Page 10 - SIH 2022 Re-Enrollment Guide
P. 10
SHORT TERM DISABILITY AND FAMILY MEDICAL
LEAVE
Southern Illinois Healthcare understands the How to File a Short Term
importance of income and job protection for you Disability or FML Claim
and your family. That’s why we ofer Short Term SIH’s leave policy requires that all employees ile
Disability (STD) insurance to qualiied employees, leave and report within three (3) days of the leave
alongside Family Medical Leave.
start date for continuous leaves and 24 hours for
Contact the Leave of Absence team at intermittent leaves.
618.457.5200 ext. 67828 or email at LOA@sih.net
to initiate a claim. To ile a claim, visit the self-service portal at
hub.sih.net/leaveportal. You can also call
FML Eligibility and 618.457.5200 ext. 67828 or email LOA@sih.net.
Notify your supervisor and the leave specialist
Responsibilities in the beneits department. You do not need to
Employees are considered to be eligible for FML if discuss private health issues when providing this
they have worked a minimum of 1,250 hours and at information.
least one year of employment for SIH.
Information You Will Need to
The employee is responsible for providing a Report a Leave of Absence
complete and suicient medical certiication to
the SIH Leave of Absence department within the Depending on the type of leave, you will be asked
required time frame. If the employee does not to provide some basic information. Having the
provide the requested certiication within the time following information readily available when you
required or fails to provide a complete and suicient report your absence to the SIH Leave of Absence
certiication, the FML request will be denied. department will speed up the process:
X Personal Information: Name, address,
The employee is also responsible for providing telephone number, and the last four digits of
return to work notiications at least two business your Social Security Number
days prior to the date they intend to report for work
by contacting the Leave of Absence department at X Job Information: Job title, job description,
618.457.5200 extension 67828. workplace location and address, work schedule,
supervisor’s name and telephone number, date
of hire, and last day worked
X Illness/Injury Information: Nature of the
illness, how, when, and, if applicable, where the
injury occurred, the date your disability began
and when the disability commenced
X Provider Information: Name, address,
telephone number, and fax number for each
treating provider
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LEAVE
Southern Illinois Healthcare understands the How to File a Short Term
importance of income and job protection for you Disability or FML Claim
and your family. That’s why we ofer Short Term SIH’s leave policy requires that all employees ile
Disability (STD) insurance to qualiied employees, leave and report within three (3) days of the leave
alongside Family Medical Leave.
start date for continuous leaves and 24 hours for
Contact the Leave of Absence team at intermittent leaves.
618.457.5200 ext. 67828 or email at LOA@sih.net
to initiate a claim. To ile a claim, visit the self-service portal at
hub.sih.net/leaveportal. You can also call
FML Eligibility and 618.457.5200 ext. 67828 or email LOA@sih.net.
Notify your supervisor and the leave specialist
Responsibilities in the beneits department. You do not need to
Employees are considered to be eligible for FML if discuss private health issues when providing this
they have worked a minimum of 1,250 hours and at information.
least one year of employment for SIH.
Information You Will Need to
The employee is responsible for providing a Report a Leave of Absence
complete and suicient medical certiication to
the SIH Leave of Absence department within the Depending on the type of leave, you will be asked
required time frame. If the employee does not to provide some basic information. Having the
provide the requested certiication within the time following information readily available when you
required or fails to provide a complete and suicient report your absence to the SIH Leave of Absence
certiication, the FML request will be denied. department will speed up the process:
X Personal Information: Name, address,
The employee is also responsible for providing telephone number, and the last four digits of
return to work notiications at least two business your Social Security Number
days prior to the date they intend to report for work
by contacting the Leave of Absence department at X Job Information: Job title, job description,
618.457.5200 extension 67828. workplace location and address, work schedule,
supervisor’s name and telephone number, date
of hire, and last day worked
X Illness/Injury Information: Nature of the
illness, how, when, and, if applicable, where the
injury occurred, the date your disability began
and when the disability commenced
X Provider Information: Name, address,
telephone number, and fax number for each
treating provider
10
