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Page 3 of 8
Appealing Denied Sickness and Accident (S&A)Claims Procedure
For Sickness and Accident Claims that are denied, we will need the following information within (45) days to file and appeal on your behalf to the International Union.
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A letter from your Doctor stating that your are/were totally unable to work
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All Doctor notes pertaining to your Sickness and Accident claim
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If you were injured, have your Doctor give the date of injury and how it occurred
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A list of all medications and the directions on how you take the medication
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All treatment dates
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An estimated return to work date from your Doctor
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Have the Doctor list his treatment plan and any procedures you had (MRI, X-rays, physical therapy etc.) You must submit the results of the procedure or if you had physical therapy you will need a letter describing your progress or a copy of the medical notes describing the therapy.
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If you were treated or admitted to the hospital, you must provide a copy of your E.R. report indicating the duration and reason for the hospitalization
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If more than one Doctor treated you, please have all the Doctors call Sedgwick and provide all of the information that is listed above
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A written statement from you asking to Appeal the Decision of Denial for your S&A. In your own words explain why you were off work and applying for S&A.
Appeals may take 2 to 3 months for reconsideration. You will receive notice by mail as soon as the appeal has been met on by the Company and the International Union and a decision has been reached.
UAW LOCAL 1268 Benefit Representatives
Charrise Herron-Staten- (815) 547-2468
David Ingram- (815) 547-2118
Valerie Hanserd- (815) 547-2460 