STD

SHORT TERM DISABILITY

Bucks County and Erie County Employees only

1) Benefit Waiting Period:

Erie County - 15 Days Accident / 15 Days Sickness

Bucks County - 15 Days Accident / 15 Days Sickness

2) Maximum Benefit Period

180 Days

3) Maximum Benefit

$500 Weekly for Bucks County Employees

$400 Weekly for Erie County Employees

LONG TERM DISABILITY

Bucks County and Erie County Employees only

For more information, please contact the Health and Welfare Fund office at (717) 526-4856 or 1-888-243-1524 or by email hwfund@msn.com.

Click the link on the left, to view the document.

For more information, please contact the Health and Welfare Fund office at (717) 526-4856 or 1-888-243-1524 or by email hwfund@msn.com.

If your claim is a maternity claim, please contact our office by phone or email, to see how to add your child to your benefits or click here for the enrollment form and instructions.

Click on the links below to access the files that will be needed in our office to proceed with your claim. Please be sure to sign your name where applicable and then mail the originals to the Health and Welfare Fund office. If you neglect to sign the forms, they will be returned to you for your signature.

Initial Claimant Form

Disclosure Statement

Attending Physician Statement

Employer's Statement

Return to Work Form

Subrogation Form