SHORT TERM DISABILITY CLAIMING PROCEDURES
See your Physician immediately to obtain required medical evidence supporting a disability and establishing a date disabled.
Obtain a claim form from your Employer or the Plan Administration Office.
See your Physician immediately to obtain required medical evidence supporting a disability and establishing a date disabled.
Have your Physician complete the Attending Physician Statement.
Have your Employer complete the Employer Statement.
Complete the Member Statement.
Send Completed claim forms to the Plan Administration Office.
Recurring Disability
A new Waiting Period and Benefit Duration will start if you return to active full-time work for:
a period of two (2) weeks before you again become Disabled because of the same or a related cause; or
one (1) full day before you again become Disabled because of a different or an unrelated cause.
Short Term Disability Exclusions
No benefit will be paid for:
any day you do any kind of work for pay or profit;
illness or injury for which benefits are payable under the Automobile Insurance Act;
the period you are entitled to pregnancy leave of absence by statute, contract, or employer agreement; or
any disability covered under Workers Compensation law.
No benefits will be paid for any Disability that results from or is contributed by:
War, whether declared or not.
Insurrection, rebellion or participation in a riot or civil commotion.
Purposely self-inflicted injury.
Your commission of, or attempt to commit, an assault or any criminal offence.
Chronic alcoholism, or the use of narcotics, barbiturates, or hallucinogens, unless you are receiving ongoing active professional treatment deemed appropriate for the condition being treated.
Manulife Financial may require you to report for a medical examination by a licensed Physician of their choice as often as is reasonable. Failure to report for a medical examination may result in termination of your benefit payments.
Prairie Teamsters Administration Services Ltd.
209, 7260 - 12 St SE Calgary, Alberta T2H 2S5
Telephone 403-252-6924 - Toll Free1-877-817-7526 - Fax 403-253-3231