Health & Welfare and Pension Funds
of Philadelphia and Vicinity

WEEKLY DISABILITY BENEFIT 
(FOR MEMBERS ONLY)

BENEFIT (Non-Occupational)

1.  If you, prior to retirement, become disabled from a non-occupational accidental injury or disease, and will be prevented by such disability from performing any and every duty pertaining to your occupation, upon receipt of a Weekly Disability claim form, containing proof of disability satisfactory to the Trustees, payment will be made to you as determined from the Summary of Benefits Schedule and continue for the duration of the disability, for a maximum of 26 weeks during any one continuous period of disability whether from one or more causes.
2.  Successive periods of disability will be considered as having occurred during one period of disability unless the subsequent period is due to causes completely and entirely unrelated to the prior accident or disease or unless the prior and subsequent periods are separated by a resumption of active employment for a period of thirty (30) or more full calendar days.
3.  Benefits are payable only while you are under the care of, and treated personally by, a legally qualified physician or surgeon.

LIMITATIONS

1. Disability must commence while you are covered for this benefit.
2. This benefit is paid in lieu of wages.
3. Claim date is determined from the date you are first seen and treated by a physician.
4. Your Weekly Disability Benefit will be coordinated with any short-term disability or wage loss benefit payable to you under any applicable automobile no-fault policy, program, law or regulation.
5. Weekly Disability benefits will not be payable to a member whose disability resulted in participation in or in consequence of having participated in an illegal act which is in violation of any federal or state criminal statute relating to the possession of controlled substances.

    

 Last Date Updated :  10/16/08