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MATRIX/RELIANCE STANDARD LIFE INSURANCE COMPANY Reli liance is is - PowerPoint PPT Presentation

MATRIX/RELIANCE STANDARD LIFE INSURANCE COMPANY Reli liance is is the he new carrier fo for our Life fe and nd Opt ptional Life fe insu surance effective June 1, 2014, Long Te Term Disa sabili lity effectiv ive July ly 1, 2014


  1. MATRIX/RELIANCE STANDARD LIFE INSURANCE COMPANY Reli liance is is the he new carrier fo for our Life fe and nd Opt ptional Life fe insu surance effective • June 1, 2014, Long Te Term Disa sabili lity effectiv ive July ly 1, 2014 and Short Te Term Disa sability and nd Family ly and nd Medical al Leaves and nd Medical al Leaves of Ab Absence [LOA ] effectiv ive September 1, 2014 014 Ma Matrix Ab Absence Man anage agement is is a divisi sion of Reliance that at pr provides leave • mana nageme ment nt servic ices The he Mat atrix cl clai aim system is is ve very user frie riendly and and ha has great at functionality • Cl Claims are reported via ia teleph elephone, e-mail, l, fax or US US mai mail • Matrix will ll reach out to to medic dical provi viders within hours of receiving a clai aim • Ma Matrix mai aintai ains frequent communicat ation wi with em empl ployee ees, s, su super pervisors and nd • OH OHR regar garding leav ave dates and nd return rn to to wo work dates 2

  2. CURRENT PROCESS Employee not otifies supervis isor or of LOA • Supervisor alerts Bene nefits and nd HR HR Co Contac act • HR HR Co Contact completes on-line leav ave of absence notification • Ben enefits confirms eli ligibility, pr prepa epares paper forms and nd sen sends letter to • em emplo ployee askin king for medic dical documentation and and expected return rn to to wo work date Employee su submits medical al documentat ation to Benefit its and nd insuran ance • compan any Insuran ance compan any reviews medical al documentation approves/de denie ies leav ave • 3

  3. NEW MATRIX PROCESS Em Empl ployee ee notifies su supervi viso sor /H /HR Co Contact ct of th the need fo for a leave, th the leav ave • dates and nd the expe pected ed return to to wo work date Em Empl ployee ee co contact cts Matri rix (24 24/7) to initiate leav ave request at at th the ti time me of • ab absenc nce or up to to 30 day ays pri rior to plann anned ab absence at at matri rixEservices.co com or or 1-87 877-202-0055 Matri rix Cla laims Ex Exami miner co confirms eli ligibili lity, determ rmines leav ave bal alanc ances*: • Intake ke Packe ket sent nt to to Empl ployee eithe her by by e-mai ail or or US US mail ail Em Empl ployee ee re return rns release of inform rmation fo form to Matri rix via e-mail, l, fax or US US • mail ail Empl Em ployee ee maint aintai ains ns co contact ct with Matrix with th sta tatu tus update tes regarding • chang nge in in med medical condi dition and nd return-to-wo work statu tus * IMPORTANT NOTE: LEAVE BALANC NCES ARE RE DET ETER ERMINED ED FROM THE DATA FIL ILE TRA TRANSFER RECEIVED BY BY MATRIX IMME MMEDIATELY PR PRIOR TO THE LEAVE BE BEGIN DATE – IT IT IS IS THER EREF EFOR ORE VERY RY IM IMPORTANT THAT AT YO YOU REPORT RT YO YOUR TIM IME OF OFF IN IN A TIMELY LY MANNER 4

  4. WHAT DOES MATRIX DO DURING YOUR LEAVE OF ABSENCE? Co Cont ntacts me medical provider on day one ne an and (2 times es withi hin first st 10 10 days if needed) • Sends employee an an eligibil ibility letter not otification on fo for FMLA onl nly • Assist sts employee in obt btain inin ing me medical certificatio ion needed to to appr pprove th the requ ques est • Notif ifie ies employee an and NSU of ap approval al • Prov ovides employe yee wi with regu egular updates es about the he leave: employ oyee prov ovides • Matri rix wi with upd updates regar egarding change ges in th the leave statu tus Assist st employee wi with filin ing Long ng Term Disabil bility pa pape perwork if needed • Assist st employee wi with th the ret eturn to to wo work planni ning ng • Prov ovides regu gular updates es to NS NSU reg egarding the he status of of em employee’s e’s leave, • inc nclud uding ng a retur urni ning ng to wo work notice (Employe yees are sti till req equired ed to prov ovide a me medical release upo upon retur urni ning ng to to wo work) Send employee an and NSU a not otice that at th the cla laim is closed ed. • 5

  5. INTERMITTENT LEAVE OF ABSENCE In Intermittent leave is is the he use se of per periodic time (day ays or hours) to car are fo for an an employee’s own ser serious illn lness or that at of a covered fa family member. Th The use se of Intermittent leave must st be be medically lly necessar ary. For example, ple, thi his typ ype of leave may be be neede ded for an an employee req equiring weekl kly dialy lysis. Wh Whenever possib ible, time sho hould be be sc sche heduled led when hen it cau causes the he least disrupt ption to to the he department. 6

  6. INTERMITTENT LEAVE OF ABSENCE – EMPLOYEE RESPONSIBILITIES Em Empl ployee ee will ll cont ntac act Matri rix to di discu cuss th the need fo for Inte termitte tent leav ave: • follo llow th the sam ame proce cess used ed to to request a conti tinuous leav ave. Matri rix wi will ll colle llect the med medical certification fo for the Inter ermi mitt ttent leave request Em Empl ployee ee mu must co contact ct the heir su supervisor or or su supervi viso sor designee at at th the • sta tart of of the busi siness ss day when en using ng intermi mitt tten ent time me Em Empl ployee ee mu must co contact ct Matri rix (matri rixeservices.co com or 1-87 877-202 202- • 0055 0055) to to repo eport ev every block ck of of time me us used fo for the Inter ermi mitt tten ent absenc nce Em Empl ployee ee will ll re report th the use of Inte termitte tent ti time me in KRONO NOS or or on a • Leave and nd Absent ntee Repo eport Em Empl ployee ee maint aintai ains ns co contact ct wi with Matri rix with sta tatu tus upd pdates es regar ardin ing • chang anges in medical co condi dition, need fo for LO LOA, return-to-wo work sta tatu tus, and and at the concl clusion of of the Inter ermi mitt ttent LOA 7

  7. INTERMITTENT LEAVE APP FOR SMARTPHONES • Using an iPhone App: Go to www www.ma matr trixEs Eser ervices es.co com search for “eServices” in iTunes or the app store on your iPhone to download the free app • Using an Android App: Go to www www.matri rixEservices.co com, search for “Matrix eServices Mobile” in Android “play store” or Google play site from your Android phone to download the free app 8

  8. RESOURCES Pl Pleas ase vis isit it the benefit its website at at http://www.nova. a.edu/hr/benefit its/in index.html where f full l detail ails ar are a availab ailable to you 9

  9. RESOURCES Mat atrix mak makes it it easy asy to f fil ile a a clai aim 2 24 hours a a da day,7 da days a s a week. matri rixEservi vices.c .com om 1-87 877-202 02-005 0055 10

  10. Quest uestions 11

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