Disability Plan Short-Term

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Disability Plan Short-Term

Disability Plan Short-Term

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

SHORT-TERM DISABILITY PLAN

Effective Date: {{effective_date}}

This Short-Term Disability Plan (the “Plan”) outlines the benefits provided by {{company_name}} (the “Company”) to eligible employees who experience a temporary disability preventing them from performing their job duties.

1. Eligibility

1.1. To be eligible for benefits under this Plan, an employee must be a permanent full-time employee of {{company_name}} and have completed a minimum of {{waiting_period_months}} months of continuous service with the Company.

1.2. Part-time and temporary employees are not eligible for benefits under this Plan.

1.3. Disability must be certified by a qualified medical practitioner as rendering the employee unable to perform the essential functions of their position.

2. Benefit Duration and Amount

2.1. Short-term disability benefits will commence after a waiting period of {{waiting_period_days}} consecutive calendar days of disability.

2.2. Benefits will be paid for a maximum period of {{maximum_weeks}} weeks for any single disability period.

2.3. The weekly benefit amount will be {{percentage_salary}}% of the employee's basic weekly salary, up to a maximum of {{max_weekly_benefit_currency}} {{max_weekly_benefit_amount}} per week.

2.4. Benefits are subject to applicable tax deductions and statutory contributions.

3. Claim Procedures

3.1. Employees must notify their direct manager and the Human Resources department within {{notification_days}} days of the onset of their disability.

3.2. A completed Disability Claim Form, along with a medical certificate from a registered medical practitioner, must be submitted to the Human Resources department within {{submission_days}} days of the notification.

3.3. Failure to comply with these notification and submission requirements may result in a delay or denial of benefits.

3.4. {{company_name}} reserves the right to request additional medical information or for the employee to undergo an independent medical examination.

4. Return to Work

4.1. Employees must provide a ‘fit for duty’ certificate from their medical practitioner prior to returning to work.

4.2. {{company_name}} will endeavour to accommodate reasonable requests for modified duties where possible, in accordance with applicable legislation and medical advice.

5. Exclusions

5.1. Benefits will not be paid for disabilities arising from:

a) Self-inflicted injuries or illness.

b) Injuries sustained while engaged in illegal activities.

c) Pre-existing conditions not declared at the time of employment, unless otherwise agreed.

d) Injuries or illnesses covered by worker's compensation or similar legislation.

6. General Provisions

6.1. This Plan does not constitute a contract of employment and does not guarantee employment for any period.

6.2. {{company_name}} reserves the right to amend, suspend, or terminate this Plan at any time, with reasonable notice.

6.3. All benefits are subject to the terms and conditions of any underlying insurance policies held by the Company.

6.4. Any disputes regarding this Plan will be resolved through the Company's internal dispute resolution procedures.

Acknowledgement of Receipt

I, the undersigned, acknowledge that I have received, read, and understand the terms and conditions of the Short-Term Disability Plan of {{company_name}}.

Employee Name: {{employee_name}}

Employee Signature: _________________________

Date: {{date}}