Insurance Administration Manual (IAM)

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Insurance Administration Manual (IAM) - Chapter 3

Chapters :

3. DISABILITY INSURANCE PLAN
	3.1	INTRODUCTION (February 2002)
		3.1.1	CONTACTS AND RESOURCES (March 2003)
	3.2	ELIGIBILITY
		3.2.1	ELIGIBLE PERSONS (November 2005)
		3.2.2	DATE OF ELIGIBILITY (October 2002)
		3.2.3	COMPULSORY PARTICIPATION (June 2004)
		3.2.4	OPTIONAL PARTICIPATION (November 1989)
		3.2.5	CEASING TO BE EXCLUDED (November 1989)
		3.2.6	RE-EMPLOYMENT FOR A TERM OF SIX MONTHS OR LESS (July 1998)
	3.3	PREMIUMS
		3.3.1	ADJUSTED ANNUAL SALARY (July 1998)
		3.3.2	ALLOWANCES FORMING PART OF SALARY (October 2002)
		3.3.3	ACTING PAY (May 2004)
		3.3.4	PREMIUM RATES (January 2003)
		3.3.5	DEDUCTIONS AT SOURCE (November 1989)
		3.3.6	CHANGE IN PREMIUMS FOLLOWING A CHANGE IN SALARY (March 2002)
		3.3.7	CHANGES TO AN EMPLOYEE'S ASSIGNED HOURS OF WORK (June 2004)
		3.3.8	ADMINISTRATIVE ERRORS (May 2004)
		3.3.9	PAYMENT TO INSURER (November 1989)
		3.3.10	DUAL REMUNERATION (January 1998)
	3.4	APPLICATION/DECLARATION OF PERSONNAL INSURABILITY
		3.4.1	WHEN AN APPLICATION IS REQUIRED (July 1998)
		3.4.2	WHEN A DECLARATION OF PERSONAL INSURABILITY IS REQUIRED (July 1998)
	3.5	JOINING THE PLAN - OPTIONAL MEMBERS
		3.5.1	APPLICATION REQUIREMENT (January 1998)
		3.5.2	DECLARATION OF PERSONAL INSURABILITY REQUIREMENT (November 1998)
		3.5.3	APPLICATION PROCESS (June 2004)
		3.5.4	APPROVED/DECLINED APPLICATION (January 1998)
		3.5.5	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (January 1998)
		3.5.6	MONTHLY PREMIUMS (January 1998)
	3.6	JOINING THE PLAN - COMPULSORY MEMBERS
		3.6.1	AUTOMATIC ENROLLMENT (April 2004)
		3.6.2	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (February 2002)
		3.6.3	MONTHLY PREMIUMS (February 2004)
	3.7	TRANSFER FROM LTD TO DI
		3.7.1	LTD MEMBERS CEASING TO BE EXCLUDED (April 2004)
		3.7.2	APPLICATION REQUIREMENTS (November 1989)
		3.7.3	DECLARATION OF PERSONAL INSURABILITY REQUIREMENT (April 2004)
		3.7.4	APPLICATION PROCESS (November 1989)
		3.7.5	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (November 1989)
		3.7.6	MONTHLY PREMIUMS (November 1989)
	3.8	CONTINUATION OF COVERAGE
		3.8.1	WHILE IN AN ELIGIBLE CAPACITY (October 2002)
		3.8.2	TRANSFER TO A TERM OF SIX MONTHS OR LESS (November 1989)
	3.9	ON LEAVE WITHOUT PAY
		3.9.1	CONTINUATION OF COVERAGE (October 2002)
		3.9.2	WAIVER OF PREMIUMS (October 2003)
		3.9.3	CREDIT UNIONS/EMPLOYEE ASSOCIATIONS (April 1991)
		3.9.4	ON RETURN TO DUTY (February 2002)
		3.9.5	DUAL EMPLOYMENT (March 2002)
	3.10	TERMINATION OF DEDUCTIONS AND COVERAGE
		3.10.1	PERSONS BECOMING EXCLUDED (October 2002)
		3.10.2	ASSIGNED HOURS REVISED TO ONE THIRD OR LESS (June 2002)
		3.10.3	ON REACHING AGE 65 (June 2002)
		3.10.4	CESSATION OF EMPLOYMENT (June 2002)
	3.11	BENEFITS
\|		3.11.1	BENEFIT PAYMENT PERIOD (October 2006)
		3.11.2	MEDICAL EVIDENCE (April 2004)
		3.11.3	LIMITATIONS (November 1998)
		3.11.4	COMMENCEMENT OF BENEFITS (October 2002)
		3.11.5	AMOUNT OF BENEFITS (February 2002)
		3.11.6	OFFSET (March 2002)
		3.11.7	CHANGE IN SALARY AFTER SUBMITTING A CLAIM (February 2002)
		3.11.8	ANNUAL INCREASE (November 1989)
		3.11.9	TO WHOM BENEFITS ARE PAYABLE (January 1998)
\|		3.11.10	REHABILITATION (October 2006)
		3.11.11	RECURRENCE OF DISABILITY (January 2002)
		3.11.12	PREMIUMS TAX DEDUCTIBLE FROM EARNINGS (May 2002)
		3.11.13	DUAL REMUNERATION (February 2002)
	3.12	CLAIM FOR BENEFITS
		3.12.1	TIME LIMIT (January 2003)
		3.12.2	CLAIM PROCESS (June 2004)
		3.12.3	APPROVED CLAIM (November 1995)
		3.12.4	DECLINED CLAIMS (March 2002)
	3.13	BOARD OF MANAGEMENT SUBMISSION
		3.13.1	ROLE OF BOARD OF MANAGEMENT (March 1997)
		3.13.2	PROCESS FOR SUBMISSION OF CASES TO THE BOARD OF MANAGEMENT (April 2002)
	3.14	FORMS COMPLETION
		RELEASE	AUTHORIZATION FOR RELEASE OF INFORMATION (May 2004)
		3.14.2026	DISABILITY INSURANCE APPLICATION - FULL-TIME EMPLOYEE (PWGSC-TPSGC 2026) (June 2004)
		3.14.2026-1	DISABILITY INSURANCE APPLICATION - PART-TIME (PWGSC-TPSGC 2026-1) (May 1995)
		3.14.2229	DECLARATION OF PERSONAL INSURABILITY (PWGSC-TPSGC 2229) (June 2004)
		3.14.330-302	CLAIM FOR DISABILITY INSURANCE--EMPLOYEE'S STATEMENT (TBS-SCT 330-302E) (September 2002)
		3.14.330-303	CLAIM FOR DISABILITY INSURANCE (DI) - EMPLOYER'S STATEMENT (TBS-SCT 330-303E) (September 2002)
		3.14.330-304	CLAIM FOR DISABILITY INSURANCE -- EMPLOYEE'S MEDICAL INFORMATION AND ATTENDING PHYSICIAN'S STATEMENT (TBS/SCT 330-304E) (September 2002)