Search
Who is covered under Injury in the Line of Duty?
All teachers, guidance counselors, secretaries, social workers, school psychologists, career and technical teachers (CTEs), and lab specialists are covered by ILOD. Paras are covered for up to one year in cases of assault; otherwise they should apply...
Do I have to go to the DOE Medical Division if I am the victim of a line of duty injury?
That depends on how badly you are injured. If you anticipate being out of work for 10 days or less, your superintendent can approve your request for ILOD (Injury in the Line Of Duty) status upon receipt of your documentation. An ILOD claim cannot be...
I didn’t fill out an accident report on the day that I was injured on the job. Is it too late to file a claim for Injury in the Line of Duty?
You must report the accident or incident to the principal or designee before the close of business on the day of the injury but no later than 24 hours after the incident. If you can’t report an injury the chapter leader or designee can do it for you...
What forms do I need to file for injury in the line of duty?
For a thorough description of the steps to take and forms to complete, visit the Injury in the Line of Duty section of the UFT website. As of the 2023 DOE-UFT contract, the OP200 form is no longer required. The following forms are available from your...
I am a GHI subscriber and I need some medical equipment (known as durable medical equipment). Can I file for reimbursement with the UFT Welfare Fund?
First, submit your claim to GHI for reimbursement. If GHI reimburses you minus the $100 deductible, in-service members can then submit a completed Welfare Fund GHI DME deductible reimbursement form , along with the GHI explanation of benefits to the...
I just purchased a prescription appliance and HIP rejected the claim. Can I submit this claim to the UFT Welfare Fund?
Yes, the Welfare Fund will reimburse for certain covered appliances for in-service members that meet our medical advisor’s and HIP guidelines. The benefit pays 80 percent of reasonable and customary charges after a $25 annual deductible per person.
Is there a cap on the Welfare Fund reimbursement for prescription appliances for HIP subscribers?
Yes, this benefit is capped at $1,500 a year and $3,000 for a lifetime.
I had surgery and now I am being billed for the anesthesia because HIP rejected the claim. Can I file with the Fund for payment?
Yes, the Welfare Fund pays 80 percent of reasonable and customary charges when the benefit is not covered by HIP PRIME for in-service members. To file for payment, you need to complete a Welfare Fund anesthesia claim form and attach an itemized paid...
My spouse and I participate in a Medicare Part D drug plan. If either or both of us hit the catastrophic portion of this coverage, can we submit a claim for reimbursement to the UFT Welfare Fund?
Yes, you and your spouse are both eligible for reimbursement of your catastrophic co-payments under your Medicare Part D coverage. Each of you individually has to reach the annual catastrophic limit; your totals cannot be combined. Claims must be...