Leave of Absence Benefits - Disability and Worker's Compensation
Disability and Leave of Absence
Phone: 480-323-4540
Fax: 480-882-5802
Email: employeebenefits@shc.org
Worker's Compensation
Phone 480-323-4544
Fax: 480-882-5825
Email: workerscomp@shc.org
How to pay your Benefit Premiums while on Leave
Leave of Absence (LOA)
Information and forms for staff members who expect to be absent from work for more than 7 calendar days.
Notification of Rights and Responsibilities under FMLA
Describes your rights and legal responsibilities under the Family and Medical Leave Act.
Family Medical Leave Act (FMLA) Policy
Leave of Absence Military Policy
Family Medical Leave Act (FMLA)- FAQ's
Short Term Disability (STD)
Mutual of Omaha is responsible for administering all aspects of the Short Term Disability plan. They will determine eligibility, accept or deny claims, approve the timeframe of a disability and issue payments.
STD Summary Plan Description for Executives and Physicians
LOA - Disability Forms:
Long Term Disability (LTD)
LTD Summary Plan Description for Directors, Scholars, Fellows & Residents
LTD Benefit Summary for Directors, Scholars, Fellows & Residents
LTD Summary Plan Description for Executives, AVP's & Physicians
LTD Benefit Summary for Executives, AVP's & Physicians
LTD Summary Plan Description for All other Eligible Employees
LTD Benefit Summary for All Other Eligible Employees
LTD Forms can be obtained by contacting the Disability Department at 480-323-4547
Workers' Compensation (W/C)
Claims Administrator - Scottsdale Healthcare's claims administrator for workers' compensation claims is CCMSI. The claims administrator handles all aspects of claims administration which includes claim approval/denial, medial treatment authorization and payment for lost time and medical expense.
Claims Administrator Contact:
| CCMSI |
| P.O.Box 27920 |
| Scottsdale, AZ 85255 |
| Phone: 480-384-5918 |
Industrial Commission of Arizona - State agency that administer and enforces OSHA and Workers' Compensation laws.
Workers' Compensation Forms
Click here for Workers' Comp Forms







