Common use of Benefit Waiting Period Clause in Contracts

Benefit Waiting Period. If the employee is absent from work as a result of a non-work related disability and is under the active continuing care of a physician legally licensed to practice medicine, have submitted the required forms to the company, and are following the appropriate treatment prescribed by their physician for that disability, benefits will start from the following dates: • First (1st) work day of disability if the employee is hospitalized. • First (1st) work day of disability due to an injury. • After 24 consecutive regularly scheduled working hours of disability due to illness • Weekend Shift Employees – working hours of disability will be computed based on the applicable premium rate that is part of an employee’s regular shift including scheduled overtime. Maximum Benefit Period Benefits are payable for a maximum of 26 weeks. Required Forms and Information The attached flowchart should be followed when absent under the Wage Loss Replacement / Short Term Disability Benefits. Benefits will be paid only if the employee supplies the company with the following: • The company’s “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form that is completed by their doctor. In order to qualify for benefits, the employee must be physically seen by a physician at least sometime during the contractual waiting period. If the employee has not been seen by a physician during the contractual waiting period, his/her benefits will not commence until he/she has been seen by a physician. The employee will return the “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form as soon as possible. It is understood that benefits may be delayed until the form has been submitted to the Company. If the employee is having trouble getting an appointment to see their doctor, please notify the company nurse to make the Company aware of this situation. Ongoing medical information supporting the employee’s total disability will be required by the Company. Benefits may be suspended if the requested information is not provided within a reasonable period of time. This suspension of benefits will not apply if the requested information is not provided through no fault of the employee. The Company may also require the employee to be examined by a Company appointed physician, and/or other medical professional. The Company will assume the costs of all medical documentation supplied by the employee to the Company. Limitations/Exclusions Benefits will not be paid: • Unless the employee is under the active continuing care of a physician legally licensed to practice medicine, and are following the treatment prescribed by the physician for that disability; • During any period of time that the employee is in receipt of maternity or parental benefits under the Employment Insurance Act (This does not apply for any disability which may occur outside the time they are in receipt of maternity or parental benefits.); • While the employee is engaged in any employment for wage or profit not authorized by a physician and the Company; • Due to or resulting from any cause for which indemnity or compensation is provided under any worker’s compensation legislation or similar legislation; • While on a leave of absence; • If the employee’s disability is due to a motor vehicle accident and they are in receipt of income replacement under any automobile insurance plan which has been approved as an acceptable limitation by Employment Insurance legislation (the Company will pay for any waiting period which may apply); • Due to surgery solely for cosmetic purposes; • If the employee’s illness or injury results from service in the armed forces; • While the employee is serving a prison sentence that would impede their ability to attend work; • If the employee becomes disabled while travelling outside of Canada (for reasons other than business travel) until such time as they return to Canada, unless the attending physician advises that they are unable to return due to their disability. • For any period for which the employee receives retirement benefits under any pension plan established by the Company; • For injuries or illness commencing during a strike or lock-out; benefits would commence if the employee was still disabled when re-called to work; • Due to illness or injury resulting from participation in a riot or disorderly conduct, war or insurrection whether declared or undeclared; • For injuries or illness sustained while committing a criminal offence; Statutory Holidays If a statutory holiday falls during the employee’s waiting period for benefits, the employee will be reimbursed for the statutory holiday, and the waiting period will be extended by one day. If a statutory holiday falls after the employee has satisfied the waiting period, the employee will be paid full-pay for the statutory holiday on the day it falls.

Appears in 2 contracts

Samples: Collective Agreement, Collective Agreement

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Benefit Waiting Period. If the employee is absent from work as a result of a non-work related disability and is under the active continuing care of a physician legally licensed to practice medicine, have submitted the required forms to the company, and are following the appropriate treatment prescribed by their physician for that disability, benefits will start from the following dates: First (1st) work day of disability if the employee is hospitalized. First (1st) work day of disability due to an injury. After 24 consecutive regularly scheduled working hours of disability due to illness Weekend Shift Employees – working hours of disability will be computed based on the applicable premium rate that is part of an employee’s regular shift including scheduled overtime. Maximum Benefit Period Benefits are payable for a maximum of 26 weeks. Required Forms and Information The attached flowchart should be followed when absent under the Wage Loss Replacement / Short Term Disability Benefits. Benefits will be paid only if the employee supplies the company with the following: The company’s “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form that is completed by their doctor. In order to qualify for benefits, the employee must be physically seen by a physician at least sometime during the contractual waiting period. If the employee has not been seen by a physician during the contractual waiting period, his/her benefits will not commence until he/she has been seen by a physician. The employee will return the “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form as soon as possible. It is understood that benefits may be delayed until the form has been submitted to the Company. If the employee is having trouble getting an appointment to see their doctor, please notify the company nurse to make the Company aware of this situation. Ongoing medical information supporting the employee’s total disability will be required by the Company. Benefits may be suspended if the requested information is not provided within a reasonable period of time. This suspension of benefits will not apply if the requested information is not provided through no fault of the employee. The Company may also require the employee to be examined by a Company appointed physician, and/or other medical professional. The Company will assume the costs of all medical documentation supplied by the employee to the Company. Limitations/Exclusions Benefits will not be paid: Unless the employee is under the active continuing care of a physician legally licensed to practice medicine, and are following the treatment prescribed by the physician for that disability; During any period of time that the employee is in receipt of maternity or parental benefits under the Employment Insurance Act (This does not apply for any disability which may occur outside the time they are in receipt of maternity or parental benefits.); While the employee is engaged in any employment for wage or profit not authorized by a physician and the Company; Due to or resulting from any cause for which indemnity or compensation is provided under any worker’s compensation legislation or similar legislation; While on a leave of absence; If the employee’s disability is due to a motor vehicle accident and they are in receipt of income replacement under any automobile insurance plan which has been approved as an acceptable limitation by Employment Insurance legislation (the Company will pay for any waiting period which may apply); Due to surgery solely for cosmetic purposes; If the employee’s illness or injury results from service in the armed forces; While the employee is serving a prison sentence that would impede their ability to attend work; If the employee becomes disabled while travelling outside of Canada (for reasons other than business travel) until such time as they return to Canada, unless the attending physician advises that they are unable to return due to their disability. For any period for which the employee receives retirement benefits under any pension plan established by the Company; For injuries or illness commencing during a strike or lock-out; benefits would commence if the employee was still disabled when re-called to work; Due to illness or injury resulting from participation in a riot or disorderly conduct, war or insurrection whether declared or undeclared; For injuries or illness sustained while committing a criminal offence; Statutory Holidays If a statutory holiday falls during the employee’s waiting period for benefits, the employee will be reimbursed for the statutory holiday, and the waiting period will be extended by one day. If a statutory holiday falls after the employee has satisfied the waiting period, the employee will be paid full-pay for the statutory holiday on the day it falls.

Appears in 1 contract

Samples: Collective Agreement

Benefit Waiting Period. If the employee is absent from work as a result of a non-work related disability and is under the active continuing care of a physician legally licensed to practice medicine, have submitted the required forms to the company, and are following the appropriate treatment prescribed by their physician for that disability, benefits will start from the following dates: First (1st) work day of disability if the employee is hospitalized. First (1st) work day of disability due to an injury. After 24 consecutive regularly scheduled working hours of disability due to illness • Weekend Shift Employees – working hours of disability will be computed based on the applicable premium rate that is part of an employee’s regular shift including scheduled overtime. Maximum Benefit Period Benefits are payable for a maximum of 26 weeks. Required Forms and Information The attached flowchart should be followed when absent under the Wage Loss Replacement / Short Term Disability Benefits. Benefits will be paid only if the employee supplies the company with the following: The company’s “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form that is completed by their doctor. In order to qualify for benefits, the employee must be physically seen by a physician at least sometime during the contractual waiting period. If the employee has not been seen by a physician during the contractual waiting period, his/her benefits will not commence until he/she has been seen by a physician. The employee will return the “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form as soon as possible. It is understood that benefits may be delayed until the form has been submitted to the Company. If the employee is having trouble getting an appointment to see their doctor, please notify the company nurse to make the Company aware of this situation. Ongoing medical information supporting the employee’s total disability will be required by the Company. Benefits may be suspended if the requested information is not provided within a reasonable period of time. This suspension of benefits will not apply if the requested information is not provided through no fault of the employee. The Company may also require the employee to be examined by a Company appointed physician, and/or other medical professional. The Company will assume the costs of all medical documentation supplied by the employee to the Company. Limitations/Exclusions Benefits will not be paid: Unless the employee is under the active continuing care of a physician legally licensed to practice medicine, and are following the treatment prescribed by the physician for that disability; During any period of time that the employee is in receipt of maternity or parental benefits under the Employment Insurance Act (This does not apply for any disability which may occur outside the time they are in receipt of maternity or parental benefits.); While the employee is engaged in any employment for wage or profit not authorized by a physician and the Company; Due to or resulting from any cause for which indemnity or compensation is provided under any worker’s compensation legislation or similar legislation; While on a leave of absence; If the employee’s disability is due to a motor vehicle accident and they are in receipt of income replacement under any automobile insurance plan which has been approved as an acceptable limitation by Employment Insurance legislation (the Company will pay for any waiting period which may apply); Due to surgery solely for cosmetic purposes; If the employee’s illness or injury results from service in the armed forces; While the employee is serving a prison sentence that would impede their ability to attend work; If the employee becomes disabled while travelling outside of Canada (for reasons other than business travel) until such time as they return to Canada, unless the attending physician advises that they are unable to return due to their disability. For any period for which the employee receives retirement benefits under any pension plan established by the Company; For injuries or illness commencing during a strike or lock-out; benefits would commence if the employee was still disabled when re-called to work; Due to illness or injury resulting from participation in a riot or disorderly conduct, war or insurrection whether declared or undeclared; For injuries or illness sustained while committing a criminal offence; Statutory Holidays If a statutory holiday falls during the employee’s waiting period for benefits, the employee will be reimbursed for the statutory holiday, and the waiting period will be extended by one day. If a statutory holiday falls after the employee has satisfied the waiting period, the employee will be paid full-pay for the statutory holiday on the day it falls.

Appears in 1 contract

Samples: Collective Agreement

Benefit Waiting Period. If the employee is absent from work as a result of a non-work related disability and is under the active continuing care of a physician legally licensed to practice medicine, have submitted the required forms to the company, and are following the appropriate treatment prescribed by their physician for that disability, benefits will start from the following dates: First (1st) work day of disability if the employee is hospitalized. First (1st) work day of disability due to an injury. After 24 consecutive regularly scheduled working hours of disability due to illness Weekend Shift Employees – working hours of disability will be computed based on the applicable premium rate that is part of an employee’s regular shift including scheduled overtime. Maximum Benefit Period Benefits are payable for a maximum of 26 weeks. Required Forms and Information The attached flowchart should be followed when absent under the Wage Loss Replacement / Short Term Disability Benefits. Benefits will be paid only if the employee supplies the company with the following: The company’s “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form that is completed by their doctor. In order to qualify for benefits, the employee must be physically seen by a physician at least sometime during the contractual waiting period. If the employee has not been seen by a physician during the contractual waiting period, his/her benefits will not commence until he/she has been seen by a physician. The employee will return the “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form as soon as possible. It is understood that benefits may be delayed until the form has been submitted to the Company. If the employee is having trouble getting an appointment to see their doctor, please notify the company nurse to make the Company aware of this situation. Ongoing medical information supporting the employee’s total disability will be required by the Company. Benefits may be suspended if the requested information is not provided within a reasonable period of time. This suspension of benefits will not apply if the requested information is not provided through no fault of the employee. The Company may also require the employee to be examined by a Company appointed physician, and/or other medical professional. The Company will assume the costs of all medical documentation supplied by the employee to the Company. Limitations/Exclusions Benefits will not be paid: Unless the employee is under the active continuing care of a physician legally licensed to practice medicine, and are following the treatment prescribed by the physician for that disability; During any period of time that the employee is in receipt of maternity or parental benefits under the Employment Insurance Act (This does not apply for any disability which may occur outside the time they are in receipt of maternity or parental benefits.); While the employee is engaged in any employment for wage or profit not authorized by a physician and the Company; Due to or resulting from any cause for which indemnity or compensation is provided under any worker’s compensation legislation or similar legislation; While on a leave of absence; If the employee’s disability is due to a motor vehicle accident and they are in receipt of income replacement under any automobile insurance plan which has been approved as an acceptable limitation by Employment Insurance legislation (the Company will pay for any waiting period which may apply); Due to surgery solely for cosmetic purposes; If the employee’s illness or injury results from service in the armed forces; While the employee is serving a prison sentence that would impede their ability to attend work; If the employee becomes disabled while travelling outside of Canada (for reasons other than business travel) until such time as they return to Canada, unless the attending physician advises that they are unable to return due to their disability. For any period for which the employee receives retirement benefits under any pension plan established by the Company; For injuries or illness commencing during a strike or lock-out; benefits would commence if the employee was still disabled when re-called to work; Due to illness or injury resulting from participation in a riot or disorderly conduct, war or insurrection whether declared or undeclared; For injuries or illness sustained while committing a criminal offence; Statutory Holidays If a statutory holiday falls during the employee’s waiting period for benefits, the employee will be reimbursed for the statutory holiday, and the waiting period will be extended by one day. If a statutory holiday falls after the employee has satisfied the waiting period, the employee will be paid full-pay for the statutory holiday on the day it falls.

Appears in 1 contract

Samples: Collective Agreement

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Benefit Waiting Period. If the employee is absent from work as a result of a non-work related disability and is under the active continuing care of a physician legally licensed to practice medicine, have submitted the required forms to the company, and are following the appropriate treatment prescribed by their physician for that disability, benefits will start from the following dates: • First (1st) work day of disability if the employee is hospitalized. • First (1st) work day of disability due to an injury. • After 24 consecutive regularly scheduled working hours of disability due to illness • Weekend Shift Employees – working hours of disability will be computed based on the applicable premium rate that is part of an employee’s regular shift including scheduled overtime. Maximum Benefit Period Benefits are payable for a maximum of 26 weeks. Required Forms and Information The attached flowchart should be followed when absent under the Wage Loss Replacement / Short Term Disability Benefits. Benefits will be paid only if the employee supplies the company with the following: • The company’s “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form that is completed by their doctor. In order to qualify for benefits, the employee must be physically seen by a physician at least sometime during the contractual waiting period. If the employee has not been seen by a physician during the contractual waiting period, his/her benefits will not commence until he/she has been seen by a physician. The employee will return the “Initial Claim for Short Term Disability Benefits – Physician’s Statement” form as soon as possible. It is understood that benefits may be delayed until the form has been submitted to the Company. If the employee is having trouble getting an appointment to see their doctor, please notify the company nurse to make the Company aware of this situation. Ongoing medical information supporting the employee’s total disability will be required by the Company. Benefits may be suspended if the requested information is not provided within a reasonable period of time. This suspension of benefits will not apply if the requested information is not provided through no fault of the employee. The Company may also require the employee to be examined by a Company appointed physician, and/or other medical professional. The Company will assume the costs of all medical documentation supplied by the employee to the Company. Limitations/Exclusions Benefits will not be paid: • Unless the employee is under the active continuing care of a physician legally licensed to practice medicine, and are following the treatment prescribed by the physician for that disability; • During any period of time that the employee is in receipt of maternity or parental benefits under the Employment Insurance Act (This does not apply for any disability which may occur outside the time they are in receipt of maternity or parental benefits.); • While the employee is engaged in any employment for wage or profit not authorized by a physician and the Company; • Due to or resulting from any cause for which indemnity or compensation is provided under any worker’s compensation legislation or similar legislation; • While on a leave of absence; • If the employee’s disability is due to a motor vehicle accident and they are in receipt of income replacement under any automobile insurance plan which has been approved as an acceptable limitation by Employment Insurance legislation (the Company will pay for any waiting period which may apply); • Due to surgery solely for cosmetic purposes; • If the employee’s illness or injury results from service in the armed forces; • While the employee is serving a prison sentence that would impede their ability to attend work; • If the employee becomes disabled while travelling outside of Canada (for reasons other than business travel) until such time as they return to Canada, unless the attending physician advises that they are unable to return due to their disability. • For any period for which the employee receives retirement benefits under any pension plan established by the Company; • For injuries or illness commencing during a strike or lock-out; benefits would commence if the employee was still disabled when re-called to work; • Due to illness or injury resulting from participation in a riot or disorderly conduct, war or insurrection whether declared or undeclared; • For injuries or illness sustained while committing a criminal offence; Statutory Holidays If a statutory holiday falls during the employee’s waiting period for benefits, the employee will be reimbursed for the statutory holiday, and the waiting period will be extended by one day. If a statutory holiday falls after the employee has satisfied the waiting period, the employee will be paid full-pay for the statutory holiday on the day it falls.

Appears in 1 contract

Samples: Collective Agreement

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