Page 38 - PWH.19 Employee Benefits
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SHORT TERM DISABILITY INSURANCE SUMMARY
(Nonoccupational)
Minimum Hours Requirement Employees must be working at least 30 hours a week
Who Pays for Coverage You are not required to pay a part of the premium for
insurance under the Group Policy.
Elimination Period A Benefit Payment Period will begin on the:
1st day for Disability Due to Injury
Primary Benefit 8th day for Disability Due to Sickness
Maximum Weekly Benefit 66 2/3 % of Predisability Earnings
Minimum Weekly Benefit $800
Maximum Benefit Payment Period $15
Rehabilitation Services and Benefits 26 weeks
Rehabilitation Services Included
Predisability Intervention Services Included
Rehabilitation Incentive Benefit 5%
Reasonable Accommodation Benefit $500
Other Coverage Features
Work Incentive Benefit Included
NOTE:
Benefits may be reduced by other sources of income and disability earnings.
Some disabilities may not be covered or may be limited under this insurance.
This summary provides only highlights of the Group Policy. The entire Group Policy determines all rights, benefits,
exclusions and limitations of the insurance described above.
GH 852-1 3
