If you are unable to work because of an off-the-job accident or sickness, you must contact the Fund office. You will be given a form which you and your physician must complete. Return the form to the Fund office for verification of your employment and salary. If you are eligible you will receive the following benefit:
- Fifty percent (50%) of salary, up to three hundred dollars ($300) per week.
- Benefits are payable for a maximum of 26 weeks in a rolling 52-week period.
Benefits are payable from the first day of disability due to an accident, or from the eighth consecutive day if disability is due to sickness. However, if disability due to sickness continues until the eighth day, benefits are retroactive to the first day.
Periods of disability caused by the same or related injury or sickness are considered the same period of disability if they are separated by less than two weeks of continuous active covered employment.
A weekly benefit is payable due to pregnancy just like any other disability.
If you leave Covered Employment, your disability benefit will end twenty-eight calendar days after your last day of Covered Employment.
New York State Disability Benefits Law
In the case of full-time employees working for contributing employers who are subject to the New York State Disability Benefits Law, the Accident and Sickness Weekly Benefit provided by the Health Benefits Fund qualifies as a plan under the New York State Disability Benefits Law.