ShortTerm Disability and Leave of Absence Process Table of contents ShortTerm Disability and Leave of Absence Process Salaried Associate STD and Parental and Family Care Pay 3 ID: 696687
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Slide1
CONFIDENTIAL – DO NOT FORWARD
Short-Term Disability and Leave of Absence ProcessSlide2
Table of contentsShort-Term Disability and Leave of Absence ProcessSalaried Associate STD and Parental and Family Care Pay 3 Hourly Associate STD and Parental and Family Care Pay 7Salaried and Hourly Associate LTD 10Leave of Absence Process 12Associate’s RoleSedgwick’s RolePeople Partner Team’s RoleReturn-to-Work Process 30
Tools and Resources 32Slide3
Salaried A
ssociate
Short-Term Disability
and Parental and
Family Care Pay Slide4
How the salaried short-term disability plan works
Associates then receive 75 percent of their salary for up to an additional
19
weeks
through short-term disability.
This
means they are covered for
up to a total of 25 weeks.
EXAMPLE FOR SALARIED ASSOCIATES
Short-Term Disability and Leave of Absence Process
When an associate contacts
Sedgwick
to make an
STD claim, a request for leave of absence will also be filed.
An associate uses FlexPTO
for seven calendar day waiting period to cover 100 percent of their income. FlexPTO begins on Feb. 1, 2018.
They then receive 100 percent of their weekly salary for the next six weeks through short-term disability.
Please
note:
Sedgwick, Walmart’s short-term disability
administrator, will
pay the first 20 days of disability while waiting to make a
determination on the claim.Slide5
Short-term disability and workers’ compensation coordination
The goal of coordinating disability and workers’ comp is to ensure salaried associates don’t
receive less compensation if they
are injured
at
work,
than they would if they were hurt at home.
Salaried
associates qualifying for worker’s comp will
receive
100 percent of their wages for the first seven weeks, with no waiting period. From week eight through week 26, short-term disability makes up the difference between the state workers' comp payment and 75 percent of the associate's wages.If workers’ comp is not yet approved, the STD top-off amount will be based on the anticipated state benefit.If the workers’ comp benefit is more than 75 percent, an STD benefit will not be paid.Premiums to continue benefits coverage will be deducted automatically from any STD payments. If the associate is not receiving STD, the associate must pay their premiums directly.Short-Term Disability and Leave of Absence Process
SALARIED ASSOCIATESSlide6
What this policy does:
Provides pay for 12 weeks per rolling 12-month period for parental pay, of which two of those weeks can be used for family care pay.
Family
care pay:
to care for a seriously ill immediate family
member,
meaning
a parent
, child or spouse/partner
Parental pay: for the birth, adoption or foster-care eventHow to use this benefit:Leave must be requested and approved through Sedgwick for an associate to receive pay through this policy.Family care pay can’t be taken intermittently.Parental pay must be taken in one-week increments.Short-Term Disability and Leave of Absence ProcessParental and Family Care Pay Policy
SALARIED ASSOCIATES
The associate will also need to file
for
a leave of absence
through Sedgwick to access parental and family care pay.Slide7
Hourly Associate
Short-Term Disability
and Parental and Family Care PaySlide8
How the hourly short-term disability plan worksEXAMPLE FOR FULL-TIME HOURLY ASSOCIATES
Short-Term Disability and Leave of Absence Process
When an associate contacts
Sedgwick
to make an STD claim,
a
request for leave of absence will also be filed.
An associate uses PTO
for
the
first
seven calendar days to
cover
100 percent of their income their for scheduled days. If they do not have enough PTO to cover this period, they may take the time as unpaid.
They then receive 50 or 60 percent of their average weekly wage, based on the coverage they selected, for up to 25 weeks.
Please
note: before payment, short-term disability claims must be approved by Sedgwick. In statutory states, Liberty must approve STD claims instead of Sedgwick.Slide9
What this policy does:
Provides pay for two weeks per rolling 12-month period for the birth, adoption or foster-care eventHow to use this benefit:
Leave must be requested and approved through Sedgwick
for an associate to receive pay through this policy.
Parental pay must be taken in one-week increments.
HR’s role:
Sedgwick will send you a notification when an associate’s parental
pay
has been
approved
.How to pay these associates is still TBD. We are currently working on a way to streamline this process.Short-Term Disability and Leave of Absence ProcessParental Pay Policy
HOURLY ASSOCIATES (INCLUDING METRO PROFESSIONALS)
The associate will also need to file
for
a leave of absence
through Sedgwick to access parental pay.Slide10
Salaried and
Hourly Associate
Long-Term DisabilitySlide11
After short-term disability is exhausted, the associate can transition from Sedgwick to
Liberty, if they are unable to return to work due to their disabling medical condition. This process begins at week 18 of their short-term disability claim. Long-term disability coverage, if the associate has enrolled,
picks
up where that associate’s
short-term
disability coverage ends.
Depending on which
Plan
the associate
has
chosen, long-term disability provides up to 50 percent or 60 percent of their average monthly wage, up to a $15,000 monthly maximum. Other benefits or income may reduce long-term disability payments.Long-term disability (Liberty)Short-Term Disability and Leave of Absence Process
SALARIED, METRO PROFESSIONALS AND FULL-TIME HOURLY ASSOCIATESSlide12
Leave of Absence ProcessSlide13
Associate’s Role
Leave of absence requests and
s
hort-term disability claim processSlide14
Associates must submit any new requests for leave of absence,
including short-term disability claims, to Sedgwick. Here's what an associate needs to submit a request:
Walmart Identification Number (WIN)
Facility number
First day absent from work and estimated return-to-work date
Work schedule for the last three-week period (salaried) or for the last two weeks (hourly)
Type of leave requested
(medical, family care, parental, personal, etc.)
Type of leave duration (continuous
, intermittent or reduced schedule)
Name and fax number of the appropriate medical provider for Sedgwick to contactSalaried associates only:For the month of January 2018: Whether the associate chooses to use their PTO during the short-term seven-day waiting periodBeginning Feb. 1, 2018: Sedgwick will automatically pay the associate’s scheduled days during the waiting periodAssociate’s role: filing for leave and short-term disabilityShort-Term Disability and Leave of Absence Process
ALL ASSOCIATESSlide15
Complete the medical release to help Sedgwick quickly approve the request and claim.
Follow up with their medical provider to make sure the required documentation is submitted as soon as possible – no later than 20 days, or the leave will be denied.Inform Sedgwick as soon as possible of any delays in providing documentation, or if there is a change in the initial leave date.
Associate’s role: after submitting leave request and STD claim
Short-Term Disability and Leave of Absence Process
ALL ASSOCIATESSlide16
Sedgwick’s Role
Leave of absence requests
short-term disability claim processSlide17
Sedgwick is Walmart's leave of absence, short-term disability, and parental and family care pay administrator for all associates.
Sedgwick will send the appropriate notices and communications directly to the associate, the associate’s manager and to HR. Their leave/disability specialists will:
Maintain documentation and track the
leave/STD/parental
and
family
care claim
Provide notification when the associate has exhausted their job protection time under FMLA
and/or
state leave
Process leave extension requests when neededMonitor for patterns regarding intermittent leavesServe as a resource to managers and HR representatives, andNotify an associate if they are nearing 11 months of leave, and additional time may be needed beyond 12 months.Sedgwick’s role and what to expectShort-Term Disability and Leave of Absence Process
For questions about an associate’s
leave
or STD claim, HR can call Sedgwick at 800-492-5678 and choose Option 7.Slide18
Leave/disability specialists will review the documentation provided by the associate, medical providers and HR representatives
, and will:Make leave and short-term disability determinations Determine if the associate is eligible for leave based on their length of service and time worked, and approve or deny all medical and military leaves, non-discretionary personal leaves and short-term disability claims
Review medical documentation
Determine if the medical documentation provided supports a disability claim
Process discretionary leave requests
Send discretionary leave requests to the associate’s manager and HR representative for approval or denial
Process military leave requests
Review military differential pay, when eligible, for military leaves
Sedgwick’s
role: the leave process
Short-Term Disability and Leave of Absence ProcessSlide19
Beginning Jan. 1, 2018, associates will report absences related to an intermittent leave to Sedgwick through
viaOne® Express or by calling 800-492-5678 within two days of the absence.
Beginning Feb. 1, 2018,
salaried associates will have 14 PTO days available to receive pay for an intermittent absence, unless the intermittent leave is associated with an STD claim. Hourly associates will need to request PTO from their HR representative if they wish to be paid.
Associates
must also report the absence under the guidelines they follow today, such as to their manager or HR representative.
Sedgwick will send an intermittent leave report to the associate’s
manager
and
HR
representative the day following the reported absence.Intermittent leave is not available for personal leaves. However, an intermittent leave may be granted as an accommodation by the Accommodation Service Center when the leave is for the associate’s own health condition.HR action: If a salaried associate has no remaining PTO during an intermittent leave, HR will need to submit a negative retro so the associate is not paid during that time. (See handout.)If an associate was previously approved for an intermittent leave, Sedgwick will need documentation of this leave and HR is to send it to Sedgwick.Sedgwick’s role: intermittent leave
Short-Term Disability and Leave of Absence ProcessSlide20
Once a short-term disability claim has been
approved, Sedgwick will:Update GAIN with the associate’s status (salaried associates);
Notify payroll of the associate’s appropriate
payment;
Determine the length of the
benefit
, based on the medical guidelines and
diagnosis, and
Determine the length of the associate’s leave, based on what the medical provider has indicated.
Please
note: this means the associate’s leave may be approved for a longer period of time than the short-term disability benefits are paid.Sedgwick’s role: short-term disability claimsShort-Term Disability and Leave of Absence ProcessSlide21
Sedgwick also approves any extension of a
short-term disability claim: If the associate’s additional medical information is not received, the associate’s pay will be stopped on the date the initial approval expires.
The associate will remain unpaid until the additional medical information
is
received.
Once this information is received, Sedgwick will determine approval of the request for extension of
benefits
. Once the extension is approved, pay will resume and the associate will receive back pay.
Seven
days before the end of
leave/short-term disability claim, Sedgwick will send a letter or call to notify the associate their pay is about to be stopped.Sedgwick’s role: short-term disability claimsShort-Term Disability and Leave of Absence Process
CONTINUEDSlide22
Sedgwick also creates key files for the LOA and short-term disability claim process:
Job Row (standard Sedgwick interface)This file lets Walmart know when a leave begins, when a leave is extended, when a pay status changes and when a leave ends, so that HR and Payroll systems can be updated.
Note:
hourly associates are currently not on the job row file
.
ATP – Advice To Pay (standard Sedgwick interface)
This file indicates the correct amount of disability benefits to be processed by Walmart payroll when an associate is on a disability leave
.
Military Differential File (custom interface Sedgwick created for Walmart)
This file indicates the correct amount of military differential to be processed by Walmart payroll when an associate is on qualifying military leave
.Work Schedule (new custom interface Sedgwick created for Walmart)This file provides additional information about a salaried associate’s scheduled work days during the pay period a leave begins, ends or goes to unpaid, to ensure that the associate is not over- or underpaid. It also indicates any PTO the associate needs to have paid out. Note: hourly associates are not on the work schedule file.Technology interface files from SedgwickShort-Term Disability and Leave of Absence ProcessSlide23
People Partner Team’s role
Leave of absence requests and
short-term disability claim processSlide24
Our People Partner team plays a critical role in supporting our associates when they need help the most – when taking time away from work.
A few reminders: Direct associates to leave-related resources.If the associate is in the facility, have them apply online immediately through
viaOne
®
e
xpress
.
If the associate fails to request a leave and has been out for more than
three
days, send the
Leave Request Letter.Stress the importance of applying for leave as quickly as possible.Delays in applying for a leave can delay the entire process.Associates have 20 days to submit medical documentation once they contact Sedgwick.If the associate is unable to report a claim themselves, a family member or HR may do so.Short-Term Disability and Leave of Absence Process
People
Partner’s
role: leave requests and the short-term disability claim processSlide25
Stay informed:
Check viaOne® Express to review the status of the leave and any updates or notifications. See the viaOne
®
Express
quick reference to learn more about the information you can find
on
viaOne
®
Express
.
Review the weekly leave status report that is sent every Wednesday.Review the intermittent leave report to ensure time was reported accurately.Read all email notifications sent by Sedgwick.Review the approval or denial notification:For an approvalMake a note of the estimated return to work date for future reference.An HR action is needed for hourly associates, as the GAIN process is not automated. Please place hourly associates on leave in GAIN. For salaried associates, no action is needed. For a denialRead all email notifications and complete any action items sent by Sedgwick.As directed by Sedgwick, send the associate the Leave Denial Letter and attempt to reach the associate by phone. This letter instructs the associate to contact the facility and speak to a manager and/or HR Representative within three days of receipt.Do not take any disciplinary action until all action items listed on the email from Sedgwick have been completed. Then, partner with next-level HR and legal counsel prior to considering termination.An HR action is needed for hourly associates, as the GAIN process is not automated. Please place hourly associates on leave in GAIN. For salaried associates, no action is needed.
Short-Term Disability and Leave of Absence Process
People Partner’s role: after a leave request and
short-term disability claim are submittedSlide26
Support the associate:
Use your resources to assist them:Check viaOne® express to review information about the leave, payment information and more.
If you still have questions or concerns about a leave request, contact Sedgwick at
800-492-5678
and
choose option 7.
You’ll find resources on the WIRE > LOA Toolkit.
If your questions or concerns are still unresolved, contact the leave and disability team
by
emailing
LOAQOD@wal-mart.comShort-Term Disability and Leave of Absence Process
CONTINUED
People Partner’s role: after a leave request and
short-term disability claim are
submittedSlide27
If the leave request and short-term disability claim are approved, the
short-term disability benefit will begin and the associate should not see a disruption in their pay schedule. If the leave request or short-term disability claim are denied because the associate failed to submit the requested medical information, their pay will be stopped back to the
beginning
of the relevant pay period.
If
short-term disability
claim is denied, but the leave is approved, the associate will receive 14 days of FlexPTO (salaried only) paid by
Sedgwick,
and will then go to an unpaid leave, beginning
Feb. 1, 2018.
If the associates submits the requested medical information and the short-term disability claim is approved, the associate will receive retroactive short-term disability benefits to cover the unpaid period of time.Short-Term Disability and Leave of Absence ProcessPeople Partner’s role: associate pay after a leave request and short-term disability claim are submittedSlide28
To support this process, a file called Job Row will be sent from Sedgwick to Walmart each day, including weekends and holidays. This file will update GAIN to list the associate on a leave of absence, and to indicate if the leave is paid or unpaid, along with the begin date and estimated end date
.For salaried associates, People Partner representatives will not be responsible for entering and approving leave information in GAIN for any leaves submitted to Sedgwick.
How will HR representatives know when the Job Row file
transfer
occurs?
Sedgwick will send an email notification to the associate’s manager
and
HR representatives when a leave has been requested.
An email notification will also be sent when the leave has been approved, after the Job Row file transfer has updated GAIN with
the
associate’s leave information. This could take up to 24 hours. This information is also available through viaOne® Express, and the Leave Status Report that HR Representatives will receive each Wednesday from Sedgwick.People Partner’s role: GAIN processShort-Term Disability and Leave of Absence ProcessSlide29
If a salaried associate fails to request a leave of absence, fails to contact their HR representative about their immediate return to
work or reports their return to Sedgwick but does not actually return, please place the associate in an “unapproved absence” status in GAIN. This stops the associate’s pay until the associate either returns to work or submits a leave request.As with other leave actions entered into GAIN, HR representatives will need to enter the begin date of when the unapproved time began and an estimate of when this action should end. We recommend two weeks.
If the associate returns to work, HR representatives should enter the
return-to-work
action for the associate with the effective date of that return.
People partner’s role
: “unapproved absence” reason code
Short-Term Disability and Leave of Absence ProcessSlide30
Return-to-Work
P
rocessSlide31
Sedgwick will contact the associate seven days prior to their expected return-to-work date, and send a text message two days before the end of their leave.
IMPORTANT – The associate must:Provide their manager, HR representative and Sedgwick with a Return-to-Work Certification
completed by their doctor
prior to returning to work
, when returning from their own medical
leave/short-term disability claim.
Contact Sedgwick
on the date they return to work
by calling or by entering their
return-to-work
date in viaOne® Express, or replying to Sedgwick’s text message. This ensures the associate will receive accurate and timely pay when they return.Once the associate has returned, Sedgwick will close the leave/claim.NOTE: If the associate fails to return to work, the People Partner should call the associate and send the End-of-Leave letter, which explains the options available to them including RTW, extension, accommodation and voluntary termination. Return-to-work processShort-Term Disability and Leave of Absence ProcessRemember: The associate’s Walmart leave may run concurrently with
FMLA and/or State-Protected Leave with job protection. In these cases, the associate’s position should not be
replaced while they are out.Slide32
Tools and ResourcesSlide33
Tools and resources Short-Term Disability and Leave of Absence Process
Leave of Absence Toolkit – Updated on
Jan. 1, 2018
Contains FAQs, leave process information and links to related resources such as policy documents and training guides for
viaOne
®
Express
Leave
of
Absence policies and management guidelines Updated policy and management guidelines are available on the WIREviaOne® Express Sedgwick’s online tool for submitting leave/short-term disability claims, checking claim status, submitting return-to-work dates, submitting intermittent absences and sending messages to SedgwickSlide34
Associates who have questions or concerns about their leave of absence or short-term disability claim should first contact their leave/disability specialist at Sedgwick. If concerns remain after discussing with Sedgwick, P
eople Partners should:Forward the request/concern to the Integrated Absence Management (IAM) team at LOAQOD@wal-mart.com. Complete the appropriate web form for the concern.
The IAM team will investigate the concern and provide the resolution to Sedgwick and the associate’s
People Partner.
Remind the associate that Sedgwick is the fiduciary of the short-term disability
plan, and that decisions made in accordance with
Plan
guidelines can’t be overturned.
Short-Term Disability and Leave of Absence Process
Associate short-term disability feedback:
open-door process reviewSlide35
“We’re all working together; that’s the secret.”
SAM WALTON
Thank
you
!
Please do not hesitate to send us any questions or suggestions you may have to
LOAquestionsandOpenDoor
@wal-
mart.com
.