03-09-2016 Council Packet - Laserfiche WebLink

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supervisor indicating that time off is needed. The employee must provide a physician’s certified statement along with the completed STD claim request form. The request form must be completed by the doctor and the employee. All forms and requested documents must be completed and submitted to the City’s satisfaction before an employee will be determined to qualify for payment of benefits. Medical Certification The physician’s certified statement must certify the entire absence is due to the disabling illness or injury, length of rehabilitation and expected date the employee will be able to return to work. This statement must be signed by the treating physician. The City reserves the right to have an independent medical examination made any time an employee claims the STD benefit. Such examination may be made by a physician designated by the City. The City may require the examination in order to verify the illness or injury claimed before making a final determination to approve or deny disability payment. Commencement & Length of Benefit STD benefits will commence on the 15th calendar day of continuous disability provided that the employee or their representative has provided all required paperwork as requested by the City. A partial absence on the first day is not counted toward the 15 days. An employee may use any accumulated deferred sick leave bank, PTO, or combination of the two during this waiting period. STD Benefits will continue until the employee returns to work able to carry out the full or partial duties and responsibilities of the employee’s position, the disability certification time runs out, the employee begins LTD, or through the 89th calendar day of absence, whichever comes first. An employee receiving STD benefits who separates employment with the City for any reason will not receive STD benefits beyond the last day of employment. If an employee returns to work after receiving STD payments, and is disabled again due to the same non-work related injury or illness within 6 months of the conclusion of the previous disability, the employee will not have a second waiting period. However, the short-term disability benefit will not extend past a maximum of 89 calendar days within one 12 month period, excluding the waiting period, for any illnesses or injuries regardless of the number, type, and spacing of the episodes. Maternity Benefit The maternity benefit is based on delivery type and is for the expected recovery period only. In the case of a pregnancy without complications, benefits may be received for up to six weeks. If the employee submits a doctor’s certification that the pregnancy has had complications outside of the employee’s control, benefits may be extended up to the full nine weeks. Total disability 19