MMC Benefits Handbook
Serious Health Condition
An employee may be considered to have a serious health condition including pregnancy, mental health and substance abuse, if he/she satisfies all of the following conditions:
  • he/she is under the regular care of a licensed health care provider who is qualified to treat his/her serious health condition,
  • he/she is not engaged in any other occupation or employment, and
  • he/she is unable to continuously perform the substantial and material duties of his/her present occupation due to his/her serious health condition, as determined by the Claims Administrator.
A serious health condition is "work-related" if it is:
  • proximately caused by the actual performance of the employee's work assignment, or
  • arises out of or in the course of an employee's employment.