Sheet Metal Workers' International Association
Local Union No.73
Pension Welfare and Annuity Funds
Weekly Accident and Sickness Disability Benefit
(Active Employees
Only)
If you become disabled as a result of a non-work related Sickness,
including pregnancy, or
sustain an accidental bodily Injury that prevents you from performing each and
every duty that pertains to
your employment, the Plan will pay the amount shown in the Schedule of Benefits for a maximum of 26 weeks during such period of disability. You must submit a statement from your treating Physician certifying your disability.
One-fifth
(1/5) of that amount
shown in the Schedule of Benefits will be paid for each work day missed
during weeks of partial
disability up to the maximum weekly amount and maximum period of payment.
The Fund will
also pay the Employer portion of any payroll taxes due on this payment.
Your Weekly Accident and Sickness Disability Benefit will begin on the first business day following:
The accidental bodily Injury, or
Seven calendar days after a Sickness.
Successive periods of disability due to the same or a related cause
will be considered one period
of disability, unless separated by a return to Active work on a full-time basis for a period of at
least two weeks.
Successive periods of disability due to entirely different and unrelated
causes will be considered
one period of disability, unless separated by at least one full day
of Active work.
The Plan will not pay benefits for any period of disability during which
you are not under the regular
care of a Physician. It is your
responsibility to advise the Fund Office as soon as possible after
your Physician says you can return to work. You will have to return
any Weekly Accident and
Sickness Disability Benefit you receive for time past your Physicians
release date.
This benefit will not be paid for any period for which you are receiving
Workers Compensation
benefits.
Termination of Eligibility
Your eligibility for the Weekly Accident and Sickness Disability Benefit
ends on the first day of
the second month following a two-consecutive month period during which you
have not worked in Covered Employment.
Reinstatement of Eligibility
If your coverage for the Weekly Accident and Sickness Disability Benefit
has been terminated,
you may be reinstated for this coverage on the first day of the month after working two consecutive months
in Covered
Employment during which you work an average of 80 hours per month or a minimum
of 160 hours. You
must have some work in Covered Employment during each of the two consecutive
months. In addition,
you have to continue to be eligible for other Welfare Fund benefits, which means you must satisfy these reinstatement provisions before your other Plan benefits terminate.