TDI AND
WORKERS' COMPENSATION (WC)
- TDI and
WC cannot be received for the same weeks
- WC claim
must be filed if the illness/injury occurred on the job
- If WC
claim is contested, a TDI claim can be filed.
- TDI reimbursed
if WC then paid for weeks TDI has been paid
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TDI AND
UNEMPLOYMENT INSURANCE (UI)
- TDI and
UI cannot be received for the same weeks.
- UI reimbursed
if UI was paid for weeks TDI should have been paid.
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SALARY,
SICK AND VACATION PAY
- Employee
can be paid salary, sick and vacation pay while in receipt of TDI; unless if it's to establish a waiting period week, which all wages earned must be counted.
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CLAIMS
MANAGEMENT SYSTEM
- Monitors
claims exceeding medical duration guidelines (MDG)
- Registered
Nurses contact Qualified Healthcare Providers and customers when duration
exceeds MDG
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FRAUD
AND MISREPRESENTATION PREVENTION
- Internal
TDI program determines concurrent working and collecting benefits.
- Communication
with WC Court, insurers and UI to prevent overlap of benefits.
- Fraud
Unit investigations and prosecutions if warranted.
- Law allows
for the impartial medical examination of TDI beneficiaries.
- Claims
referred to Medical Consultant for review and recommendation, as needed
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ELIGIBILITY
- Taxable
Wage Base - $61,400; Tax Rate - 1.2% employee wage deduction.
- No waiting
period as of 7/1/12, but must be unemployed due to illness/injury for at least 7 days.
- Monetary
Eligibility - $9,300 base period wages; or $1,550 in one base period
quarter + total base period wages of minimum 1.5 times the highest quarter
earnings + $3,100 minimum total base period earnings.
- Nonmonetary
Eligibility - Worked for RI covered employer and have medically certified
disability.
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