Attachment 3 - Claim_Detail.xlsx
XLSX spreadsheet 42 KB Posted
- Attached to
- Disabilitly STD/LTD Program Federal contract opportunity
- Solicitation number
- 2031JW20Q00067
About this file
This document contains details on an existing disability benefits program and a related federal contract solicitation. The disability benefits program provided short-term and long-term disability insurance to employees of the Office of the Comptroller of the Currency and Office of Financial Research from 2015 to 2019. The program details include claim statuses, benefit amounts, offsets from other income sources, and cumulative paid amounts for over 100 individual claims.
The related federal contract solicitation seeks an experienced contractor to administer the Office of the Comptroller of the Currency's integrated short-term and long-term disability insurance program. The contractor will underwrite and manage the program from claim filing through vocational rehabilitation and return to work efforts. The solicitation aims to enhance employees' experience with an integrated disability management approach across STD and LTD benefits.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 2031JW20Q00067 Disability RFQ.pdf | ||
| OCC DISABILITY QUESTIONS AND ANSWERS RESPONSES.pdf | ||
| Attachment9_Claims Data_2015.07.01 through 2020.05.31.xlsx | XLSX spreadsheet | |
| Attachment 4 - LTD_Certificate.pdf | ||
| Attachment 5 - STD_Certificate.pdf | ||
| Attachment 6 - STD_LTD_Prem_History.xlsx | XLSX spreadsheet | |
| Attachment 8 - Census.xlsx | XLSX spreadsheet | |
| Attachment 2 - TechnicalQuestionnaire.docx | DOCX document | |
| Attachment 1 - Non-Disclosure Agreement.doc | DOC document | |
| Attachment 7 - VPAT.docx | DOCX document | |
| 2031JW20Q00067 RFQ.pdf |
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Text version
LTD
| Report: | LTD Detail Report | ||||||||||||||||||||||||||||
| Customer: | Office of the Comptroller of the Currency | ||||||||||||||||||||||||||||
| Report Duration: | 7/1/2015 to 8/31/2019 | ||||||||||||||||||||||||||||
| Data as of: | 8/31/19 | ||||||||||||||||||||||||||||
| Total Benefit Paid to Date = $408,769 | Reserve = $888,642 | ||||||||||||||||||||||||||||
| * Reflects cumulative amounts for offset | |||||||||||||||||||||||||||||
| Coverage Type | EE Structure Type 1 Code | Claim Status | Gender | Claimant Age - Years | Offset 1 Amount* | Offset 1 Description | Offset 2 Amount* | Offset 2 Description | Offset 3 Amount* | Offset 3 Description | Offset 4 Amount* | Offset 4 Description | Offset 5 Amount* | Offset 5 Description | Offset 6 Amount* | Offset 6 Description | Offset 7 Amount* | Offset 7 Description | Offset 8 Amount* | Offset 8 Description | Offset 9 Amount* | Offset 9 Description | Date of Disability | Benefit Start Date | Claim End Date | Monthly Gross Benefit | Regular Monthly Benefit | Total Benefit Paid to Date | Reserve |
| Long Term Disability | OCC | Declined | M | 62 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3/2/18 | 5/31/2018 | 3/2/2018 | $ 6,404 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 62 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 11/10/17 | 2/8/2018 | 10/31/2018 | $ 10,497 | $ - 0 | $ 36,390 | $ - 0 | |||||||||
| Long Term Disability | OCC | Active | F | 37 | $0 | $0 | $ 2,100 | Accident & Sickness | $0 | $0 | $ 2,000 | Federal Tax | $0 | $0 | $0 | 1/7/19 | 4/7/2019 | 4/6/2021 | $ 7,879 | $ 7,879 | $ 29,415 | $ 267,479 | |||||||
| Long Term Disability | OCC | Closed | M | 55 | $0 | $0 | $0 | $0 | $0 | $ 11,150 | Federal Tax | $ 23,273 | Government Pension/ Retirement | $0 | 1/22/18 | 4/22/2018 | 5/30/2019 | $ 6,884 | $ - 0 | $ 52,041 | $ - 0 | ||||||||
| Long Term Disability | OCC | Closed | F | 64 | $ 20,669 | Social Security Disability | $0 | $ 738 | Accident & Sickness | $0 | $0 | $0 | $0 | $0 | $0 | 1/5/16 | 4/4/2016 | 2/3/2018 | $ 3,163 | $ - 0 | $ 39,611 | $ - 0 | |||||||
| Long Term Disability | OCC | Closed | F | 56 | $0 | $ 1,124 | Salary Continuance | $0 | $0 | $0 | $ 5,821 | Federal Tax | $0 | $0 | $0 | 12/14/16 | 3/14/2017 | 9/17/2017 | $ 4,048 | $ - 0 | $ 23,704 | $ - 0 | |||||||
| Long Term Disability | OCC | Waiting | F | 61 | $0 | $0 | $ 12,532 | Accident & Sickness | $ 13,721 | Rehabilitation Employment | $0 | $0 | $0 | $ 942 | Minimum Monthly | $0 | 11/1/18 | 1/30/2019 | 6/30/2019 | $ 9,418 | $ 9,418 | $ 21,464 | $ 221,853 | ||||||
| Long Term Disability | OCC | Closed | M | 40 | $0 | $0 | $ 892 | Accident & Sickness | $0 | $0 | $0 | $0 | $0 | $0 | 3/28/16 | 6/26/2016 | 11/27/2016 | $ 3,827 | $ - 0 | $ 18,497 | $ - 0 | ||||||||
| Long Term Disability | OCC | Closed | F | 38 | $0 | $0 | $ 2,790 | Accident & Sickness | $0 | $ 1,552 | Vacation Pay | $0 | $0 | $0 | $0 | 1/17/18 | 4/17/2018 | 1/1/2019 | $ 5,979 | $ - 0 | $ 46,678 | $ - 0 | |||||||
| Long Term Disability | OCC | Declined | F | 66 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4/13/18 | 7/12/2018 | 4/13/2018 | $ 2,706 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Active | F | 62 | $ 14,241 | Social Security Disability | $0 | $ 6,993 | Accident & Sickness | $0 | $0 | $ 14,000 | Federal Tax | $0 | $ 699 | Minimum Monthly | $0 | 9/6/18 | 12/5/2018 | 12/4/2020 | $ 6,993 | $ 4,671 | $ 42,401 | $ 275,589 | |||||
| Long Term Disability | OCC | Closed | F | 35 | $0 | $ 1,061 | Salary Continuance | $ 1,650 | Accident & Sickness | $0 | $0 | $0 | $0 | $ 106 | Minimum Monthly | $0 | 3/14/18 | 6/12/2018 | 3/15/2019 | $ 3,537 | $ - 0 | $ 18,990 | $ - 0 | ||||||
| Long Term Disability | OCC | Closed | F | 56 | $0 | $0 | $ 1,395 | Accident & Sickness | $0 | $0 | $0 | $0 | $0 | $0 | 12/11/15 | 3/10/2016 | 4/3/2016 | $ 3,806 | $ - 0 | $ 2,411 | $ - 0 | ||||||||
| Long Term Disability | OCC | Closed | F | 64 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 10/7/16 | 1/5/2017 | 4/19/2017 | $ 8,079 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Declined | F | 64 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 9/6/17 | 12/5/2017 | 9/6/2017 | $ 3,734 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Active | F | 51 | $ 33,138 | Social Security Disability | $0 | $ 911 | Accident & Sickness | $0 | $0 | $0 | $0 | $ 38 | Minimum Monthly | $0 | 9/30/17 | 12/29/2017 | 12/28/2019 | $ 3,906 | $ 1,539 | $ 36,807 | $ 65,085 | ||||||
| Long Term Disability | OCC | Closed | M | 59 | $0 | $0 | $ 1,362 | Accident & Sickness | $ 1,644 | Rehabilitation Employment | $0 | $0 | $0 | $0 | $ 798 | Rehabilitation Incentive | 2/20/17 | 5/21/2017 | 10/15/2017 | $ 5,842 | $ - 0 | $ 26,027 | $ - 0 | ||||||
| Long Term Disability | OCC | Closed | F | 31 | $0 | $0 | $ 791 | Accident & Sickness | $0 | $0 | $0 | $0 | $0 | $0 | 7/18/18 | 10/16/2018 | 11/9/2018 | $ 3,395 | $ - 0 | $ 2,037 | $ - 0 | ||||||||
| Long Term Disability | OCC | Declined | F | 36 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 11/2/18 | 1/31/2019 | 11/2/2018 | $ 2,484 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Active | M | 40 | $0 | $0 | $ 747 | Accident & Sickness | $0 | $0 | $0 | $0 | $ 21 | Minimum Monthly | $0 | 1/29/19 | 4/29/2019 | 4/28/2021 | $ 3,202 | $ 3,202 | $ 12,296 | $ 58,637 | |||||||
| Long Term Disability | OCC | Declined | M | 59 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3/29/17 | 6/27/2017 | 3/29/2017 | $ 10,416 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Declined | M | 46 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 7/21/18 | 10/19/2018 | 7/21/2018 | $ 7,452 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Total | $ 408,769 | $ 888,642 |
STD
| Report: | STD Detail Report | ||||||||||||||||
| Customer: | Office of the Comptroller of the Currency | ||||||||||||||||
| Report Duration: | 7/1/2015 to 8/31/2019 | ||||||||||||||||
| Data as of: | 8/31/19 | ||||||||||||||||
| Base Benefit Total = $111,883 | Cumulative Gross Benefit Total = $528,107 | ||||||||||||||||
| * Reflects cumulative amounts for offset | |||||||||||||||||
| Coverage Type | EE Type 1 Structure Code | Claim Status | Gender | Claimant Age - Years | Offset 1 Amount * | Offset 1 Description | Offset 2 Amount * | Offset 2 Description | Offset 3 Amount * | Offset 3 Description | Offset 4 Amount * | Offset 4 Description | Disability Date | Benefit Start Date | Claim End Date | Base Benefit | Cumulative Gross Benefit |
| Short Term Disability | OCC | Closed | F | 32 | $ 5,904 | Salary Continuance | 8/21/15 | 8/28/2015 | 10/9/2015 | $1,323.00 | $2,223.00 | ||||||
| Short Term Disability | OCC | Denied | F | 32 | 8/21/15 | 8/28/2015 | 8/21/2015 | $1,323.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Denied | M | 57 | 8/7/15 | 8/28/2015 | 8/7/2015 | $1,650.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 58 | 8/31/15 | 9/7/2015 | 9/27/2015 | $1,983.00 | $5,949.00 | ||||||||
| Short Term Disability | OCC | Closed | M | 47 | 9/11/15 | 9/18/2015 | 10/18/2015 | $1,084.00 | $4,801.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | 11/2/15 | 12/2/2015 | 12/28/2015 | $1,248.00 | $4,813.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 30 | 9/14/15 | 9/21/2015 | 10/18/2015 | $674.00 | $2,600.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 31 | $ 2,083 | Salary Continuance | 12/10/15 | 12/17/2015 | 1/20/2016 | $1,326.00 | $4,546.00 | ||||||
| Short Term Disability | OCC | Closed | F | 24 | 12/22/15 | 12/29/2015 | 2/14/2016 | $738.00 | $2,928.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | 12/14/15 | 12/21/2015 | 2/20/2016 | $989.00 | $7,630.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | 12/23/15 | 12/30/2015 | 2/21/2016 | $1,523.00 | $11,749.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 49 | $ 1,853 | Salary Continuance | 12/31/15 | 1/7/2016 | 2/25/2016 | $1,497.00 | $8,839.00 | ||||||
| Short Term Disability | OCC | Closed | F | 60 | $ 3,841 | Salary Continuance | 1/5/16 | 1/12/2016 | 4/10/2016 | $730.00 | $5,627.00 | ||||||
| Short Term Disability | OCC | Closed | F | 32 | $ 2,637 | Salary Continuance | 2/8/16 | 2/15/2016 | 3/29/2016 | $543.00 | $776.00 | ||||||
| Short Term Disability | OCC | Closed | F | 55 | 2/17/16 | 2/24/2016 | 4/30/2016 | $2,234.00 | $21,383.00 | ||||||||
| Short Term Disability | OCC | Denied | F | 30 | 2/16/16 | 2/23/2016 | 2/21/2016 | $693.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | M | 36 | 3/28/16 | 4/4/2016 | 7/2/2016 | $883.00 | $11,353.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 63 | 6/29/16 | 7/6/2016 | 8/14/2016 | $775.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 33 | $ 6,161 | Salary Continuance | 4/12/16 | 4/27/2016 | 7/10/2016 | $707.00 | $1,414.00 | ||||||
| Short Term Disability | OCC | Closed | M | 48 | 8/1/16 | 8/8/2016 | 8/14/2016 | $1,701.00 | $1,701.00 | ||||||||
| Short Term Disability | OCC | Denied | F | 52 | 7/25/16 | 8/1/2016 | 7/25/2016 | $0.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | $ 829 | Salary Continuance | 9/26/16 | 10/3/2016 | 11/20/2016 | $1,106.00 | $6,912.00 | ||||||
| Short Term Disability | OCC | Closed | F | 31 | 10/11/16 | 10/18/2016 | 12/1/2016 | $1,173.00 | $7,540.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 57 | $ 1,237 | Salary Continuance | $ 21 | Minimum Weekly | 10/20/16 | 10/27/2016 | 1/11/2017 | $1,181.00 | $11,775.00 | ||||
| Short Term Disability | OCC | Closed | M | 28 | $ 6,613 | Salary Continuance | $ 146 | Minimum Weekly | 10/12/16 | 10/19/2016 | 12/19/2016 | $1,111.00 | $3,373.00 | ||||
| Short Term Disability | OCC | Denied | F | 32 | 1/3/17 | 1/10/2017 | 1/3/2017 | $730.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | M | 56 | $ 1,348 | Salary Continuance | $ 25 | Minimum Weekly | 2/20/17 | 2/27/2017 | 5/27/2017 | $1,348.00 | $16,008.00 | ||||
| Short Term Disability | OCC | Closed | F | 28 | 3/14/17 | 3/21/2017 | 5/17/2017 | $783.00 | $6,488.00 | ||||||||
| Short Term Disability | OCC | Denied | F | 61 | 10/8/16 | 10/15/2016 | 10/8/2016 | $1,864.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 56 | 6/5/17 | 6/12/2017 | 7/9/2017 | $1,605.00 | $6,420.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | $ 1,663 | Salary Continuance | $ 25 | Minimum Weekly | 5/29/17 | 6/5/2017 | 7/23/2017 | $1,663.00 | $10,003.00 | ||||
| Short Term Disability | OCC | Closed | F | 27 | $ 673 | Salary Continuance | 7/10/17 | 7/17/2017 | 8/28/2017 | $673.00 | $3,301.00 | ||||||
| Short Term Disability | OCC | Closed | F | 35 | 8/5/17 | 8/12/2017 | 10/1/2017 | $1,627.00 | $11,854.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 30 | $ 2,326 | Salary Continuance | $ 50 | Minimum Weekly | 8/12/17 | 8/19/2017 | 10/14/2017 | $997.00 | $5,843.00 | ||||
| Short Term Disability | OCC | Closed | F | 56 | $ 2,209 | Salary Continuance | $ 32 | Minimum Weekly | 8/17/17 | 8/24/2017 | 10/29/2017 | $1,406.00 | $11,280.00 | ||||
| Short Term Disability | OCC | Closed | F | 26 | 8/23/17 | 8/30/2017 | 10/11/2017 | $760.00 | $4,669.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | $ 320 | Salary Continuance | $ 14 | Minimum Weekly | $ 307 | Extended Sick Pay | 9/12/17 | 9/19/2017 | 10/1/2017 | $561.00 | $1,042.00 | ||
| Short Term Disability | OCC | Closed | F | 61 | 9/6/17 | 9/13/2017 | 12/10/2017 | $862.00 | $10,344.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 40 | $ 9,398 | Salary Continuance | $ 160 | Minimum Weekly | $ 3,361 | Extended Sick Pay | 10/13/17 | 10/20/2017 | 12/17/2017 | $1,462.00 | $6,446.00 | ||
| Short Term Disability | OCC | Closed | F | 65 | $ 1,673 | Salary Continuance | $ 46 | Minimum Weekly | 9/5/17 | 9/12/2017 | 9/24/2017 | $901.00 | $46.00 | ||||
| Short Term Disability | OCC | Closed | F | 36 | $ 991 | Salary Continuance | $ 28 | Minimum Weekly | 10/30/17 | 11/29/2017 | 12/11/2017 | $694.00 | $326.00 | ||||
| Short Term Disability | OCC | Denied | F | 51 | $ 5,532 | Salary Continuance | $ 57 | Minimum Weekly | 11/29/17 | 12/6/2017 | 11/29/2017 | $1,733.00 | $0.00 | ||||
| Short Term Disability | OCC | Closed | F | 32 | $ 5,532 | Salary Continuance | $ 57 | Minimum Weekly | 12/2/17 | 12/9/2017 | 1/12/2018 | $2,278.00 | $5,915.00 | ||||
| Short Term Disability | OCC | Closed | F | 49 | $ 10,383 | Salary Continuance | $ 282 | Minimum Weekly | 9/30/17 | 10/7/2017 | 1/4/2018 | $901.00 | $1,483.00 | ||||
| Short Term Disability | OCC | Closed | F | 31 | $ 5,010 | Salary Continuance | $ 3,024 | Extended Sick Pay | 1/6/18 | 1/13/2018 | 2/16/2018 | $1,002.00 | $3,149.00 | ||||
| Short Term Disability | OCC | Closed | F | 36 | $ 2,907 | Salary Continuance | 1/17/18 | 1/31/2018 | 4/30/2018 | $1,380.00 | $14,697.00 | ||||||
| Short Term Disability | OCC | Closed | F | 33 | $ 3,817 | Salary Continuance | $ 46 | Minimum Weekly | $ 286 | Extended Sick Pay | 1/16/18 | 2/6/2018 | 3/13/2018 | $1,743.00 | $8,964.00 | ||
| Short Term Disability | OCC | Closed | F | 35 | 2/6/18 | 2/18/2018 | 4/3/2018 | $737.00 | $4,738.00 | ||||||||
| Short Term Disability | OCC | Closed | M | 57 | 2/28/18 | 3/7/2018 | 3/18/2018 | $1,378.00 | $2,362.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | 3/15/18 | 3/22/2018 | 4/29/2018 | $846.00 | $4,713.00 | ||||||||
| Short Term Disability | OCC | Denied | F | 38 | 3/15/18 | 4/4/2018 | 3/18/2018 | $571.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 33 | 3/9/18 | 3/31/2018 | 4/19/2018 | $1,477.00 | $4,220.00 | ||||||||
| Short Term Disability | OCC | Denied | M | 40 | 2/16/18 | 3/18/2018 | 2/16/2018 | $1,913.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 38 | $ 10,261 | Salary Continuance | $ 110 | Minimum Weekly | 3/30/18 | 4/6/2018 | 5/24/2018 | $2,082.00 | $4,424.00 | ||||
| Short Term Disability | OCC | Denied | M | 40 | 2/16/18 | 3/18/2018 | 2/16/2018 | $1,913.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 64 | $ 10,608 | Salary Continuance | 4/16/18 | 6/5/2018 | 8/21/2018 | $624.00 | $6,953.00 | ||||||
| Short Term Disability | OCC | Closed | M | 56 | 3/29/17 | 4/5/2017 | 7/3/2017 | $2,404.00 | $9,959.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 49 | $ 499 | Salary Continuance | 6/14/18 | 6/21/2018 | 7/30/2018 | $1,499.00 | $8,066.00 | ||||||
| Short Term Disability | OCC | Closed | F | 61 | 9/6/18 | 1/5/2019 | 1/3/2019 | $1,614.00 | $20,752.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 62 | $ 879 | Salary Continuance | $ 25 | Minimum Weekly | $ 854 | Extended Sick Pay | 10/6/18 | 10/13/2018 | 1/10/2019 | $879.00 | $11,301.00 | ||
| Short Term Disability | OCC | Closed | F | 31 | 9/6/18 | 10/6/2018 | 10/31/2018 | $794.00 | $2,609.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 60 | $ 2,168 | Rehabilitation Employment | 11/1/18 | 11/8/2018 | 4/5/2019 | $2,169.00 | $22,309.00 | ||||||
| Short Term Disability | OCC | Closed | F | 41 | $ 4,769 | Salary Continuance | $ 92 | Minimum Weekly | 11/9/18 | 12/9/2018 | 1/3/2019 | $1,284.00 | $93.00 | ||||
| Short Term Disability | OCC | Closed | F | 25 | 12/11/18 | 12/18/2018 | 1/29/2019 | $606.00 | $3,723.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 30 | $ 1,853 | Salary Continuance | 2/25/19 | 3/27/2019 | 4/7/2019 | $1,084.00 | $1,858.00 | ||||||
| Short Term Disability | OCC | Closed | F | 34 | 4/5/19 | 4/12/2019 | 5/29/2019 | $1,428.00 | $9,792.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 35 | 1/7/19 | 1/15/2019 | 4/14/2019 | $1,818.00 | $23,374.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 35 | 5/11/19 | 5/18/2019 | 6/22/2019 | $705.00 | $3,625.00 | ||||||||
| Short Term Disability | OCC | Closed | M | 38 | $ 584 | Salary Continuance | 1/29/19 | 2/5/2019 | 5/5/2019 | $739.00 | $5,221.00 | ||||||
| Short Term Disability | OCC | Closed | F | 34 | $ 5,810 | Salary Continuance | $ 125 | Minimum Weekly | $ 2,318 | 5/6/19 | 5/13/2019 | 6/30/2019 | $1,162.00 | $4,767.00 | |||
| Short Term Disability | OCC | Closed | F | 29 | $ 281 | Salary Continuance | 6/10/19 | 6/17/2019 | 7/30/2019 | $739.00 | $3,097.00 | ||||||
| Short Term Disability | OCC | Closed | F | 60 | 7/24/17 | 7/31/2017 | 10/28/2017 | $1,117.00 | $12,604.00 | ||||||||
| Short Term Disability | OCC | Denied | F | 61 | 1/9/18 | 1/16/2018 | 1/9/2018 | $1,117.00 | $0.00 | ||||||||
| Short Term Disability | OCC | Open | F | 53 | 6/29/19 | 7/6/2019 | 10/3/2019 | $1,543.00 | $18,957.00 | ||||||||
| Short Term Disability | OCC | Closed | F | 32 | 7/4/19 | 7/11/2019 | 8/27/2019 | $1,037.00 | $7,111.00 | ||||||||
| Short Term Disability | OCC | Open | F | 34 | 7/25/19 | 8/1/2019 | 9/4/2019 | $2,452.00 | $8,757.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 30 | $ 2,002 | Salary Continuance | 8/1/15 | 8/8/2015 | 9/21/2015 | $1,557.00 | $8,971.00 | ||||||
| Short Term Disability | OFR | Closed | F | 33 | $ 3,522 | Salary Continuance | 8/29/15 | 9/5/2015 | 10/9/2015 | $1,785.00 | $5,403.00 | ||||||
| Short Term Disability | OFR | Closed | F | 52 | 12/15/15 | 12/22/2015 | 3/20/2016 | $878.00 | $11,289.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 26 | $ 2,873 | Salary Continuance | $ 100 | Minimum Weekly | 6/27/16 | 7/4/2016 | 8/7/2016 | $714.00 | $797.00 | ||||
| Short Term Disability | OFR | Closed | F | 40 | 2/25/17 | 3/4/2017 | 3/19/2017 | $2,092.00 | $4,782.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 32 | 5/1/17 | 5/31/2017 | 6/14/2017 | $798.00 | $1,710.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 47 | 8/25/17 | 9/1/2017 | 10/24/2017 | $743.00 | $5,731.00 | ||||||||
| Short Term Disability | OFR | Denied | F | 51 | 7/21/17 | 7/28/2017 | 9/15/2017 | $1,511.00 | $0.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 39 | $ 5,762 | Salary Continuance | $ 85 | Minimum Weekly | $ 1,176 | Extended Sick Pay | 1/4/18 | 1/11/2018 | 2/14/2018 | $1,391.00 | $3,249.00 | ||
| Short Term Disability | OFR | Denied | M | 53 | 1/17/18 | 1/31/2018 | 1/24/2018 | $1,846.00 | $0.00 | ||||||||
| Short Term Disability | OFR | Denied | F | 39 | 12/26/17 | 1/2/2018 | 12/26/2017 | $868.00 | $0.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 33 | 3/14/18 | 3/21/2018 | 6/27/2018 | $816.00 | $10,492.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 29 | 7/18/18 | 7/25/2018 | 10/22/2018 | $783.00 | $8,277.00 | ||||||||
| Short Term Disability | OFR | Denied | M | 44 | 7/28/18 | 8/27/2018 | 7/28/2018 | $1,846.00 | $0.00 | ||||||||
| Short Term Disability | OFR | Closed | F | 35 | 11/2/18 | 11/9/2018 | 1/24/2019 | $573.00 | $5,811.00 | ||||||||
| Short Term Disability | OFR | Denied | F | 30 | 1/22/19 | 1/29/2019 | 7/18/2018 | $783.00 | $0.00 |
Total $111,883.00 $528,107.00
File details come from the government source that posted it. Updated .