Step 4: Review your leave packet from Sedgwick
When Sedgwick gets your request, they’ll open a case for you. You’ll get a letter and your initial leave packet (if approved) by mail or email, depending on your preference. This packet contains important information about your leave and some essential forms. The letter will let you know if you’re eligible for the leave you requested based on your hours and length of service.
If you have access to a printer, you can access and print out your initial packet on mySedgwick within two business days of making your request.
Step 5: Return your forms
Depending on your reasons for a leave, you’ll need to complete forms provided by Sedgwick:
- Medical Certification/Attending Physician Statement. If your leave is for medical reasons and you are not requesting short-term disability: take this form to your doctor to be completed and be sure it’s returned to Sedgwick within 20 calendar days. Sedgwick can also fax the form to your doctor if you provide them with the information. You should always follow up with your doctor to make sure the form has been completed and returned by the due date. If your leave is a result of emergency medical treatment, Sedgwick will accept information from the emergency room doctor showing the date you went to the ER, the patient treated (yourself or a family member), the medical reason, and the dates the doctor recommends you miss work and continuing treatment of care (meaning ongoing medical treatment).
IMPORTANT: Make sure this form is returned promptly. Allow at least 24 hours for your doctor’s office to return the form, then double-check mySedgwick to see if Sedgwick has received it.
- Release of Information. This form allows Sedgwick to contact your medical providers to coordinate your leave and get additional details or clarification, if needed.
To return your completed forms:
IMPORTANT: Sedgwick must receive your completed Medical Certification or Attending Physician Statement within 20 days, or your leave and short-term disability claim will be denied. If you are not able to submit the form in time, let Sedgwick know the date you'll be able to provide it. If you don’t get back to them, your leave will be denied.
What if my claim is denied?
Understand the reasons behind your leave claim being denied
If your request is denied, Sedgwick will call you to explain the reason and will follow up with a letter. The most common reasons for denials are:
- Not providing all your supporting documentation within 20 days.
- Not providing additional information requested by Sedgwick within 12 days.
- Not meeting the eligibility requirements (hours and/or length of time working for Walmart) for the type of leave you've requested.
Leave requests can also be denied when a medical issue is not considered a serious medical condition, you have exhausted your available leave benefits, or the request is outside Company policy guidelines. A Personal Leave may also be denied by your manager for business reasons.
Special Information for Associates Working in the following states
Talk to Sedgwick
If you have questions about why your leave was denied, talk to your Sedgwick Leave Specialist first. Then contact your facility manager to discuss your options and next steps, and whether you plan to return to work.
It’s important to keep in mind Sedgwick may approve your leave but deny your disability benefits claim. A disability claim and a leave of absence are set up to be handled at the same time. The medical information needed to support a leave of absence serves to establish you have a serious medical condition and cannot work; but the medical certification form used for a disability claim (called an Attending Physician Statement) requires additional medical information and must show you have a disabling condition, as defined by the short-term disability plan. Sedgwick will obtain additional medical documentation from your health care provider to determine if your medical condition meets the definition of disability. Additional medical documentation may include X-rays, laboratory reports, tests, consulting physician reports as well as tests and chart notes from your physician.
If you aren’t FMLA-eligible, you won't be eligible for an intermittent leave under the leave of absence policy. However, you can submit a request to the Accommodation Service Center for consideration of intermittent time away from work under the accommodation in employment policy. The Accommodation Service Center will review your request and determine your eligibility. Intermittent accommodation approvals are for your own health condition only. You can contact the Accommodation Service Center at 855-489-1600 Monday through Friday from 8am to 5pm CST.
Consider using the Open Door process or file an appeal for a denied leave
If you’re not satisfied with Sedgwick's response to your concerns, or if your request was denied by your facility manager, you can use the Open Door “Step-by-Step” process
If Sedgwick denies your short-term disability claim, you have the right to appeal the denial. This means, you can request Sedgwick take another look at your situation and submit additional information about your claim. For more information about appealing short-term disability claim denials, refer to the 2020 Associate Benefits Book.