Take a Leave to Care For Own Condition

If you are absent from work for on a continuous or intermittent for your own serious health condition:

1. Notify your supervisor as soon as possible.
2. Speak to your manager/supervisor about departmental call-off procedures to report individual scheduled and unscheduled absences.
3. Contact Sedgwick to determine your leave options.

Sedgwick May Ask You to Provide Some of the Following Information:

• Personal — Name, address, phone number, SSN and job title
• Job — Workplace location and address, work schedule, supervisor’s name and phone number, and hire date
• Information about your leave — Last day worked; nature of the illness/absence; how, when and where injury occured; when event or condition began; and the date you anticipate returning to work (if known)
• Information about your health care provider(s) — Name, address, and phone and fax number for each treating health care provider
• Authorization to release medical information (signature required)
• Health Care Provider Certification to be completed by your health care provider and submitted to Sedgwick in a timely manner

What You Can Expect from Sedgwick

• Sedgwick will contact you to acknowledge, authenticate and clarify your claim.
• Sedgwick may contact your health care provider to discuss medical information specifically related to your claim or leave.
• Sedgwick will contact the Leave Administration, Absence Management and Accommodations Department and your own manager/supervisor, as needed, to administer your claim or leave. Confidential medical information will not be shared with your manager/supervisor except for plan administration purposes such as return to work.
• Contact your Sedgwick case manager for more information.

Payment and Benefits Information

As long as you are receiving your accrued hours or short-term disability (STD) payments, your payroll checks will continue to be processed according to your payroll schedule. Scheduled deductions (taxes, benefit plan deductions, etc.) will continue to be withheld from these checks. You will be billed directly if you go into an unpaid status.

• Until your leave is approved:
• Continue to report all absences to your manager.
• Contact your supervisor to determine how accrued time will be entered into the Kronos system.
• Accrued hours must be used in the following order (subject to applicable collectively bargained agreements): sick, personal holiday and vacation.
• Once your leave is approved
• The Leave Administration, Absence Management and Accommodations team will enter your time into Kronos.
• Hourly and salaried employees: Once you have used all your accrued hours, your STD payments will automatically be entered for you throughout the period of approved STD.
• If your claim for STD was delayed, STD payments will be paid on the next payroll period retroactively.