Application for Benefits. To be considered for STD benefits, employees who are absent from work after five (5) consecutive work days to ninety (90) consecutive work days due to illness or injury must submit a medical provider’s statement to MPS’ Leave Coordinator in the Total Compensation Division that includes the following information: a. Confirmation that the employee is under the care of a medical provider. b. Diagnosis and nature of care being provided. ▇. ▇▇▇▇ of onset of illness or injury. d. Dates that the employee was seen for the current condition. e. Whether or not the employee is totally disabled and incapable of working. f. Expected date of return to work, if known.
Appears in 4 contracts
Sources: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Application for Benefits. To be considered for STD benefits, employees who are absent from work after five (5) consecutive work days to ninety (90) consecutive work calendar days due to illness or injury must submit a medical provider’s statement to MPS’ Leave Coordinator in the Total Compensation Division that includes the following information:
a. 1) Confirmation that the employee is under the care of a medical provider.
b. 2) Diagnosis and nature of care being provided.
▇. ▇▇▇▇ 3) Date of onset of illness or injury.
d. 4) Dates that the employee was seen for the current condition.
e. 5) Whether or not the employee is totally disabled and incapable of working.
f. 6) Expected date of return to work, if known.
Appears in 3 contracts
Sources: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Application for Benefits. To be considered for STD benefits, employees who are absent from work after five (5) consecutive work calendar days to ninety (90) consecutive work calendar days due to illness or injury must submit a medical provider’s statement to MPS’ Leave Coordinator in the Total Compensation Division that includes the following information:
a. 1) Confirmation that the employee is under the care of a medical provider.
b. 2) Diagnosis and nature of care being provided.
▇. ▇▇▇▇ 3) Date of onset of illness or injury.
d. 4) Dates that the employee was seen for the current condition.
e. 5) Whether or not the employee is totally disabled and incapable of working.
f. 6) Expected date of return to work, if known.
Appears in 3 contracts
Sources: Collective Bargaining Agreement, Employment Agreement, Collective Bargaining Agreement