Reso 2001-399 - Laserfiche WebLink

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REASONABLE ACCOMMODATION BENEFIT If an Insured Employee of the Employer is Disabled, and is receiving Policy benefits; then the Employer may be ~ligible for a Reasonable Accommodation Benefit. This Benefit reimburses the Employer for 50% of the expense incurred for reasonable accommodation services for the Insured Employee; but will not exceed: 1. a maximum benefit of $5.000 for anyone Insured Employee; or 2. the Company's expected liability for the Insured Employee's Long Term Disability claim (whichever is less). Such services may include: 1, providing the Insured Employee a more accessible parking space or entrance; 2. removing barriers or hazards to the Insured Employee from the worksite; 3, special seating, furniture or equipment for the Insured Employee's work station; 4, providing special training materials or translation services during the Insured Employee's training; and 5. other services the Company deems reasonably necessary to help the Insured Employee return to work with the Employer. ELIGIBILITY FOR BENEFIT, The Company will determine the Employer's eligibility to receive the Benefit. To qualify for the Benefit, the Employer must have an Insured Employee: (a) whose Disability prevents the performance of his or her regular occupation at the Employer's worksite; (b) who has the physical and mental abilities needed to perform his or her own or another occupation at the Employer's worksite; but only with the help of the proposed accommodation; and (c) who is reasonably expected to return to work with the help of the proposed accommodation, The Company must also find that the requested Reasonable Accommodation Benefit is less than the expected liability for the Insured Employee's Long Term Disability claim. WRITTEN PROPOSAL. The reasonable accommodation services must be provided in accord with a written proposal. which is developed with input from: 1. the Employer; 2. the Insured Employee; and 3. his or her Physician. when appropriate, The proposal must state the purpose of the proposed accommodation; and the times, dates and costs of the services. CONDITIONS. Either the Company. the Employer, the Insured Employee, or his or her Physician may first propose an accommodation, The proposal must be approved by the Company in writing. The Company will then reimburse the Employer, upon receipt of proof that the Employer: 1 . has provided the services for the Insured Employee; and 2. has paid the provider for the services. 301-L TD-17.3