SHORT TERM DISABILITY PROCEDURE

FOR BARGAINED EMPLOYEES

Effective June 1, 2023

APPROVED TIME OFF FROM SCHEDULED WORK FOR A MEDICAL REASON IS TO BE TAKEN FOR ITS INTENDED
PURPOSE ONLY. ABUSE OF MEDICAL LEAVE MAY RESULT IN DISCIPLINE UP TO AND INCLUDING DISCHARGE.

EMPLOYEE'S RESPONSIBILITIES
DAY 1 Call work location AT LEAST 1 HOUR PRIOR to your report time to report your off-duty illness or injury.

Call work location AT LEAST 1 HOUR PRIOR to your report time and Third Party Administrator
DAY 2 (Sedgwick) at (844) CTA-7038 to report your off-duty illness or injury.

On Day 3 you must be under the care of a licensed physician. Call work location each day of absence
DAY 3 - 7 unless instructed otherwise by your manager. If returning to work with a full-duty release, provide
release form from your physician to your manager and Sedgwick.

Call work location each day of absence unless instructed otherwise by your manager. As soon as
DAY 8 possible; but, no later than Day 21, submit sufficient medical documentation, including an Attending
Physician Statement completed by your medical provider, to Sedgwick. Provide additional medical
OR MORE documentation as requested. If you are approved for a period of STD absence and your illness
or injury continues after that date, you must submit subsequent medical documentation to
(calendar days) Sedgwick within the time limits described below. If returning to work with a full-duty release, report
to your manager to begin the return to work process with CTA’s Medical Services Provider,
Concentra Occupational Health Clinic. You may go to any Concentra Occupational Health Clinic.
There are s e v e r a l locations in the Chicago area. To find the nearest Concentra Occupational Health
Clinic location, go to www.concentra.com or call (312) 243-1574. Take the Non-Injury Status Report
received from Concentra Occupational Health Clinic to your work location and notify Sedgwick.

T im e Lim its for Cla im s

Failure to call your work location and/or S e d g w i c k in the time frames indicated above may result in discipline. Failure to submit
sufficient medical documentation within specified time periods will result in the claim being denied.
• All short term disability claims not called in to Sedgwick within seven (7) calendar days of the first date of absence will be
denied.
• Sufficient medical documentation to support initial absence from work must be received by S e d g w i c k within twenty-one
(21) ca lendar days of the initial first day of absence.
• You must submit subsequent medical documentation to continue an approved claim for a longer period than initially approved by
Sedgwick within fifteen (15) calendar days of (1) the end of the time period initially approved by Sedgwick or (2) the date
when the approval was entered by Sedgwick into its system, whichever is later.

Unforeseeable Review Proces s

If you cannot follow the above required call-in procedures for an unforeseeable reason, you must follow the above procedures as soon
as practicable. An unforeseeable reason must be approved by CTA Leave Management. You are required to cooperate with CTA’s
investigation, including providing any necessary documentation, to confirm (1) the reason was unforeseeable and (2) you followed the
required procedures as soon as was practicable under the circumstances presented.
CTA’s determination that your failure to follow call-in procedures was not unforeseeable or that you did not follow the required
procedures as soon as was practicable may result in discipline up to and including discharge.

Cla im Appeal Proce ss

To appeal a denial of an STD claim for failure to meet the deadlines as outlined above and in AP 1010 you must:
1 Notify S e d g w i c k by telephone, (844) C T A -7038, within fifteen (15) calendar days from the date of a STD denial letter that
you want to appeal the denial; and
2 Submit a written appeal to Sedgwick, via e m a i l , f a x o r mail, within thirty (30) calendar days from the date of the claim denial
letter, attaching all documentation supporting the appeal. Failure to submit the written appeal within thirty (30) calendar days from
the date of the claim denial letter will result in the appeal being closed and the claim remaining denied. The appeal must demonstrate
that, despite your diligent, good faith efforts, it was not possible under the particular circumstances for you to notify S e d g w i c k
and/or obtain medical documentation and send it to Sedgwick within the required time frames.
You are encouraged to keep documentation related to the STD claim and any correspondence with Sedgwick related to the claim, such
as fax confirmations, to facilitate an appeal. You will be notified by mail or email of the appeal decision.

For further information please refer to AP 1010 Non-Work Related Injury or

Illness for Bargained Employees.
23sw009 Short Term Disability