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


Click link below to read document:
2589 Interstate Drive
Harrisburg, PA  17110-9602
Phone: 717-526-4856
Fax: 717-651-9529
LONG TERM DISABILITY
Bucks County and Erie County Employees only

Contact the Health and Welfare Fund office to request a short term disability claim 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.
Hartford_LTD_booklet.pdf
Hartford_LTD_booklet.pdf
Bucks.County.STD.Booklet.pdf
Bucks.County.STD.Booklet.pdf
Erie.County.STD.Booklet.pdf
Erie.County.STD.Booklet.pdf
Contact the Health and Welfare Fund office to request a short term disability claim 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 add your child to your benefits. A census card will be mailed to you.

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