HOW TO CLAIM BENEFITS
Claim forms are available from the Welfare Plan Office and can be mailed upon request.
The member is required to contact the Welfare Plan Office within thirty (30) days of commencement of a disability and then needs to have the form completed and returned to the Director within thirty (30) days.
As our plan is tied to receipt of E.I. sick benefits, (which has a one week waiting period and is payable for 15 weeks if disabled prior to 12/18/2022, or 26 weeks if disabled on/after 12/18/2022), we urge plan members to contact our office as soon as possible, and within these timeframes, before their E.I. sick benefits end. The Welfare Plan Office will require proof of E.I. payments beginning and ending in order to initiate payments.
Proof of EI sick benefits from your Service Canada account can be emailed, faxed or mailed to the Welfare Office. The following document provides you with instruction on where to find the required information to accompany your claim:
Benefits are payable on the fourth day of sickness and the first day of a non-occupational accident. Benefits will not be paid prior to the first day you are seen by a doctor. A claimant must be unable to perform any of their normal (or any) occupation and the disability requires the full time attendance of a physician and/or surgeon who is a member of a recognized college of physicians and surgeons (licensed medical doctor or chiropractor).
AMOUNT OF PAYMENT
The Wage Indemnity benefit is $637.00 per week ($91/day) effective January 1, 2022 for a maximum period of 52 weeks, including any E.I. Sick benefit entitlement. This benefit will change annually with the E.I. maximum. Income tax is not deducted, but you will receive a T4 for the calendar year from the Welfare office, for Income Tax purposes.
The Electrical Workers’ Welfare Plan Wage Indemnity is a “carved out” plan with E.I. Under E.I. regulations, members who qualify can get up to a maximum of 26 weeks (as of December 18, 2022, 15 weeks if disabled prior to this date) of E.I. sick benefits anytime during their claim period.
- If you become disabled while on an existing E.I. claim, you simply apply to E.I. to convert your claim from regular to sick benefits and there is no waiting period. If at the end of your E.I. sick claim you qualify for Wage Indemnity, there will be no 3 day waiting period applied.
- Members must use up any E.I. sick benefit entitlement before coming onto our Wage Indemnity plan. Members who qualify must apply to E.I. to open a new claim for E.I. sick benefits.
- If a member is still disabled when their E.I. sick benefits terminate, they should forward their “Final Payment” stub to the Welfare Office to continue W.I. benefits and a new W.I. claim form will be issued at that time.
- If you do not qualify for E.I. sick benefits, our plan will pay the full weekly benefit amount while you are disabled, for a total period of up to 52 weeks (one (1) year).
When applying for E.I. sick benefits a member should not quit their job, nor should they accept vacation pay from their employer. The separation certificate required by the E.I. is only a Record of Employment (R.O.E.) indicating insurable hours and that a member is not working due to illness or injury.
Any employment earnings will be deducted from benefits in the week they are earned.
EXCEPTIONS TO THE ABOVE
- Permit workers are only allowed to collect wage indemnity for six months from date of claim.
- Members over age 65 and members who have retired and are collecting pension and subsequently return to work may collect Wage Indemnity for their banked hours only. No contributions will be made by the plan to maintain the hour bank in such case.
In the case of non-occupational accident resulting in bodily injury, the disability must take place within thirty (30) days of the accident, otherwise the disability will be considered due to an illness.
- Accident benefits, that is, benefits payable from the first day of disability, are paid if the bodily injury sustained in the accident is independent of all other causes.
- In determining commencement of disability, any day in which a person has worked a minimum of two (2) hours, except as completion of a regular night shift that commenced the previous day, shall not be considered a day of disability.
- Wage indemnity benefits will be paid for alcoholism or drug addiction provided the member is actively participating in a program of rehabilitation under the direction of the Trustees and Director. Payments will cease immediately if the Trustees are not satisfied that the member is taking a full course of treatments. For information regarding this problem, contact the Director.
- If a plan member has an illness that recurs it shall be considered a continuation of the first period of disability.
- Benefits will be paid for disabilities due to an accident in which a third party is or may be liable only when the member signs subrogation and assignment forms obtainable from the Welfare Office. This money is to be fully repaid to the plan when the claim is settled. No lawyer’s fees will be paid out of the plans portion.
- The plan requires a similar reimbursement for all accidents where there is a financial settlement favorable to the member.
To satisfy the Financial Institutions Commission it is necessary to advise members that under the circumstances of national disaster or widespread and continued sickness of epidemic proportion it could possibly result in the Plan being unable to guarantee payment of all claims.
Current bank interest rates will be applied to any debt 30 days after the settlement date.
All applications must be approved by the Trustees.
No benefits will be paid for periods of disability arising from:
- Occupational accidents or illness
- Self inflicted injuries or diseases
- Injuries or diseases resulting from war, or participation in a riot, or arising while serving as a member of any armed forces
- Medical conditions existing prior to commencement of coverage
- Disability must occur within a 90 day period immediately following the last day of work with a contributing employer
- No benefits are payable for injuries or illness as a result of an automobile incident for which ICBC or other automobile insurance applies
- No benefits will be paid for any period for which the person has, or will, receive vacation pay for an annual vacation or V.O. time (V.O. time may be collected for the three day waiting period)
- No benefits are payable for E.I. overpayments, violations or other penalties imposed under the Employment Insurance Act