Loss of Time Benefits
If you are an eligible Active Member and unable to work due to an Accidental Injury or illness off the job, you will receive a net income of $100 per week for up to 26 weeks. The Fund will pay both your share and the Contributing Employer’s share of FICA taxes on this income. This benefit is only available for Active Members.
This benefit will begin:
- On the first day of disability due to an Accidental Injury; or
- On the eighth day of disability due to illness.
This benefit supplements any New York State disability benefits to which you may be entitled, as provided by law, from your Contributing Employer.
The $100 per week benefit will continue for a maximum of 26 weeks during each period of disability, but not for more than 26 weeks for the same or related disabilities within any period of 52 consecutive weeks.
Successive periods of disability separated by less than two weeks of covered employment will be considered as one continuous period of disability unless they are from different and unrelated causes.
In order to receive these benefits, you must be under the continuous care of a licensed physician and you must be unable to work. The physician or surgeon who is giving you regular care must certify that you are unable to work.
If you cannot work because of an off-the-job Accidental Injury or illness, notify the Fund Office immediately. If you are unable to notify the Fund Office yourself, have someone else do it for you. The proper claim form will be sent to you for completion by you and your physician, or you can download the claim form by clicking on the links below.
Pregnancy will be covered as any other off-the-job illness and benefits will be paid in accordance with the above provisions and in accordance with federal and New York State laws and regulations.
Need to Find a Doctor, Dentist or Vision Specialist?
Why did I receive a bill for medical services?
While the Plan offers medical, prescription drug, dental and vision coverage, it does not pay 100% for all of these services. There are co-payments and coinsurance that you or your covered dependents may be responsible for paying. For more information about your benefits, please visit the Health and Benefit Trust Fund section of this site.