Section E 207: LC 4800 DENIED (Revised 12/97)

1 Table of Contents 7. Section E 001: TYPES OF DISABILITY (Revised 02/23) .. 7. Section E 002: PROGRAM RESPONSIBILITIES (Revised 02/23) .. 7. Section E 003: CHANGE IN BENEFITS FOR CSU (Revised 04/99) .. 8. Section E : APPROVED INJURY OPTIONS (Revised 05/05) .. 9. Section E 004: PIP DOCUMENTATION (Revised 01/08).. 10. Section E 005: TIMING (Revised 09/22) .. 10. Section E 006: PIP EXCEPTIONS (Revised 12/21).. 11. Section E 007: FORM STD. 671 COMPLETION REQUIREMENTS (Revised 05/05) .. 12. Section E : DISABILITY PAY REQUEST VIA PIP (MISCELLANEOUS SCREEN) (Revised 07/17) .. 13. Section E 008: SPECIAL PROCESSING (Revised 07/17).

2 15. Section E 009: DISABILITY PAYMENTS/DEDUCTIONS (Revised 02/23) .. 19. NDI/CIVIL SERVICE .. 21. REFERENCES (Revised 09/02) .. 21. Section E 100: INTRODUCTION (Revised 04/99) .. 21. Section E 101: GENERAL NDI ELIGIBILITY (Revised 05/05) .. 21. Section E 102: ELIGIBILITY FOR BENEFITS (Revised 05/05) .. 22. Section E 103: CIVIL SERVICES NDI BENEFITS CHART (Revised 07/17).. 23. Section E 104: DOCUMENTATION (Revised 07/17).. 25. Section E 105: WORKING WHILE ON NDI (Revised 09/22).. 25. Section E 106: HOLIDAY ON NDI (Revised 07/17) .. 26. Section E 107: DEDUCTIONS (Revised 04/99).

3 26. Section E 108: NDI GROSS SALARY COMPUTATION (Revised 07/17) .. 27. Section E 109: NDI GROSS COMPUTATION (Revised 07/17).. 28. Section E 110: ANNUAL LEAVE NDI SUPPLEMENTATION COMPUTATION AND ACCRUAL OF. LEAVE CREDITS (Revised 07/03) .. 31. Section E 112: SPECIAL PROCESSING (Revised 09/21) .. 32. Section E 113: SUBMISSION OF FORM STD. 674D (Revised 04/99) .. 33. Section E 114: COMPLETION OF FORM STD. 674D (Revised 03/21) .. 34. LC 4800/LC 38. REFERENCE (Revised 02/23) .. 38. Section E 200: INTRODUCTION (Revised 02/23) .. 38. Section E 201: DOCUMENTATION (Revised 02/23).. 38.

4 Page | 2. Section E 202: DENIAL OF LC 4800/LC 4811 (Revised 02/23) .. 39. Section E 203: FORMS W-2C (Revised 02/23) .. 39. Section E 204: EPMC TREATMENT (Revised 02/23) .. 39. Section E 205: COMPLETION OF FORM STD. 674 ORIGINAL REQUEST (Revised 02/23) .. 40. Section E 206: COMPLETION OF FORM STD. 674 ADDITIONAL REQUEST (Revised 02/23) ..40. Section E 207: LC 4800/LC 4811 DENIED (Revised 02/23) .. 41. TEMPORARY DISABILITY/CIVIL SERVICE .. 42. REFERENCES (Revised 07/17) .. 42. Section E 300: INTRODUCTION (Revised 07/17) .. 42. Section E 301: SUPPLEMENTATION OPTIONS (Revised 09/22).

5 42. Section E 302: WAITING PERIOD (Revised 07/17) .. 44. Section E 303: DOCUMENTATION (Revised 07/17).. 44. Section E 304: CHANGE OF BENEFITS (Revised 04/99) .. 45. Section E 305: ATTENDANCE REPORTING FOR EMPLOYEE ON TD (Revised 04/99) .. 45. Section E 306: MANDATORY WITHHOLDING AMOUNTS (Revised 09/21) .. 45. Section E 307: MANDATORY/VOLUNTARY DEDUCTIONS (Revised 04/99) .. 46. Section E 308: ABATEMENTS (Revised 05/05) .. 47. Section E 309: SCIF CALCULATIONS (Revised 04/99) .. 48. Section E 310: SUPPLEMENTATION (Revised 05/05) .. 49. Section E 311: COMPLETION OF FORM STD. 674 (Revised 03/02).

6 50. Section E 312: SPECIAL PROCESSING (Revised 09/21) .. 53. IDL/Civil Service .. 56. REFERENCES (Revised 01/08) .. 56. Section E 400: INTRODUCTION (Revised 02/23) .. 56. Section E 401: WAITING PERIOD (Revised 07/17) .. 58. Section E 402: IDL RESTRICTIONS (Revised 07/17).. 59. Section E 403: IDL BENEFITS (Revised 07/17) .. 60. Section E 404: DOCUMENTATION (Revised 07/17).. 60. Section E 405: ATTENDANCE REPORTING FOR EMPLOYEES ON IDL (Revised 09/22) .. 61. Section E 406: WORKING WHILE ON IDL (Revised 04/99) .. 62. Section E 407: HOLIDAYS WHILE ON IDL (Revised 07/17).. 62. Section E 408: DEDUCTIONS (Revised 09/21).

7 62. Section E 409: COMPUTATION OF BENEFIT AMOUNT (Revised 07/17) .. 63. Section E 409: COMPUTATION OF BENEFIT AMOUNT [continued] (Revised 07/17) .. 65. Section E 410: CHANGE IN BENEFITS (Revised 04/99) .. 67. Page | 3. Section E 411: SPECIAL PROCESSING (Revised 07/17) .. 67. Section E 412: SUBMISSION OF FORM STD. 674D (Revised 07/17) .. 69. Section E 413: COMPLETION OF FORM STD. 674D (Revised 03/21) .. 70. IDL/ 73. REFERENCE (Revised 07/17) .. 73. Section E 425: INTRODUCTION (Revised 04/99) .. 73. Section E 426: ELIGIBILITY (Revised 07/17) .. 73. Section E 427: CATASTROPHIC LEAVE SUPPLEMENTATION (Revised 04/99).

8 74. Section E 428: DEDUCTIONS (Revised 04/99) .. 74. Section E 429: COMPUTATION OF SUPPLEMENTATION AMOUNT (Revised 04/99) .. 74. Section E 430: SUBMISSION OF FORM STD. 674D (Revised 04/99) .. 76. Section E 431: ATTENDANCE REPORTING (Revised 04/99) .. 76. IDL/S/Civil Service .. 77. REFERENCES (Revised 01/08) .. 77. Section E 450: INTRODUCTION (Revised 09/21) .. 77. Section E 451: LEAVE CREDITS (Revised 07/17) .. 77. Section E 452: DOCUMENTATION (Revised 04/99).. 78. Section E 453: DEDUCTIONS (Revised 01/19) .. 78. Section E 454: IDL/S CALCULATION SPECIAL INSTRUCTIONS (Revised 07/17).

9 79. Section E 455: SUBMISSION OF FORM STD. 674D (Revised 05/05) .. 80. Section E 456: COMPLETION OF FORM STD. 674D (Revised 07/17) .. 81. Section E 457: SPECIAL CONDITIONS/CALCULATOR EXCEPTION (Revised 07/17) .. 82. Section E 458: IDL/S COMPUTATION FORMULA (Revised 05/18).. 83. NDI/CSU .. 91. REFERENCES (Revised 04/99) .. 91. Section E 500: INTRODUCTION (Revised 04/99) .. 91. Section E 501: GENERAL NDI ELIGIBILITY (Revised 04/99) .. 91. Section E 502: ELIGIBILITY FOR BENEFITS (Revised 04/99) .. 92. Section E 503: NDI BENEFITS CHART (Revised 05/18).. 93. Section E 504: DOCUMENTATION (Revised 05/05).

10 94. Section E 505: WORKING WHILE ON NDI (Revised 04/99).. 94. Section E 506: HOLIDAY ON NDI (Revised 04/99) .. 95. Section E 507: DEDUCTIONS (Revised 04/99) .. 95. Section E 508: NDI GROSS SALARY COMPUTATION (Revised 03/02) .. 95. Section E 509: NDI GROSS COMPUTATION (Revised 03/02) .. 97. Page | 4. Section E 510: CATASTROPHIC LEAVE SUBSIDY (Revised 04/99) .. 99. Section E 511: SPECIAL PROCESSING (Revised 04/99) .. 101. Section E 512: SUBMISSION OF FORM STD. 674D (Revised 04/99) .. 102. Section E 513: COMPLETION OF FORM STD. 674D (Revised 03/21) .. 103. TEMPORARY DISABILITY/CSU.