Otherwise Known As
Absence management services offered to support plan sponsors that have LTD benefits with Sun Life but self-insured STD benefits
What is Salary Continuance?
Where we find the contractual provisions of "What is not covered" in Chess F
What is Screen 3 "Limitations and Exclusions" section?
Adjudicator of non-complex claims
What is a DA?
The only pend decision that goes to the NCQR
What is a Pend for Pre-Ex?
Period of time in which a PM is receiving active treatment for an injury, illness, or is recovering from surgery and not yet stable
What is the Acute Recovery period?
A policy in which financial liability falls on Sun Life
What is Type 0?
The two systems needed to create letters
What is Chess and the DLW?
The team that manages Long Duration files
What is the payment team?
A designation your manager can give you after you have demonstrated you can make good referrals without error/review
What is SRP?
A layer of security to use when sending the PM an email with their approval letter attached
What is certified mail?
Appropriate treatment, out of country, prison confinement, WCB
What are examples of Exclusions & Limitations?
Information needed to find the right contract or plan ID
What is Policy #, DOD and PM Class?
A method used by a DCM during an FTI when they say "What I heard you say is..."
What is Summarization?
A milestone review completed before 24-months after LTD FPD
What is Change of Definition?
Where we find our Decision, Communication and Case Management Principles
What is the Pinwheel of Confusion?
An annual increase in LTD benefits designed to help people's replacement income keep pace with inflation
What is COLA?
What we use when the onus to pay for medical information is on Sun Life?
What is Opifiny?
A medical doctor consulted to answer questions and provide an opinion on a physical diagnosis, R&Ls or the severity of a physical condition
What is a Medical Consultant?
The standard contract's STD proof of claim time limit, administratively
What is 60 days?
An employee with a DOD of December 2, 2025 RTW on January 5, 2025 but went off work again on January 9, 2025 due to the same Dx
What is a recurrent claim?
The updated initial claim APS
What is the Initial Disability Insurance Medical Statement?
Where to book a desk in the office
What is Manhattan?
A researcher, an investigator, a counsellor, a trouble-shooter, an organizer, a motivational speaker, a multi-tasker, a fortune teller, an advocate, a planner, a peace officer, a judge ...
What is a DCM?
A mandatory section of your Solar "Plan" that appears ONLY in the current, active stage
What is the Contingency Plan?
Chess F Death Term Code if LTD benefits are payable to the end of the month in which the PM dies
What is EM?