Common use of Benefits During Disability Clause in Contracts

Benefits During Disability. Members who incur an on‐the‐job injury, service connected, or occupational disability shall continue to receive City‐ paid medical, dental, vision and life insurance benefits for themselves and their dependents for twenty‐four (24) months while on non‐paid status. Thereafter, the employee is responsible for payment of medical, dental, vision and life premiums. The City shall pay no more than a total of twenty‐ four (24) months of benefits (medical, dental, vision and life) per injury or disability in a thirty‐ six (36) month period from the date of the initial injury or disability. The City shall only be responsible for the City's share of any premium due. [See examples in General Order #40] 1) If an employee is permanently separated from service due to personal injury suffered as a direct result of a traumatic injury sustained while on duty on or after February 12, 2001 while responding to an emergency situation, or in an on‐duty traffic accident, the City shall pay for the medical, dental, vision and life insurance premiums for the employee, and the medical, dental and vision insurance premiums for 45 the employee's dependents, for the duration of the disability as limited below. Traumatic injury means a wound or a condition of the body caused by external force, including injuries inflicted by bullets, explosives, sharp instruments, blunt objects or other physical blows, chemicals, electricity, climatic conditions, infectious diseases, radiation, and bacteria, but excluding stress and strain. 2) The provisions of Article 18, I 1 shall not apply if: a) the personal injury is the result of stress; strain; occupational illness; or a chronic, progressive, or congenital disease (such as heart or pulmonary disease), unless there is a traumatic injury that is a substantial contributing factor to the personal injury; or b) the personal injury is caused by the intentional misconduct of the employee; or c) the employee was voluntarily intoxicated or under the influence of a controlled substance at the time he or she received the personal injury; or d) the employee was performing their duties in a grossly negligent manner at the time of the personal injury. 3) To be eligible for this insurance benefit, the employee must be incapable of engaging in employment in a job which pays a salary or produces income equivalent to 50% of the current top wage in the classification the employee held at the time of the traumatic injury. 4) The determination of whether an employee is capable of employment under Article 18 I 3 will be made through a vocational assessment conducted by a vocational rehabilitation specialist contracted to perform such assessments by the City. 5) The insurance benefit provided in this section shall be subordinated to other health insurance covering the employee, including Medicare. 6) The obligation of the City to provide the insurance benefit to the employee and the employee's dependents ceases when the employee is otherwise eligible to retire. 7) If the City and the Association mutually agree to the inclusion of stress and infectious disease injuries, the inclusions may occur with no further action upon signing of a Memorandum of Agreement between 46 the Director of Human Resources and the Association and approved as to form by the Office of the City Attorney.

Benefits During Disability. Members who incur an on‐the‐job on-the-job injury, service connected, connected or occupational disability shall continue to receive City‐ City-paid medical, dental, vision and life insurance benefits for themselves and their dependents for twenty‐four twenty-four (24) months while on non‐paid non-paid status. Thereafter, the employee is responsible for payment of medical, dental, vision and life premiums. The City shall pay no more than a total of twenty‐ twenty-four (24) months of benefits (medical, dental, vision and life) per injury or disability in a thirty‐ thirty- six (36) month period from the date of the initial injury or disability. The City shall only be responsible for the City's share of any premium due. [See examples in General Order #40] 1) If an employee is permanently separated from service due to personal injury suffered as a direct result of a traumatic injury sustained while on duty on or after February 12, 2001 while responding to an emergency situation, or in an on‐duty on-duty traffic accident, the City shall pay for the medical, dental, vision and life insurance premiums for the employee, and the medical, dental and vision insurance premiums for 45 the employee's dependents, for the duration of the disability as limited below. Traumatic injury means a wound or a condition of the body caused by external force, including injuries inflicted by bullets, explosives, sharp instruments, blunt objects or other physical blows, chemicals, electricity, climatic conditions, infectious diseases, radiation, radiation and bacteria, but excluding stress and strain. 2) The provisions of Article 18, I 1 shall not apply if: a) the personal injury is the result of stress; strain; occupational illness; or a chronic, progressive, or congenital disease (such as heart or pulmonary disease), unless there is a traumatic injury that is a substantial contributing factor to the personal injury; or b) the personal injury is caused by the intentional misconduct of the employee; or c) the employee was voluntarily intoxicated or under the influence of a controlled substance at the time he or she received the personal injury; or d) the employee was performing their his or her duties in a grossly negligent manner at the time of the personal injury. 3) To In order to be eligible for this insurance benefit, the employee must be incapable of engaging in employment in a job which pays a salary or produces income equivalent to 50% of the current top wage in the classification the employee held at the time of the traumatic injury. 4) The determination of whether an employee is capable of employment under Article 18 I 3 will be made through a vocational assessment conducted by a vocational rehabilitation specialist contracted to perform such assessments by the City. 5) The insurance benefit provided in this section shall be subordinated to other health insurance covering the employee, including Medicare. 6) The obligation of the City to provide the insurance benefit to the employee and the employee's dependents ceases when the employee is otherwise eligible to retire. 7) If the City and the Association mutually agree to the inclusion of stress and infectious disease injuries, the inclusions may occur with no further action upon signing of a Memorandum of Agreement between 46 the Director of Human Resources and the Association and approved as to form by the Office of the City Attorney.

Benefits During Disability. Members who incur an on‐the‐job on-the-job injury, service connected, or occupational disability shall continue to receive City‐ City-paid medical, dental, vision and life insurance benefits for themselves and their dependents for twenty‐four twenty-four (24) months while on non‐paid non-paid status. Thereafter, the employee is responsible for payment of medical, dental, vision and life premiums. The City shall pay no more than a total of twenty‐ twenty-four (24) months of benefits (medical, dental, vision and life) per injury or disability in a thirty‐ thirty- six (36) month period from the date of the initial injury or disability. The City shall only be responsible for the City's share of any premium due. [See examples in General Order #40] 1) If an employee is permanently separated from service due to personal injury suffered as a direct result of a traumatic injury sustained while on duty on or after February 12, 2001 while responding to an emergency situation, or in an on‐duty on-duty traffic accident, the City shall pay for the medical, dental, vision and life insurance premiums for the employee, and the medical, dental and vision insurance premiums for 45 the employee's dependents, for the duration of the disability as limited below. Traumatic injury means a wound or a condition of the body caused by external force, including injuries inflicted by bullets, explosives, sharp instruments, blunt objects or other physical blows, chemicals, electricity, climatic conditions, infectious diseases, radiation, radiation and bacteria, but excluding stress and strain. 2) The provisions of Article 18, I 1 shall not apply if: a) the personal injury is the result of stress; strain; occupational illness; or a chronic, progressive, or congenital disease (such as heart or pulmonary disease), unless there is a traumatic injury that is a substantial contributing factor to the personal injury; or b) the personal injury is caused by the intentional misconduct of the employee; or c) the employee was voluntarily intoxicated or under the influence of a controlled substance at the time he or she received the personal injury; or d) the employee was performing their his or her duties in a grossly negligent manner at the time of the personal injury. 3) To In order to be eligible for this insurance benefit, the employee must be incapable of engaging in employment in a job which pays a salary or produces income equivalent to 50% of the current top wage in the classification the employee held at the time of the traumatic injury. 4) The determination of whether an employee is capable of employment under Article 18 I 3 will be made through a vocational assessment conducted by a vocational rehabilitation specialist contracted to perform such assessments by the City. 5) The insurance benefit provided in this section shall be subordinated to other health insurance covering the employee, including Medicare. 6) The obligation of the City to provide the insurance benefit to the employee and the employee's dependents ceases when the employee is otherwise eligible to retire. 7) If the City and the Association mutually agree to the inclusion of stress and infectious disease injuries, the inclusions may occur with no further action upon signing of a Memorandum of Agreement between 46 the Director of Human Resources and the Association and approved as to form by the Office of the City Attorney.