Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 4427 The purpose of the voluntary Sick Leave Bank (SLB) is to provide sick leave hours to eligible SLB members after they have been out of work for at least thirty (30) consecutive calendar days and have exhausted all of their accrued sick and annual leave due to a personal serious illness or injury that leaves the member completely incapacitated and unable to work. n  SLB MEMBERSHIP REQUIREMENTS ARE AS FOLLOWS: •  All active permanent full-time and part-time employees may enroll in the SLB upon their employment or during the Open Enrollment period without regard to preexisting conditions. •  An employee may continue or cancel participation in the SLB during the Open Enrollment period by selecting the appropriate election through the online benefit enrollment system. •  To join the SLB, you must start with a donation to the Sick Leave Bank of eight hours of your own accumulated sick leave (or a proportional number of hours for part-time employees). •  To continue enrollment, a donation of four hours of your accumulated sick leave is required each year. These hours are deducted in the beginning of the plan year. If the sick leave balance is insufficient, annual leave may be contributed. •  If you don’t have enough accumulated leave (sick/annual) at time donation is pulled, you will not be a member of the SLB for that Plan Year. n  HOW DO I ENROLL IN OR CONTINUE MEMBERSHIP IN THE SICK LEAVE BANK? •  Make your selection in One-Source, the new Benefits Self Service site. n   TO APPLY FOR SICK LEAVE BANK (SLB) BENEFITS, THE FOLLOWING CONDITIONS MUST BE MET: •  You are a current SLB member who contributed hours to the SLB during the most recent contribution period. •  You have been seriously ill or injured (non-work related), incapacitated and unable to work for 30 or more consecutive calendar days. The first thirty (30) consecutive calendar days of illness or non-work related injury shall not be covered by the SLB, but must be covered by the employee’s own accumulated leave balances (sick and annual). During these thirty (30) days, the employee must be completely incapacitated from performing work duties, as documented by the employee’s treating physician. •  You have exhausted all of your accumulated sick and annual leave. •  You have obtained a physician’s statement that clearly defines and specifically describes the serious illness or injury and provides an estimated length of time and reason for the related disability. Also required is a claim form required by our Third Party Administrator (TPA), Cigna, which needs to be completed by both you and your physician. n  IMPORTANT REMINDERS: •  SLB leave is only granted to employees who have been seriously ill or injured and unable to work for 30 or more consecutive calendar days and is not granted to care for a family member who has been seriously ill or injured. •  The first 30 days of absence are not covered under the Sick Leave Bank. •  Participants may not use SLB leave until they have used all accumulated annual and sick leave. Sick leave hours earned during the period a participant is using SLB hours shall be used each pay period before SLB hours are used. •  To prevent a leave without pay situation, please allow 3 weeks for the processing of your SLB Request Form. •  SLB leave may be granted to part-time employees on the same pro-rated basis they used for their donations. •  The approval process begins with the medical documentation being evaluated by our TPA, CIGNA. If the claim is approved by Cigna, the request for hours will be forwarded to the Sick Leave Bank Board for review. If the request is approved through both Cigna and the Sick Leave Bank Board, notification will be sent to both the member and their supervisor. Sick Leave Bank Program