Teamsters Local 492
Teamsters Local 492
 

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Off work due to Injury or illness
Jun 28, 2022

ABF/YRC/Yellow - Off Work Due to Injury or Illness 

If you are going to be out the entire month and/or longer, please fill out a Withdrawal Request Form by Clicking here

You may also qualify for Disability Benefits through the Western Teamsters Welfare Trust. Click Here to download the form.

If you have not already done so, I highly encourage you to also fill out FMLA paperwork through the Company to maximize your paid insurance benefits and protect your position at the company. 

If you go on withdrawal with the union, on your first day back to work, please remember to come back to this email and fill out a Return to Membership Form by Clicking Here

You can read more info on the need for these forms below.

Withdrawal Request Forms (Online Submission Form Here

In the event that you leave your current job for any reason (short/long term disability or absence, termination/resignation, or any other reason, you must contact the local union and request a withdrawal card in writing by filling out a “Withdrawal Form” so that you are no longer obligated to pay monthly dues. If a member does not fill out a withdrawal form after leaving their job, Membership is automatically suspended if the Union does not receive payment on or before close of business on the last business day of the 3rd month due. After that date, Members are subject to a re-initiation fee equal to seven times (7x) their dues rate, in addition to any back dues, in order to return to good standing. “Any member who has been automatically suspended for failure to pay dues and or other charges shall be under a continuing obligation to pay dues during the period of his suspension.”

Please remember to fill out a Return to Membership Form by Clicking Here on your first day back to work. Failure to do so could result in back dues being deducted and possible suspension of membership.   

WEEKLY INCOME / DISABILITY WAIVER APPLICATION

If you are unable to work due to an on- or off-the-job injury, you may be eligible for a disability waiver, which would allow you to maintain your benefits but not require you to pay a monthly COBRA health insurance premium for a period of six (6) months.

If you are disabled from your work and have submitted proof of the disability from your physician and employer, you may receive a waiver of contributions for up to six (6) months if you remain disabled from your work during that time. The waiver period will begin on the first of the month following the month your employer’s paid coverage ends. This waiver allows continuation of any of the following coverages you have under the Trust:

  • Medical/prescription
  • Vision
  • Dental

At the conclusion of the waiver period, you may elect COBRA and begin making COBRA self- payments, but your combined continuation coverage under the waiver period and COBRA may not exceed 18 months (29 months if you are disabled and qualify for the COBRA Disability extension).

ARTICLE 52. HEALTH AND WELFARE - WESTERN TEAMSTERS WELFARE TRUST H & W CONTRIBUTIONS

Section 5. Payments during Period of Absence

If an employee is injured on the job, the Employer shall continue to pay the required contributions until such employee returns to work; however, such contributions shall not be paid for a period of more than twelve (12) months beginning with the first (1st) month after contribution for active employment ceases and the WTWT waiver of premium period is exhausted (6 months). The Employer’s obligation for the continuance of remitting contributions under this provision is further subject to the provisions of Article 38 Section 3 of the NMFA (FMLA). No employee shall be forced to utilize FMLA.


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Teamsters Local 492
4269 Balloon Park Road NE
Albuquerque, New Mexico 87109
  505-344-1925

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