Overview
This is the term used for % of Pre-Disability Earnings?
Primary Benefit
First of Insurance Month coinciding with or next following the date of change
Effective Date
Entries into FCS must be entered in this form to be calculated correctly
Complete weeks
FCS or the Definition of Weekly Earnings in the policy will tell you how many years of these to request from the Employer
W2
Gross earnings is needed of the claimant has been employed less than this
1 calendar year
In the Policy, this is where you would find the members primary benefit amount & how their benefit is paid
Definition of Weekly Earnings
At claim level, under the general tab & benefit tab, you can locate this regarding how wages are paid
Definition of Earnings
Direct or Indirect Offset is selected under this drop down menu
Integration Type
This spot located on the W2 is typically used to calculate PDE
Box 5
These 2 dates are needed to calculate Gross Earnings
DOH & DLW
These are any amounts received by claimant that their benefits would be reduced by
Other Income Sources
This form of Earnings does not include Commission, Bonuses, or Overtime in calculations
Base Wage
Weekly/Monthly Payment Limit is this type of offset
Indirect
A member may have pretax medical/dental contributions withheld from their earnings under this
Sect 125
This email template is sent to the employer to request additional information about the claimants earnings
Info Needed-Earnings
The period of time in which benefits are payable
Benefit Payment Period
This is entered into FCS as the date of last pay increase from the employer
Effective From
This state's policies use "salary continuance" language only
New York
It is necessary to review this per the contract to determine which W2 is needed
Salary Effective Date
This is added as note into FCS for anything other than Base Wage
PDE Calculation Note
This is where you would find an Indirect offset in the claimant's Policy
Weekly Payment Limit
This is where the weekly calculation amount is entered into FCS
Earnings Amount
Listed as Other Income Sources, this is known as what offset
Direct
This is also calculated into PDE when using W2 & Sect 125
Periods of Unpaid Leave
If calculating Gross Earnings, you don't need to request the W2 or this from the employer
Sect 125