Philadelphia Federation of Teachers School District of Philadelphia

XIII. Benefits
6. Social Security Offset. The benefits shall be offset by Social Security after
five (5) months of continuous disability.
7. Non-Working Days. Any employee receiving weekly indemnity benefits
on the day before and the day after a holiday or other paid non-working day
shall be paid for that holiday or other paid non-working day at the weekly
indemnity rate of pay.
8. Catastrophic Illness. Any employee who has an accumulated sick leave
balance of at least ninety (90) days and who, as a result of suffering a single catastrophic
illness or injury, has a continuous absence, certified by a physician, that
brings his/her sick leave balance below thirty (30) days, shall be treated as a new
employee for purposes of calculating wage continuation rates for not more than
three (3) years subsequent to the date of his/her return to work.
9. If an employee is receiving wage continuation benefit payments, then
health benefits coverage shall be continued in accordance with the following:
(a) If the employee has not exhausted FMLA benefits prior to the commencement
of benefit payments under the wage continuation insurance program, then
any remaining FMLA health care coverage shall first be applied to the period
during which the employee is receiving wage continuation benefits. If employees
are required to pay a contribution towards their health care, the employee on
FMLA leave shall make a contribution equal to the amount of the employee
contribution for the same health care coverage.
(b) When the employee exhausts FMLA health care coverage, the employee
is eligible for health care benefits for the remaining duration of the wage continuation
insurance benefit payments. If employees are required to pay a contribution
towards their health coverage, then the employee must make a contribution
equal to the amount of the employee contribution for the same health care
coverage for the period of coverage. If the employee receives wage continuation
benefits for any amount of time longer than six (6) months and the employee
does not return to work following the termination of the wage continuation
benefit, the amount of time in excess of six (6) months during which the employee
participated in the Employer Group Health Plan and received wage continuation
payments shall be considered to have been an alternative to PHSA (Public Health
Service Act) coverage and shall reduce the amount of time for which the
employee may elect PHSA coverage.
(c) If the employee has exhausted FMLA benefits prior to the commencement
of benefit payments under the wage continuation program, then the employee
is eligible for health care coverage for the duration of the wage continuation
insurance benefit payments. If employees are required to pay a contribution
towards their health care coverage, then the employee must make a contribution
equal to the amount of the employee contribution for the same health care
coverage for the period of coverage. If the employee receives wage continuation
benefits for any amount of time longer than six (6) months and the employee
does not return to work following the termination of the wage continuation
benefit, the amount of time in excess of six (6) months during which the employee
participated in the Employer Group Health Plan and received wage continuation
payments shall be considered to have been an alternative to PHSA (Public Health
Service Act) coverage and shall reduce the amount of time for which the
employee may elect PHSA coverage.
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