trip to a high-risk country or area. This document will cover the
reporting procedure as set out by the Compensation Commissioner and will provide for the procedure the
company would follow.
1.2. To qualify for benefits from the Compensation Fund, the following criteria must be met:
 The diagnosis must be as a result of occupational exposure to a known source of COVID-19;
 The COVID-19 must be diagnosed as per the World Health Organisation guidelines;
 The COVID-19 diagnosis must be linked to an approved official trip and travel history to high risk
areas or countries on a work assignment or linked to a presumed high-risk work environment where
transmission of COVID-19 is inherently prevalent; and
 A chronological sequence must exist between the work exposure and the development of COVID-19
symptoms.
It must be noted that the Compensation Fund will compensate qualifying employees who are temporarily
disabled from working as a result of COVID-19 for a period of up to 30 days from the date of diagnosis.
The Compensation Fund will not pay for cases that have not been diagnosed and where self-quarantine is
recommended by a registered Medical Practitioner, the employer is liable for the employee's remuneration
for the days of absence. Where an employee has been diagnosed with COVID-19,such employee will be
provided with medical aid for a period of up to 30 days from the date of diagnosis. If an employee dies as
a result of complications from COVID-19, the Compensation Fund shall pay out reasonable burial
expenses and widow and dependent's pensions, where applicable.
2. REPORTING
The following documentation will be submitted to the Compensation Commissioner or the employer
individually liable or the mutual association concerned:
 Employer's Report of an Occupational Disease (W.CL.1)
 Notice of an Occupational Disease and Claim for Compensation (W.CL.14)
 Exposure and Medical Questionnaire

2.  First Medical Report in respect of an Occupational Disease (W.CL.22) indicating U07.1 as the ICD-
10 code for Covid-19
 Exposure History (W.CL.110) and/or any other appropriate employment history which may include
any information that may be helpful to the Compensation Commissioner.
 A medical report on the employee's symptoms that details the history, establishes a diagnosis of
COVID-19 and laboratory results and chest radiographs where appropriate or any other information
relevant to the claim.
 For each consultation, a Progress Medical Report (W.CL. 26).
 Final Medical Report in respect of an Occupational Disease (W.CL.26) when the employee's
condition has reached Maximum Medical Improvement (MMI).
 An affidavit by the employee if the employer cannot be traced or will not timeously supply a
W.CL.1, where applicable.
The claim will then be submitted through the following channels, indicating the correct ICD-10 code -
U07.1:
 Compensation Fund: CompEasy (www.labour.gov.za)
 Rand Mutual Assurance: CompCare (www.randmutual.co.za)
 Federated Employers Mutual: IMS (https://roe.fem.co.za)
Any manual claim submissions for claims for COVID-19 will be sent to these email addresses:
 Compensation Fund: covid19claims@labour.gov.za or phone 0860 105 350
 Rand Mutual Assurance: contactcentre@randmutual.co.za or phone 086 022 2132
 Federated Employers Mutual: FEM-Registry@fema.co.za or phone 0113594300
3. CLAIMS PROCESSING
The Office of the Compensation Commissioner shall consider and adjudicate upon the liability of all
claims. The Medical Officers in the Compensation Commissioners' Office are responsible for the medical
assessment of the claim and for the confirmation of the acceptance or rejection of the claim.