S.A.F.E

                                                                                                                 Safe Fund Application

 

Elevator Constructors Sick and Accident Fund

PO Box 320370

West Roxbury, MA 02132-0007

E-mail: ECSAF4@yahoo.com

Phone: (617) 875-1624

 

To: The membership of The sick and Accident Fund

From: The Sick and Accident Fund Committee

         The sick and accident fund (SAF) has been set up to provide a weekly payment if you become sick or disabled and are unable to work.  

 

Benefits at a glance:

-          Membership fee is one hundred dollars ($ 100.00)

-          Membership coverage is from February to February each year.

-          Maximum length of payment is six (6) weeks.

-          Injury or sickness Not covered by workmen’s comp.  300/wk.

-          Injury or sickness covered by workmen’s comp.         150/wk

-          Waiting periods:  Injuries - 0 days

                                    Sickness- 2 weeks

-          Memberships which are paid after February 1 of each year have a 30 day waiting period before 

The membership will take effect.

Example:

                 You pay for your membership on September 1, 2008.

                 Your membership will take effect on October 1, 2008.                                                       

                                And on February 1, 2009 you will be responsible for a renewal fee for 2009-2010.

Benefits end when:

-          You return to work.

-          The six week time period has elapsed.

-          You die. 

What’s not covered:

-          Intentional self – inflicted injuries

-          Suicides

-          Cosmetic surgeries

-          Injuries that occurred prior to the date of your sign up.

-          Surgeries for Above Injuries

 

What to do in you become sick or injured:

 

-          Contact SAF at (617) 875-1624 to request a claim form.

-          Fill out claim form and mail to :  Elevator constructors sick and accident fund

                                                            PO Box 320370

                                                            West Roxbury, MA 01232-0007

-          Once your claim is received and reviewed by the SAF committee you will begin     

       To receive benefits.

 

If any questions arise feel free to contact us at the above number.

 

Sincerely,

 

Sick and Accident Fund Committee