03-09-2016 Council Packet - Laserfiche WebLink

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prior to delivery would be indicated on the medical certification if it is intended to extend coverage beyond a six week period for vaginal delivery and an eight week period for a Cesarean delivery (less the waiting period). Amount of the Benefit The STD benefit will be in an amount up to 2/3rds of the employee’s gross regular rate of pay at the time of the disabling incident. Regular rate of pay is defined as base salary and excludes overtime, on-call pay, or other specialty pay. This benefit amount is paid on a post-tax basis given the employee is paying the premium with post-tax dollars. The amount of the STD benefit payable shall be the difference between 2/3rds of the employee’s regular rate of pay and any payment(s) the employee receives or anticipates receiving in wage loss replacement whether it be from PERA disability, Social Security, personal injury protection, or any other source. The City may request the release of documentation of income being received or anticipated due to the loss. This income will be subtracted from the 2/3rds possible income from the City. Employees not submitting requested documentation of other income in a reasonable amount of time as set by the City may be denied benefits under this program. For the purpose of this program, holidays will be counted as a regular workday both in calculation of days absent prior to STD eligibility and also in the maximum days allowed once eligible for STD. Benefits are paid bi-weekly in conjunction with the regular payroll. If the City Council approves a cost of living adjustment (COLA) to the City’s wage system, wages for an employee on STD will be adjusted at the same rate and at the same time of implementation as other employees. If an employee is able to return to work part-time during their recuperation, the City will supplement the remaining hours at 2/3rds of the employee’s regular rate of pay, less any amounts received by the employee for Social Security, PERA, or other source of wage loss replacement. Status of City Benefits An employee receiving STD benefits shall not accrue PTO or receive holiday pay hours. Employees may not unless they are supplementing STD benefits with paid leave such as, but not limited to, PTO, deferred sick leave, or accrued compensatory leave, or a combination. The City will continue to pay its share of health insurance premiums or Opt-Out for an employee receiving STD benefits. Appeal Process for a Denied Claim If the City determines that an employee is not eligible for full or partial benefits, the City Administrator will provide a written determination including the specific reason(s) for a denial and additional information or material needed for the employee to refile a claim. If the employee believes they are entitled to greater or different benefits, an appeal can be filed in writing for review by the City Council. The appeal must be filed within 14 calendar days of the initial denial notice from the City Administrator. The appeal shall state the employee’s reasons 20