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 your period of disability. You must submit a statement from your treating Physician certifying your disability.
One-fifth (1/5) of the 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.
The eligibility criteria for the Weekly Accident and Sickness Disability Benefit is the same as the eligibility criteria for medical benefits (i.e., on a quarterly basis).
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 Physician’s release date.
This benefit will not be paid for any period for which you are receiving Workers’ Compensation benefits.