Temporary Disability (TDI) FAQ When and how can I apply for temporary disability insurance (TDI) benefits? If you become ill or injured, and an examination by a Qualified Healthcare Provider (QHP) indicates that you cannot work for at least 7 consecutive days, your claim should be filed as soon as possible to avoid jeopardizing or delaying your first payment. Claims must be filed within 90 days of the 1st week out of work due to illness. File a claim securely online How do I report my return to work / recovered from illness date? There are several ways to report; Call (401) 462-8700 - no waiting required. Follow the instructions, enter the claim number and PIN, the first question will ask for your return to work or recuperation date. Or complete and mail the “Return to Work” form sent to you with your claims computation statement. Or simply mail TDI a letter/note with your information providing your return to work or recuperation date. Or contact TDI’s Customer Service Unit at (401) 462-8420 or email at [email protected] with your return to work information. What is my claim number / what is my PIN? Your claim number is your 9 digit Social Security Number (SSN) plus the 3 or 4 digits following it, which signify your benefit year ending date and record number. For security purposes, only the last 4 digits of your SSN plus the digits following it are included on forms we send to you. Your PIN number is on the Notice of Claim Received form that is sent to you when your application is received. What is a base period? Alternate base period? The base period is the period of time used to determine if you have sufficient wages to be eligible. The base period is the first 4 of the last 5 completed calendar quarters before the starting date of your new claim. The calendar quarters are: Jan 1-March 31; April 1-June 30; July 1-Sept 30; and Oct 1-Dec 31. Once a quarter's wages are used to establish a claim, they cannot be used again on a later claim. If you are not eligible using your base period earnings, we will recompute your claim using an alternate base period. The alternate base period is the last four completed calendar quarters before the starting date of your claim. While you must still meet the same earnings requirements, this allows some of your more recent wages to be used. When does my claim begin? Your new claim begins with the Sunday of the week in which you became unable to work. The Benefit Year is a 52-week period which begins on the Sunday of the week in which your unable-to- work date occurs. Claims that meet all other eligibility criteria, are provided benefit payments as of the first day of unemployment due to the illness/injury or due to caregiver/bonding. Any additional claims (refiles) you submit during this period will have the same benefit year. How much will I receive? Your weekly benefit rate will be equal to 4.62% of the wages paid to you in the highest quarter of your Base Period. Your weekly benefit rate remains the same throughout your benefit year. Claims with a Benefit Year Begin Date effective 7/1/21 or later, $978.00 is the maximum benefit rate and the minimum benefit rate is $107. This does not include dependency allowance. If you have dependent children less than 18 years of age, you may be entitled to a dependency allowance. Incapacitated children over 18 may also be counted toward the dependency allowance. The dependency allowance is limited to 5 dependents and is equal to the greater of $10 or 7% of your benefit rate. Your dependency allowance is determined at the start of your benefit year and remains the same for the entire period. How does TDI obtain my medical documentation? A medical certification form will be mailed to you when your application is entered into the TDI system. It is your responsibility to deliver the form to your treating Qualified Healthcare Provider (QHP). How long can I collect TDI? The duration of your claim is equal to 36% of your total base period wages divided by your weekly benefit rate (not including dependent's allowance. The most you are allowed to collect is an amount equal to 30 full weeks. These weeks can be claimed any time you are medically certified as functionally unable to perform your work duties during your benefit year and you are out of work for a minimum of 7 consecutive days. You should file for Social Security disability if your condition is expected to last at least a year. You don't have to wait until your TDI payments end to apply for Social Security disability. The application process can take up to 6 months so filing an application early is important. Social Security can start paying disability benefits after you have been disabled for 5 full months. Visit www.socialsecurity.gov for more information or contact Social Security at 1-800-772-1213 or call your local social security office. I'm pregnant, can I collect TDI? If your healthcare provider determines you are unable to work due to medical complications as a result of your pregnancy, it is recommended you file for TDI. Note: TDI is not for maternity leave; TDI provides benefit payments only when you are certified as functionally unable to perform your customary and regular work duties by your healthcare provider. I'm receiving TDI but have a new doctor - what do I need to do? It is no longer necessary for you to notify TDI when a new doctor begins treating you while you have an active TDI claim. When you receive your next medical certification form, clearly print the name and address of the new healthcare provider as instructed and take it to their office for completion. Can I appeal my TDI decision? You have the RIGHT TO APPEAL any decision with which you do not agree, by submitting a request in writing to the TDI Appeals Coordinator at PO Box 20100, Cranston, RI 02920-0941 or by FAX at (401) 462-8466. Your case will be assigned to a Referee (Hearing Officer) at the Board of Review who will schedule a hearing at which time you may state your argument in detail. You may bring witnesses or someone to represent you. You should bring any documents or other evidence that will support your claim. The Board is an impartial authority not under the direction of the Department of Labor and Training. Can I work part-time and collect TDI? If your healthcare provider tells you that you are able to return to work part time and your employer has work available for you, you may be eligible to collect partial TDI payments. Can I collect Workers' Comp and TDI at the same time? You cannot receive TDI or TCI for any period that you receive Workers' Compensation (WC). If you were injured on the job you must file a claim for WC. If you have filed for WC and the claim is being contested, you may be eligible for TDI pending settlement of the WC claim. If you later receive WC for any weeks that TDI has been paid, you must notify us immediately so that any adjustments can be made. Can I attend school while receiving TDI? Under most circumstances you cannot collect TDI if you are attending classes, engaged in clinical rotations, or student teaching etc. However, you may qualify if your work [in terms of specific disability] is materially different from your course of study. (For example, a manual laborer with a broken leg may be able to do classroom work but not his regular job.) Are TDI benefits taxable? TDI benefits paid to you are not subject to Federal or State income taxes. TDI withholdings from your earnings are deductible for Federal income tax reporting purposes. I've recovered but have no job - what can I do? File for unemployment insurance online or by telephone at (401) 415-6772. You should also visit a netWORKri Career Center. They can help you find work, enroll in training, and provide job counseling. Temporary Caregivers Insurance (TCI) FAQ What is the TCI program? How long can I collect TCI? Under the TCI program, an individual may receive up to a maximum of 4 weeks of benefits (which will reduce the max. weeks of TDI) during a Benefit Year Period: To care for a for a seriously ill child, parent, spouse, domestic partner, parent-in-law, or grandparent………or To Bond with a newborn child, adopted child or foster-care child (available during the first 12 months of parenting only) Monetary eligibility is determined the same as for TDI benefits. Caregiver Claims: the claimant is responsible to obtain the medical documentation necessary. Bonding Claims: the claimant is responsible to provide proof of child/parenting relationship. When and how can I apply for TCI? You must apply for TCI benefits during the first 30 days after the first day of leave is taken for reasons of Bonding or Caregiver. Refer to Rule 37-B(1) of the RI Department of Labor and Training Rules for the Unemployment Insurance and Temporary Disability Programs. If you are currently receiving TDI benefits, you must first be released from your doctor as “fully recuperated” prior to submitting your application for TCI for bonding or caregiving benefit payments. Can I get additional weeks of TCI? No, your claim is processed based on the number of weeks and dates requested on your initial application. If you have not reached the maximum allowance of 4 weeks (within the same claim year) you may file another claim as long as you are out of work for at least seven (7) consecutive days after the original claim ended. When recuperating from delivering my baby, can I apply for TCI? Yes, you can file a TCI claim while recuperating from delivery. Or, if you were collecting TDI while you were pregnant, you must file another claim if you are requesting benefits to bond with a newborn child. Are TCI benefits taxable? Yes, TCI benefits paid to you are subject to Federal and State income taxes. You will receive a General Form (G-1099) at the end of the year indicating the amount you received in benefits, which will also be reported to the IRS. Can I work part-time and collect TCI? No, the Partial Return to Work Program (PRTW) (28-41-5d) is not for Bonding and Caregiving claims. The PRTW Program exists to facilitate the transition for an individual to return to their normal working hours while continuing their recuperation; therefore, not pertinent to the TCI Program. More Questions Can I file for TDI/TCI ahead of time? NO. A TDI/TCI claim cannot be entered into the system until you are unemployed due to an illness/injury, caregiver/bonding. If you file a claim ahead of time, the claim will be sent back to you (paper application) or canceled (Internet application). What are my benefit options? Can I still get a check? NO. The Department no longer issues checks. Payments are made through Direct Deposit or Electronic Payment Cards. What are the earnings requirements for TDI and TCI? To be eligible for TDI/TCI benefits, you must have earned wages in Rhode Island and paid into the TDI/TCI fund. For claims filed effective 10/1/20 or later, you must have been paid at least $13,800 in the Base Period for the claim. If you did not earn this amount, you MAY be eligible if you meet ALL of the following conditions: You earned at least $2,300 in one of your base period quarters Your total base period taxable wages are at least one and one-half times your highest quarter of earnings Your base period taxable wages equal at least $4,600 When will my benefits be deposited? Benefits are usually deposited within 48 hours of approval by the Department. Approval is based on monetary eligibility and medical certification from your Healthcare Provider. Always check your balance before using the EPC card. Conduct balance inquiries easily and free of charge online at www.key2benefits.com OR call KeyBank Customer Service at 1-866-295-2955 OR check your account balance at Allpoint, BankRI and KeyBank ATMs for no fee. Why is my TDI/TCI payment less than the full benefit amount? If you become unable to work, return to work, or recuperate in the middle of a week, you may be paid a lag payment. The lag payment would be 1/5 of your benefit rate for each workday you normally work. May I get paid by my employer or receive benefits from a private short term disability insurance policy and still collect TDI or TCI? If you continue to be paid a salary, sick or vacation pay, or receive benefits from an additional disability insurance policy, while you are totally unable to work due to illness or non-work related injury, caregiver or bonding, you are allowed to receive TDI and TCI. However, you must not be performing any services for the company. If you are recuperating and transitioning into your regular work schedule but working reduced hours and in “Partial Return to Work” claim status, all earnings such as salary, sick, short-term disability payments, vacation, bonus, commission etc. must be considered.