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(EICON) MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL B. DISABILITY PAYMENTS An employee can be eligible to receive disability payments if they are determined to be permanently disabled for all work. There are two (2) types of disability payments and corresponding eligibility criteria: 1. Non-work related - The employee must: a. Have a minimum of 120 creditable months of railroad service, or b. Be permanently disabled (expected to last at least 12 months or result in death). 2. Occupational related - The employee must: a. Have worked more for the railroad than any other occupation in the last five (5) years, or b. Have worked at least one half (1/2) of the months in the last 15 years (for any industry). V. SELF-INSURED WORKER’S COMPENSATION A. DISABILITY BENEFITS In general, most employed Nevada residents are covered by worker’s compensation. Employers are required to pay "premiums" to cover employees injured or disabled while at work or performing work-related or assigned duties. Even if employers do not pay the mandated premiums, employees may still receive State Industrial Insurance System (SIIS) benefits by filing suit or applying directly to the Department of Industrial Relations. 1. Eligibility - Eligibility for benefits is determined on a "no-fault" basis. This means that no matter how the injury or accident occurred, if the injury was within the scope of employment, benefits may be paid. (If the accident was self-inflicted or was caused due to the employee being under the influence of a controlled substance, benefits would not be available.) Injury and disability claims are reviewed and processed through medical evidence presented at the local Employers Insurance Company of Nevada (EICON) office. 2. Benefits - Once eligibility for benefits has been established, medical expenses related to the accident are covered. Payment will also be made while the employee is unable to return to work. Payments for "temporary total disability" are made until the injured employee is recovered and able to return to work (24 months maximum) OR reaches age 70, whichever occurs first. If disability is so great as to prevent the employee from ever returning to work, payments can continue until the employee's death. Payments may also be made as a "lump sum settlement." If a settlement is APPENDIX B POSSIBLE BENEFITS AVAILABLE TO CUSTOMERS Division of Social Services Medical Assistance Manual 19 Aug 25 MTL 12/25 DISABILITY PAYMENTS