Weekly Disability Information.
Beginning with disabilities that commence on or after January 1, 1997, weekly
disability benefits will be payable only if the employee becomes disabled and unable to
work because of a non-occupational accident or sickness, while covered under the
Plan and the employee is:
- Employed by an employer who is required to make contributions to the
Welfare Fund on their behalf.
- In receipt of State Unemployment Benefits and on the Local Union's
Referral List immediately prior to the date of the employee disability.
Injuries or sickness sustained on the job or which are covered under Workers
Compensation are not covered.
Benefits will begin as of the eighth day of disability and will be limited to a
maximum of 26 weeks during any one period of disability. Weekly benefit payments
will be paid at the rate of $250 per week.
Successive periods of disability separated by less than 150 hours of employment
will be considered one continuous period of disability, unless they arise from
different and unrelated causes. If the employee has a different and unrelated disability
and return to work for only one full day, they will be entitled to a new period of
disability.
The employee does not have to be confined to their home to collect benefits, but they must
be under the regular care and attendance of a legally qualified physician or
surgeon. All periods of total disability must be certified by a legally
qualified physician or a surgeon. Periods of treatment rendered by a chiropractor
will not qualify for Weekly Disability Benefits
No disability will be considered as beginning prior to the first visit or treatment
by a physician.
A disabled employee's Weekly Disability Benefits will terminate once the employee
has exhausted his maximum benefit, or has been released by their doctor.
Notice of loss must be given to the Fund Office within 30 days from the date of
the commencement of disability. Failure to give proper notice within the 30
days from the commencement date of disability may result in a delay in payment or
loss of Weekly Disability Benefits.
Claims Payments - To receive Weekly Disability Benefits, a disabled
employee must submit a completed claim form. The employee's attending
physician (as specified above) must certify on this form that the employee
was disabled and show the dates of all examinations and treatments.
The Trustees reserve the right to have any claimant for Weekly Disability
Benefits referred to a physician of their choice for examination or re-examination.
Failure to report to the Fund's physician within 48 hours after notice to do so,
without a good excuse, may result in suspension of disability payments.
Employees receiving Unemployment Compensation, Workers Compensation,
Supplemental Unemployment Benefits from an industry fund, or retirement
benefits from an industry pension fund are not eligible for Weekly Disability
Benefits.