UAW Local 1268

Local 1268 Unit 1

Steps to follow for filing a SICKNESS and ACCIDENT (S&A) Claim

Employees that go on sick leave must call 1-800-810-2271 to report your absence 30 minutes prior to the start of the shift and get a call in number for the first day of absence. Employees should also call Sedgwick at 1-888-322-4462 to get your Sickness and Accident (S&A) claim started. Your S&A claim must be called in within 20 calendar days of the date your disability commenced. Your doctor must also call Sedgwick at 1-888-322-4462 to report your medical information within 90 days of your release date. Claims will not be paid unless you name your doctor both call Sedgwick within the above time limits and meet eligibility requirements. An S&A claim will start with the first day you were physically treated by your doctor. When an injury occurs, your S&A pay will begin from day one as long as you are TREATED WITHIN 24 HOURS BY A DOCTOR OR HOSPITAL; all others will be required to serve a 3 day waiting period. For example:

S&A Claims with a 3-day waiting period

• Inpatient hospitalization
• Outpatient
• Inpatient observation
• Illness
• Injuries or accidents NOT treated within 24 hours

S&A Claims that pay from day-1

• Injury or Accident treated within 24 hours by a doctor or hospital

Sick leave is payable Monday through Friday only and does not include Sat. or Sun. even if you are scheduled to work. Sedgwick may send you for a second opinion to a doctor of their choice. They will notify you by a letter from UPS or a phone call. Make sure that your correct mailing address and phone number is listed with the Plant Employment office. Failure to show up or to be late for the second opinion exam, will cause Sedgwick to stop your S&A pay.

If the second opinion doctor says you are able to work, you must report to the plant doctor for a third opinion. Failure to follow any of these steps will result in termination of your S&A benefits.

In order for you to receive S&A pay, you and your doctor must call Sedgwick and meet the eligibility requirements. If you or your doctor misses the Wednesday deadline, your claim will be processed the following week. Checks are processed on Thursday and mailed or EFT on Friday. S&A pay is based on your rate pay.

If your sick leave needs to be extended, you must be physically treated by your doctor prior to your original sick leave end date and have your doctor call Sedgwick and you must call the Absentee call-in number: 1-800-810-2271 to extend your return to work date.

In order to continue your Optional Life Insurance while on sick leave, you must call Benefit Express at 1-888-456-7800 within 30 days to request payment coupons. Your monthly deductions are taken ONLY from your payroll checks not from your S&A checks. You may also ask Benefit Express how long your Medical/Dental coverage will stay active based on your seniority.

You are required to reinstate through personnel the day before your return to work date. You can pick up the reinstatement form from personnel.

REPORTING YOUR ABSENCE

1. Get a Call in Number call1-800-810-2271

2. Record your call in number

 3. Call in 30 minutes prior to start of shift

 APPLYING FOR SICKNESS & ACCIDENT BENEFITS (S&A)

1. Call Sedgwick 1-888-322-4462

 2. Record your call in number

 3. Have your Doctor call Sedgwick 1-888-322-4462

ELIGIBILITY

To be eligible for S&A Benefits you must:

• Be totally disabled and unable to work with restrictions
• Be unable to perform all duties of your occupation
• Be under the continuous care of a legally licensed physician who certifies your total disability
• Furnish written notice of claim and satisfactory proof of disability on a timely basis
• Reinstatement Form