post surgery sick leave or short-term disability?

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nigella

just curious... the 6-8 wks recommended for rest after AVR surgery, are patients taking sick leave or short term disability. my mom has been on sick leave for the month pre-op, and now after surgery, we're wondering if she'll continue on sick leave ( she's accrued so many hours of sick leave -- never takes sick days, so she may have enough for 6 wks worth ) or if she should go on short term disability ( is this through the state?). her job requires her to be able to lift 50lbs ( so she may be out for longer than 2 months) . and she really would like to go back to work after she feels better. any advice would be greatly appreciated.
 
Most STD requires you to use up all accrued sick time before it kicks in. Some even require you to use vacation time also. She should check with her HR department to be certain.

I was on STD for about 2 months after my last OHS. It paid 65% of my regular pay. Some companies have salary continuation STD where you are paid 100% of regular pay, again something to check with HR.

Most STD also require you be off work for a certain period of time before it kicks in but I would think that has already occurred with your mom.

Good luck.
 
Be SURE her Surgeon is aware that she be able to lift 50 lbs for her job. She may need to stay out for 3 months for the sternum to FULLY heal, or return to work with a Lifting Limitation as described by her Doctor.

'AL Capshaw'
 
An employer's sick leave/STD policy usually dictates what you do.

I work for a newspaper in the Knight-Ridder chain. K-R had changed its policy in January 2003, no longer allowing us to "bank" more than 5 days unused sick leave; we were allowed to retain any earned before Dec. 31, 2002. I had about 80 days accrued at that point, and was allowed to retain it. We are given 5 days' sick leave each year; if we don't use them all, we can bank them, but I think they only roll over one year.
Our STD (60% of normal pay, excluding any commissions) kicks in after you have been out 5 continuous days (using our annual sick leave time or, if none left, vacation time). You do have to contact STD, which in turn contacts the FMLA office. I had 2 caseworkers during my MVR.

I saw my current cardiologist for a 2nd opinion on 6/6/03. At that point, I was having significant SOB, was cyanotic at times. We scheduled surgery that day for 6/24/03 -- first opening the surgeon had. I called the STD office immediately and said I was too disabled to work, had my PCP fax a note saying so.
The STD caseworker said he "guessed" they could give me at least 4 weeks post-op. He wasn't familiar with valve replacement. My surgeon insisted on my not returning to work until 8/11/03, and then only part-time for 4 weeks.
When I went back part-time,
I was still covered by STD for the time each day I did not work and had to fax a note from my PCP each week in order to continue to get STD pay. I wanted to work each day as long as I felt able, but it didn't work that way. I would have only gotten paid for hours I actually worked if I declined going through STD while working part-time. I was also told that if I needed to be hospitalized during those 4 weeks, STD would not kick in until I had been hospitalized for 5 working days. Duh! Decision was quite easy for me: Have my PCP fax a note to STD caseworker that I would work 20 hours the following week. So, STD paid 60% of the 20 hours I didn't work and 40% was paid for out of my accrued sick leave.

Having the STD meant I didn't go through as much sick leave as I would have otherwise. On the other hand, I disliked dealing with an STD caseworker because I felt pressured, not allowed to relax and recuperate like I did when I had a hysterectomy in 1985.

Last fall, I upped my LTD to 70% (60% is provided by Knight-Ridder, so that's what most people carry). I don't know if I can increase it any more this fall.

My husband teaches at Tarrant County College Northwest Campus, and he's considered a Texas state employee, since TCC receives state funding in addition to county funds. His STD plan is different, and he's allowed to accrue sick leave.
 
I was required to take 5 days sick/vacation and then go on short term disablity after that. My benefits for short term with the company were dependent on length of service. I did not exhaust my vacation or sick time during my time out (6 weeks). The state of California also offers benefits.
 
inlaguna said:
I was required to take 5 days sick/vacation and then go on short term disablity after that. My benefits for short term with the company were dependent on length of service. I did not exhaust my vacation or sick time during my time out (6 weeks). The state of California also offers benefits.


Dan and all,

I hope you are well. Me again!!!

This is something I had not even thought about. Any info on the way this works and what I can do to improve my chances are appreciated.

I have a job that requires 50% travel and my company would like a dr note that says I can come back to work at full capacity (travel included) before I come back. What are my options? Can I get STD and for how long? I heard that it omly pays 50% max (not very much). Also I am a Ca employee but my company is in NY, not sure which set of rules applies.

Thank you
 
For all of you that live/work in CA.....this is right up my alley. I work in the Accounting/Payroll department at a hospital in CA.

The state of California has a State Disability Insurance (SDI) program. It is a mandatory tax (1.08%) that is taken off of your paycheck and it provides you with short-term disability benefits (up to 52 weeks, I think) when you are out of work because of illness. There is a 7-day waiting period so you must be off for 8 days before you can apply. I am not sure what the benefit amount is.....around 55% of your wages, I think. They even pay partial benefits if you can only work part-time due to your illness. If your employer has a sick leave program then your SDI benefit depends on your employer's sick leave program. It is against the law to be paid both sick leave and SDI for the same time frame unless your employer is a "coordinating employer" as my hospital is.

If your employer does not "ccordinate", then I think you have to use up your sick leave benefits first and then you can start collecting SDI. Many employers that do not "coordinate" only provide a small number of sick days each year and do not let the hours carry over from year to year. By the time you are off for 7 days, you may have already exhausted (or are getting close to exhausting) your sick leave at work. You would then be eligible for SDI benefits. While 55% isn't a full paycheck, it beats nothing.....which is what a lot of people would have with out it.

If your employer "coordinates" with SDI, then your employer would only pay you the difference between what you receive in SDI benefits and your usual wages (probably about 45% of what you usually make) in sick leave. By "coordinating", you can still receive your full pay.....approx 55% from SDI and approx 45% as sick leave from your employer. When I had my OHS, I was off and received SDI benefits ("coordinated" with my sick leave) for 6 weeks. Then I went back to work part-time for 2 weeks and received partial SDI benefits. The SDI benefits are non-taxable so I actually wound up with more money than my usual amount because I was only taxed on that 45% difference between SDI and my usual wages.

This is just a quick summary about how CA SDI works. If anyone needs more information, let me know and I will try to answer your questions.

Diane
 
Diane said:
For all of you that live/work in CA.....this is right up my alley. I work in the Accounting/Payroll department at a hospital in CA.

The state of California has a State Disability Insurance (SDI) program. It is a mandatory tax (1.08%) that is taken off of your paycheck and it provides you with short-term disability benefits (up to 52 weeks, I think) when you are out of work because of illness. There is a 7-day waiting period so you must be off for 8 days before you can apply. I am not sure what the benefit amount is.....around 55% of your wages, I think. They even pay partial benefits if you can only work part-time due to your illness. If your employer has a sick leave program then your SDI benefit depends on your employer's sick leave program. It is against the law to be paid both sick leave and SDI for the same time frame unless your employer is a "coordinating employer" as my hospital is.

If your employer does not "ccordinate", then I think you have to use up your sick leave benefits first and then you can start collecting SDI. Many employers that do not "coordinate" only provide a small number of sick days each year and do not let the hours carry over from year to year. By the time you are off for 7 days, you may have already exhausted (or are getting close to exhausting) your sick leave at work. You would then be eligible for SDI benefits. While 55% isn't a full paycheck, it beats nothing.....which is what a lot of people would have with out it.

If your employer "coordinates" with SDI, then your employer would only pay you the difference between what you receive in SDI benefits and your usual wages (probably about 45% of what you usually make) in sick leave. By "coordinating", you can still receive your full pay.....approx 55% from SDI and approx 45% as sick leave from your employer. When I had my OHS, I was off and received SDI benefits ("coordinated" with my sick leave) for 6 weeks. Then I went back to work part-time for 2 weeks and received partial SDI benefits. The SDI benefits are non-taxable so I actually wound up with more money than my usual amount because I was only taxed on that 45% difference between SDI and my usual wages.

This is just a quick summary about how CA SDI works. If anyone needs more information, let me know and I will try to answer your questions.

Diane


Diane,

Thank you for the response. Do you know if there is a cap on the amount they pay?Let me make sure I understand clearly. If someone was to earn 1000 weekly (gross) than they should expect 55% of that to be paid by SDI = to $550 or so. Then you are saying that 0 income tax is deducted? That allow the person to net almost the same amount.

My company does not participate in the "coordinated" plan. Also I heard that the max for SDI is 12 weeks then you are moved to long term if required.

Any answers to these would be great
 
I am currently on STD for 30 days, and then after that I get 1/2 pay 1/2 vacation pay. I would check with the work HR department on their rules and guidelines. I know at my office they were a big help before I went on leave.
 
The norm is short-term disability for 5-6 weeks after surgery. Your mother's sick leave should already have converted to short-term disability by now, at least, in my state.

Best wishes,
 
KMB said:
I am currently on STD for 30 days, and then after that I get 1/2 pay 1/2 vacation pay. I would check with the work HR department on their rules and guidelines. I know at my office they were a big help before I went on leave.


My work is useless and are the reason I am looking at this STD. I have and will take 3 weeks vacation starting on the surgical date, but that will be the end. They told me to look into the STD and provided me with paperwork to be filled out. Fact is I am not getting great vibes from them (Ie: welcoming me back) so I an thinking that an extended stay on STD maybe in order (of course if the Dr agrees. JUst want to know what cards to play if I HAVE TO .

THX
 
thank you everyone for your feedback. you've been very helpful. I assume that while you're on Short term disability (whether you're getting paid by the employer or the state of CA), you are still covered by your medical benefits, right?
 
More CA SDI Info - Lengthy but Important

More CA SDI Info - Lengthy but Important

Nigella,
If your mom lives and works in CA, she needs to apply for SDI asap. I think there is a time limit for filing a claim and she doesn't want to lose any potential benefits. The form is pretty straight-forward.....there is a portion that she has to fill out, then she needs to take it to her dr for him/her to fill out their part. You can download the form from the State of California Employment Development Department's web page. I believe it is even a fill-in form. Some drs do charge for filling out their portion of the form but most drs don't. Unless there was a medical necessity, she may not qualify for SDI benefits for the month that she was off pre-op. If your mother's employer allows her to accrue and retain so much sick leave, I am surprised that they are not a "coordinating employer". I actually thought that the state required the employers to coordinate benefits when they have sick leave programs that allow you to retain and build up your sick leave balance. Coordinating benefits is really as good of a deal for the employer as it is the employee. By coordinating benefits, the employer winds up saving money because they only have to pay out approx 45 % of the employee's wages.

As for the medical insurance, it depends on the employers plan. At my hospital, we are self-funded so we have a lot of leeway. We stay on the plan as long as we continue getting sick leave benefits so that our premium can be withheld from our paycheck. If you run out of sick leave, then you can make arrangements to pay your premium in HR or to have extra deductions on your check when you come back to work. Worst case scenario, you can always (and should if necessary) go on COBRA insurance.

Coryp,
If you work in CA, you are probably covered on SDI. Have you noticed the SDI tax deduction on your paycheck? Since your employer is actually in NY, the HR dept may not be familiar with the CA SDI program. If you have any sick leave time available, take it FIRST before your vacation time (per your company's policy of-course). Our company policy requires that the first 4 days have to come out of your PTO bank no matter what and then you can access your sick leave bank. If you have sick leave time, you may be able to save your vacation time. You should be able to file a claim for SDI benefits on the ninth day (calendar days, not work days) that you are off.

As to your questions:
There is a cap on the weekly amount that they pay out(someone that makes $1,000,000 does NOT get to collect 55 % of that!). I am not sure what the cap is but I know that they increased it quite a bit in 2003.

You did understand the benefit amount correctly.....if someone grosses $1,000/week, I think they can expect a weekly benefit of $550 - $575. The benefit amount is based on a look-back period of the previous 4 quarters of wages that were reported to the CA EDD by your employer. I think they are behind by one quarter on their look-back. That would make their current look-back period be Jan 2004 - December 2004. I went back and calculated my benefit from when I was off for my OHS.....I got 57 % of my gross salary.

Yes, the SDI benefits are non-taxable......they do not withhold any taxes and they do not issue you a 1099 at year-end. There are only a couple of reasons why they would reduce a benefit check: (1) You are working part-time. They will send you a calendar to fill out showing how many hours you worked each day and what your gross wages were for those days' work. They will then calculate a loss of wages and reduce your benefit for the time worked. (2) You were overpaid on a previous claim. This could have been a check from the current claim or one from several years ago if it was never paid back. They will then reduce your check to recoup the overpayment. You are right.....if a person grosses $1,000/week when they are working, they probably don't net much more than the $550 - $575 after taxes so they don't really notice that much difference.

I am pretty sure that SDI pays for 52 weeks. Being as part of my job is administering the sick leave coordination with SDI, I know that we have had employees on SDI for much longer than 12 weeks. One employee that I worked with a while back was actually on SDI for more than a year. She worked part-time for some of that time so she didn't always receive her full benefit check. I think they also calculate your maximum benefit (weekly benefit amount X 52 weeks). Becuase this employee didn't always receive full SDI checks, it took her longer than a year to max out her SDI benefit.

The person that told you that SDI only lasts 12 weeks may have been thinking about the Family Medical Leave Act (FMLA). This is a federal law so it doesn't matter what state you are in. You are entitled to 12 weeks of FMLA leave per year. During that time, the employer must save your position for you or be prepared to place you in a similar position that is equal in responsibilities and in pay upon your return to work. They must notify you that your situation qualifies you for FMLA and tell you of your rights and responsibilities under the FMLA law. The "bad vibes" you are receiving about welcoming you back could be a potential problem (for them!).......they cannot retailiate against you because you are off on FMLA leave. About the only way they can get rid of you while you are on FMLA is a "Reduction in Force" layoff or if you do something against company policy that they could fire you for. Either way, they better be able to prove their position because FMLA affords you some protections.

I know that this is long but I hope it has been informative and helpful. I probably have to explain SDI to one of our approx 800 employees on the average of once every couple of weeks.

Good Luck and let me know if you have any other questions.

Diane
 
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