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.
FAQs
I recently married. How do I add my spouse to my coverage?
You must provide a copy of your marriage certificate within 90 days of marriage to enroll your new spouse with the applicable date (date of marriage). If you fail to do so, within the applicable 90-day period, dependent coverage will not be available under the Plan for your new spouse until the first of the month following the date in which you provide the Fund Office with the required documentation or any other verifying information requested. A Coordination of Benefits Form (COB) must be completed if your spouse has other coverage. You should also visit the Life Events page on this site to see what you need to do for your other benefits.