Workers’ Compensation benefits reduce the short-term disability benefit dollar for dollar (except permanent partial Workers’ Compensation benefits or a “Clincher” settlement).

Tab/Accordion Items

  • Multiply the weekly Workers’ Compensation benefit times 52 
     
  • Divide the total from above by 12 to arrive at the average monthly Workers’ Compensation benefit 
     
  • Subtract the average monthly Workers’ Compensation benefit from the monthly short-term disability benefit 
     
  • If the total is less than one dollar, the short-term disability benefit is totally offset, and no reimbursement or service credits are due 
     
  • If the total is equal to or greater than one dollar, a reimbursement may be due for any month during the second six months that the reduced benefit is paid; the daily rate is determined by dividing the monthly benefit amount after the reduction from the third bullet above by 30

If Workers’ Compensation benefit ends during a month in the second six months of short-term disability:

  • Follow the procedure above to arrive at any possible monthly benefit due after the Workers’ Compensation reduction
     
  • Count the number of days in the month that Workers’ Compensation benefits were payable (as long as those days were in the second 6 months)
     
  • Multiply the number of days times the benefit daily rate after the Workers’ Compensation benefit reduction|
     
  • The total is the amount to be reimbursed while the Workers’ Compensation benefit was payable
     
  • Count the number of days in the month the Workers’ Compensation benefit was not payable (as long as those days were in the second six months)
     
  • Multiply the number of days times the benefit daily rate without the Workers’ Compensation benefit offset
     
  • This total is the amount to be reimbursed after the Workers’ Compensation benefit ended
     
  • Add the totals from above to arrive at the total amount reimbursable for the month

If an employee returns to service in the same capacity that existed prior to the disability, there is no short-term benefit due and, therefore, no reimbursement is due for a period of trial rehabilitation.

 

This page was last modified on 12/03/2024