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Subject: Short Term Disability (STD) Reference #: s.�o Scope: Regular PT/FT City Staff on PTO Program Authorizing Authority: Effective Date: �iiio6 Revision Dates: Page 1 of 6 PURPOSE: The purpose of this policy is to provide written guidelines of the eligibility, benefit, and administration of the City of Roseville's Short Term Disability (STD) policy. POLICY: The City of Roseville provides regular full-time and part-time benefit accruing employees who participate in the Paid Time Off (PTO) Program, as supplement to the program, a short-term disability benefit plan. No enrollment forms need to be completed. Employees are automatically enrolled once they are eligible. This benefit is provided through a self-funded City account and there is no cost to the employee. If, due to a disability, an employee is absent from work for more than 14 consecutive work days the City will continue the employee's salary at 80 % from the 15th calendar day through the 63rd calendar day (based on an eight hour work day, pro-rated for part time) of your absence. The employee must provide documentation from a physician, approved by the City, certifying that the employee cannot return to work in some capacity the City finds acceptable. The City Manager or designee is responsible for administration and program guidelines for STD. The City reserves the right to modify or terminate the program in its discretion. ELIGIBILITY: In order to qualify for the STD program, employees must be participating in the PTO program and must have successfully passed the probationary period. The employee must also be a regular benefit accruing and actively at work member of the staff on the effective date of coverage in order to qualify for coverage at that time. Short term disability is available only for an employee's non- work related disability. It may not be used to care for ill or injured family members. DEFINITION OF A DISABILITY: A disability is defined as a physician certified non-work related injury (an accidental bodily injury) or illness (a physical or mental illness) including pregnancy that precludes the employee from performing the duties of their job description in some capacity the City finds acceptable. A determination that an employee is able to work a modified schedule (i.e., part-time) would NOT disqualify him/her from receiving benefits. � �