La County Short Term Disability Plan

When dealing with a disability, people often think only ofthen 80% income replacement for the remainder of
permanent and total disability or long-term disability.the approved STD period.
Usually, employee’s time off have three levels,If you select the STD additional benefit, the 100% -
namely:80% STD income replacement is not payable under
• sick leave for the person needing a few days offCalifornia workers’ compensation laws.
• short term disability (STD) for brief periods ofIn case of an industrial injury or illness, a maximum of
disability for one or more weeks70% STD income replacement will be due to an
• long-term disability (LTD) for extended periods ofindividual. The STD waiting period will stay equal to the
disabilityamount of waiting period days you elected in either the
The County of Los Angeles provides STD Plan thatcore or additional benefit.
offers income replacement to ill, injured or pregnantWaiting Period Defined
County employees. In case a dispute ensues under theMost Short Term Disability plans do not start paying
plan, Short Term disability lawyers must be consulted.until the employee has been absent for one week or
According to the latest US Census, about 12% of theuntil the sick leave has expired – whichever comes
working age population of Los Angeles had somefirst.
type of disability. Approximately 42% of thoseThe waiting period begins on the “first day of
reporting disabilities are employed compared to 74%disability, as certified by your health care practitioner,
of those without a disability.and ends the date you are entitled to receive STD
Short Term Disability Definedpayments”.
Disability, under STD, means that the conditionA “day” for purposes of the waiting period, is
prevents an individual to perform regular andconsidered a “calendar day”. This includes
customary job duties, or modified job duties, as aweekends, holidays, and any other regular day off.
County employee. This definition considers theYou are not entitled to STD payments during the
following factors:waiting period.
1. The severity of medical conditionDuration of Benefits
2. The kind of work performedIf approved by the Third Party Administrator (TPA),
3. The duration of disabilitySTD benefits may carry on for up to 182 calendar
4. The type of work capable of performingdays from the first day of disability without any work
Short Term Disability Benefitspay.
Employers pay a portion of their employees’ salaryThe duration of a disability depends on the
between the time sick leave is exhausted andcircumstances as determined by the TPA, based on
long-term disability starts.medical information received from your health care
The typical benefit is between 50% and 75% ofpractitioner.
salary. Some larger employers will pay 100% of theSTD Payments in Los Angeles County
salary based on length of service before reducing theSTD payments are paid by the County of Los
benefit to a lesser percentage.Angeles, not the TPA.
The payment is usually a percentage of gross weeklyUnder the Plan, STD benefits are never paid for the
salary without bonuses, commissions or overtime thatfollowing:
will be specified in the plan document.• Injuries sustained upon commission of a felony;
How to Receive STD Benefits• War Injuries;
To reap the benefits under the STD Plan, one must be• Injuries inflicted upon oneself; or
enrolled to it. During enrollment, the prospective• When a disability is not acceptable by prevailing
employees must choose between the two benefits,medical facts and medication, as determined by the
namely:TPA
• Core benefit which is a 14-day waiting periodResidents of LA County may now enjoy benefits
followed by 70% income replacement; orwhenever a short-term injury occurs. Just consult your
• Additional benefit which is a 7-day waiting periodshort-term disability lawyer for guidance and you are
followed by 100% income replacement for 21 days,ready to file your claim.