UAW Hourly and Salaried Employees and Retirees

[Pages:38]UAW Hourly and Salaried Employees and Retirees

Disability Benefits

Summary Plan Description 2008

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UAW HOURLY AND SALARIED EMPLOYEES

Disability Benefits

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Summary Plan Description 2008

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TABLE OF CONTENTS

Disability .............................................................................................................. 1

Your Disability Benefits ...................................................................................... 2

General Definitions........................................................................................... 2

Claim Administrator..................................................................................................................2 Collective Bargaining Agreement ...........................................................................................2 Entry Level Employee ..............................................................................................................2 Non-Occupational Disease ......................................................................................................2 Non-Occupational Injury ..........................................................................................................2 Pension Plan .............................................................................................................................2 Physician ...................................................................................................................................2 Social Security Act ...................................................................................................................3 SUB Plan ....................................................................................................................................3

Eligibility ........................................................................................................... 3 When Coverage Begins ................................................................................... 3 Schedule of Benefits ........................................................................................ 3

Sickness and Accident (S&A) Benefit ............................................................... 3

Eligibility ........................................................................................................... 3 The Benefit Amount ......................................................................................... 4

For Hourly paid employees......................................................................................................4 For Salary paid employees ......................................................................................................5

When Benefits Begin........................................................................................ 7 Occupational Disability .................................................................................... 8 How Long Benefits Last................................................................................... 8 Partial Week Benefits ....................................................................................... 8 New Disability Period ....................................................................................... 8 Holiday Pay ....................................................................................................... 8 Unemployment Compensation........................................................................ 8 Social Security.................................................................................................. 9 Disciplinary Leave of Absence........................................................................ 9 Notice of Claim ................................................................................................. 9 Proof of Loss .................................................................................................... 9 Mileage for Disability Evaluation Program (DEP) Examinations .................. 9 Waiver of Benefits ............................................................................................ 9 Temporary Disability or Mandated State Disability Laws ............................. 9 Social Security Disability Insurance Benefits (SSDIB)................................ 10 Mental Health and Substance Abuse (MHSA) .............................................. 10 Other................................................................................................................ 10

The Salary Continuation Plan (Salary Bargaining Unit Employees) ............. 10

Disability Absence.......................................................................................... 11 Disability Benefits .......................................................................................... 11 The Benefit Payment ...................................................................................... 11 When Benefits Begin...................................................................................... 11 How Long Benefits Last ................................................................................. 11 Proof of Disability ........................................................................................... 12

Reinstated Sickness and Accident Benefit ..................................................... 12

Eligibility.......................................................................................................... 12 When Benefits Begin...................................................................................... 12 Other Provisions............................................................................................. 13

Extended Disability Benefit Plan (EDB) ........................................................... 13

Eligibility.......................................................................................................... 13 The Benefit Amount........................................................................................ 13

For Hourly paid employees ................................................................................................... 13 For Salary paid employees.................................................................................................... 15

When Benefits Begin...................................................................................... 17 Social Security Disability Insurance Benefits (SSDIB)................................ 17 EDB Reductions ............................................................................................. 18 How Long Benefits Last ................................................................................. 19 Mileage for Disability Evaluation Program (DEP) Examinations ................ 19 Successive Disability ..................................................................................... 19 Enrollment in Medicare Part B....................................................................... 20 Waiver of Benefits .......................................................................................... 20 Legal Action .................................................................................................... 20

Applying for Disability Benefits ....................................................................... 20

How to File a Claim......................................................................................... 20 If a Claim Is Denied......................................................................................... 21

Disability Coverage If You Stop Active Work .................................................. 22

Quit .................................................................................................................. 22 Discharge, Absence From Work Without Notifying the Plant as Required by the Collective Bargaining Agreement, or Failure To Return to Work When Called .................................................................................................... 22 Layoff............................................................................................................... 22 Leave of Absence ........................................................................................... 22 Totally Disabled or Temporarily Separated as a PQX Disability ................ 23 Work Stoppage ............................................................................................... 23

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