General Information

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Short-Term Disability

• General Information
• Application Process

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Short-Term Disability
Employees may wish to apply for Short-Term
Disability benefits under the Disability Income
Plan of NC if they are disabled to the extent
that they can not perform their regular job
duties.

• Must have at least one year of contributing
  membership service in the Retirement System
  earned within 36 calendar months preceding the
  disability.
• Must be found disabled for the further
  performance of their usual occupation.
• Must have been continuous and incurred at the
  time of active employment.

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60-Day Waiting Period

• During the 60 day waiting period the employee
  MUST exhaust Sick Leave. This includes all
  Voluntary Shared Leave Donations.
• Once their sick leave has been exhausted they may
  choose to exhaust Vacation and/or Bonus Vacation
  or they may choose to go on Leave without Pay
  (LWOP).
• Once all leave is exhausted they MUST be placed
  on LWOP.
• Note The employee may continue to exhaust leave
  during the benefit period (after the 61st day).

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General Information

• Monthly Short-Term Disability benefit equals 50
  of 1/12th of your annual base rate of
  compensation plus 50 of 1/12th of your annual
  longevity payment (if applicable).
• Short-Term Disability payments begin either on
  the 61st day, or the day following the LWOP date,
  which ever is later.
• Disability checks are mailed the day before
  payday directly to employees home.
• Person in receipt of disability benefits while on
  approved leave without pay may continue their
  State Health Insurance at the same rate charge
  while actively employed provided the person has
  at least (5) years of contributing membership
  from the Retirement System.

Pay Information
Insurance Information
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General Information

• While in receipt of benefits from the Disability
  Income Plan, a person is not permitted to receive
  a refund of accumulated contributions from the
  Retirement System.
• Not permitted to commence retirement benefits
  during receipt of benefits from the Plan.
• Earnings are permitted during the Short-Term
  disability period up to the amount of the
  Short-Term benefits without a reduction in the
  benefit.
• If the earnings exceed the amount of Short-Term
  benefit, the payment will be reduced on a
  dollar-for-dollar basis by the amount the
  earnings exceed the Short-Term benefit.

Rules Regulations
Earnings
(Note You must have approval for secondary
employment).
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General Information

• The employee and the work unit MUST notify DOC
  Personnel for instructions PRIOR to any return to
  work after application, approval, or receipt of
  Short-Term Disability benefits.
• It is the policy of DOC to consider requests for
  provide reasonable work accommodations to
  qualified individuals with disabilities, pursuant
  to ADA. If the treating physician RELEASES the
  employee to return to work with restrictions
  the employee wishes to comply with the
  departments ADA policy, contact DOC Personnel.

Return to Work
Americans w/ Disabilities Act
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Submit the Disability Application Package as Soon
As Possible...
Since there is a 60-day waiting period, it is
important to submit the disability application as
soon as possible. This would allow the employee
to exhaust personal leave /or seek Voluntary
Shared Leave donations during the 60-day wait to
help avoid a lapse in salary and benefits.
NOTE DOC will NOT assume any responsibility for
payment of fees for furnishing the required
information to make application of benefits.
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Short-Term Disability Package
Let's review how to complete the forms...
Complete Short-Term Disability Package
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Form DIP-1
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Side 2
Form DIP-1
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Form DIP-3
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Side 2
Form DIP-3
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Form RET-7A

• PLEASE NOTE
• Form does NOT have to be
• typed if handwriting is
• legible.

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Form RET-7A
Side 2
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Supporting Medical Documentation -Required
Information
Your doctor must provide current medical
documentation to support your disability. This
may include

• Office Notes
• Hospital Admission Discharge Summaries (if
  applicable)
• X-Ray / Diagnostic Test Results
• Treatment Rendered and Prognosis

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Information Needed from the Work Unit...

• DC-113 Time Reports
• Must show last day worked.
• Must project exhaustion of Vacation/Bonus
  Vacation and Sick Leave.
• Copy of the employees Essential Job Functions.

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Mailing in Your Short-Term Disability Application
Packet

• Before mailing in your disability application
  packet, be sure to review the Short-Term
  Disability Checklist.
• Make sure to submit the original copy of
• Form DIP-1
• Form DIP-3
• Form Ret-7A
• Supporting Medical
  Documentation
• The Completed Application
  should be mailed to

Department of Correction Personnel Office Attn
Cindy Davis / Darlene Yost 214 West Jones
Street MSC 4203 Raleigh, NC 27699-4203
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Retirement

• General Information
• Application Process

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R E Q U I R E M E N T S
E L I G I B I L I T Y
Full Service Retirement Age 65 and 5 Years of
Creditable Service Age 60 and 25 Years of
Creditable Service 30 Years of Creditable Service
Early Retirement Age 50 and 20 Years of
Creditable Service Age 60 and 5 Years of
Creditable Service
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Retirement Package
How to Complete the Forms?
Complete Retirement Package
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FORM 6
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Form RET-HM
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Form RET-170
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Mailing in Your Retirement Application Packet

• Make sure to submit the original copy of
• Form 6
• Form RET-HM
• Form RET-170
• DC-113s, Time Reports
• The Completed Application
  should be mailed to

Department of Correction Personnel Office Attn
Cindy Davis / Darlene Yost 214 West Jones
Street MSC 4203 Raleigh, NC 27699-4203
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Employee DeathsWork Unit Responsibilities

• Contact DOC Personnel Immediately with the
  Following Information
• Name of Employee
• Social Security Number
• Date of Death
• Obtain a Certified Copy of the Death Certificate
  and Forward it to our office upon Receipt.
• Notify DOC Payroll [phone]
• Complete a 154S and Forward to the Separations
  Section of DOC Personnel

DOC Personnel will Notify the Retirement System