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Health Management - Leave & Disability - Applying for S & A benefits

Human Resources

Health
Management

Health Management

Applying For S & A benefits

Leave & disability

S & A is a short term disability wage loss benefit for absences due to accident or illness. Employees and supervisors should read the MEBAC agreement for specific information pertaining to this benefit.

The process for applying for S & A benefits includes:

  1. Once an employee knows they are going to be away longer than five consecutive business days, get an Attending Physician’s Statement as soon as possible. The information a doctor includes on that form is used by Homewood Health to adjudicate the application. The City’s Extended Health Services Benefits has some coverage for the cost of getting an Attending Physician’s Statement completed. Employee Benefits Booklet
  2. The doctor should fax the completed Attending Physician’s Statement directly to Homewood Health 1-866-460-4645. The quicker Homewood Health receives the form, the sooner it will be able to adjudicate the application and minimise any interruption in pay for the employee.
  3. As soon as Homewood Health gets an employee’s APS, a case file will be opened. A Homewood Health representative will be assigned the claim to adjudicate.
  4. The case manager will tell both the employee and his or her supervisor if the claim is approved.
  5. If the claim has been approved, Homewood Health will continue to manage the case. If it has been denied, employees can explore other options.

S & A denied or terminated

Appealing the decision

If an employee disagrees with a decision by Homewood Health to deny or terminate their S&A claim for medical or non-medical reasons, they have 30 days from the date of notification that the claim is denied or terminated to appeal the decision.

The appeal process is outlined the MEBAC agreement.

Other leave options

If S & A is denied or terminated and the employee appeals, they generally will go on a Leave of Absence for medical reasons [Link to pdf LOA policy] until a decision is made about the appeal.

Returning to work

If S&A is denied or terminated and the employee DOES NOT appeal, an employee has to return to work.

Who can help?

Human Resources

403-268-5800

Homewood Health

Direct Tel: 403-705-2024
Toll Free: 1-800-472-4904
Fax: 1-866-460-4645
www.homewoodhealth.com



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