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3 Days No Medical Note Required
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| Members of the TTC Sick Benefit Association will be eligible for sick benefits the first 3 days of absence as noted in the above effective dates, for sickness or injury without the requirement of a medical note. Once the first 3 days have been utilized, the Member is required to be treated by a doctor within 48 hours in order to be eligible for sick benefits. |
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EXAMPLE
| Sunday - Off day |
Monday - Sick Full |
Tuesday - Sick Full |
Wednesday - Sick Full |
Thursday - Return to work |
Friday - Regular Workday |
Saturday - Off Day |
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1st day sick |
2nd day sick |
3rd day sick |
No medicl note required - submit top half of SBA application to claim benefits |
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In this example, the Member utilized all 3 sick days therefore does not require a medical note. If the Member reports sick any other time during the 2005 calendar year, the Member must see a doctor within 48 hours from the date the Member reports sick.
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Example
| Sunday - Off day |
Monday - Sick Full |
Tuesday - Sick Full |
Wednesday - Sick Full |
Thursday - - Sick Full |
Friday - Return to work |
Saturday - Off Day |
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1st day sick |
2nd day sick |
3rd day sick |
4th day sick - Member has 48 hours from this day to see a doctor |
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Member must see a doctor no later than this date. |
In this example the Member will be paid for the first 3 sick days, however in order to receive SBA benefits for the 4th day, the Member must see a doctor within 48 hours from the 4th day. Both examples apply to the 2005 calendar year.
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5 Days No Medical Note Required
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| Effective January 1, 2006: Members of the Sick Benefit Assocation will be eligible for sick benefits the first 5 days of absence in each calendar year of sickness or injury without the requirement of a medical note. Once the first 5 days have been utilized, the Member is required to be treated by a doctor within 48 hours in order to be eligible for sick benefits. |
Example
| Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
Monday |
Tuesday |
| Off day |
Sick Full
1st day
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Sick Full
2nd day
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Sick Full
3rd day
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Sick Full
4th day
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Sick Full
5 th day
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Off day |
Off day |
Returned to work - no medical note required - submit the top half of the SBA application to claim benefits |
Regular workday |
In this example, the Member utilized all 5 sick days therefore does not require a medical note. If the Member reports sick any other time during the 2006 calendar year, the Member must see a doctor within 48 hours from the date the Member reports sick.
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Example
| Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
| Off day |
Sick Full
1st day
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Sick Full
2nd day
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Sick Full
3rd day
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Sick Full
4th day
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Sick Full
5 th day
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Off day |
Off day |
Member has 48 hours from this day to see a doctor
6 th day
Sick Full |
Returned to Regular work |
Returned to Regular work Member must see a doctor no later than this date. |
Returned to Regular work |
In this example the Member will be paid for the first 5 sick days, however in order to receive SBA benefits for the 6th day and 7th day, the Member must see a doctor within 48 hours from the 6th day. Both examples apply from January 1, 2006.
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| HOW TO CLAIM WITHOUT A MEDICAL NOTE |
| To make a claim against the "Non Medical Days," Members are required to complete the "Top Half" of the Sick Benefit Application Form and forward to the Administrative Staff. Please ensure that all the questions have been answered, and that the Members signature is on the form. |
| 1st day no longer deducted |
| By-law 4 Section 1 (2) states in part:
"For the third and subsequent incidents of illness in a calendar year, the first day will be deducted."
Effective April 15, 2005
The above wording has been deleted. Members will no longer be deducted the first day on the third and subsequent absence for disabilities resulting from illness under 10 workdays.
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| SUBMITTING AN APPLICATION FOR SICK BENEFITS |
| By-law 1, Section 15 (2)
Effective April 15, 2005
Applications to the Association for payment of benefits shall be made within 60 calendar days of the date of absence.
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| SICK BENEFIT ADVANCES FOR WHEN A MEMBER IS INJURED AT WORK |
| Effective April 15, 2005
If a Member sustains an occupational injury and applies for benefits under the Workplace Safety and Insurance Act (“WSIA”) and the Workplace Safety and Insurance Board (“WSIB”) does not make a decision regarding the claim within 10 business days from the date of the Employer’s Report of Injury/Disease (Form 7), the Member may apply for SBA Advances.
lf a Member is assaulted by a customer or witnesses a suicide while in the course of employment and applies for benefits under the Workplace Safety and Insurance Act (“WSIA”) and the Workplace Safety and Insurance Board (“WSIB”) does not make a decision regarding the claim within 3 business days from the date of the Employer’s Report of Injury/Disease (Form 7), the Member may appry for SBA Advances.
In the case of a 3rd party claim, a Member may be eligible for S.B.A. Advances upon submission of the signed ”Election to Claim Compensation” Form.
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| SICK BENEFIT ADVANCES WILL BE GRANTED IF: |
• Member is cooperating with the WSIB’s requests for information.
• Member submits the appropriate Sick Benefit Association Application Form(s}.
• Member agrees to reimburse the TTC Sick Benefit Association for any double payment for the same period by signing a “Direction to CIaim’ Form.
The above is a general guideline and in no way replaces the official By-laws of the Association. If you have any questions or require assistance, please contact Human Resources Department, Claims Management Staff at ext, 6813
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