Dear Mr. Pierre, Enclosed is a copy of your recent letter regarding my Short-Term Disability Claim. This document includes responses in the appropriate spaces to demonstrate compliance with the ADA interactive process. Physician and provider documentation is attached as requested. Please review this submission along with the enclosed medical documentation to proceed with your assessment of my claim. Thank you. Sincerely, Thomas Coates .

Your Short-Term Disability Claim is extended through 11/20/2024 and based on recent review completed on the claim file by an internal Nurse Clinician, the following is needed for ongoing claim review:

Obtain 9/17/24 Office Visit Note, along with specific Restrictions/Limitations from disabling provider.

Also, please provide answers to the following interview questions to upload to the claim file:

 What is your current Treatment plan?

With proper medication and implementation of this treatment plan, the patient is focused on (please see Physicians / providers notes and report)

 What current Symptoms are you having?

Mild chest discomfort, shortness of breath, moderate fatigue, and difficulty with focus periodically occur. (please see Physicians / providers notes and report)

 Do you have an expected return to work date currently?

Return anticipated within 24-48 hours of Cox’s confirmation or as per Cox’s policies. (please see Physicians / providers notes and report)

 What is currently disabling you from being able to perform the duties of your own occupation currently?

Challenges include moderate fatigue, chest discomfort, and difficulty maintaining sustained focus on tasks. (please see Physicians / providers notes and report)

Thanks in advance for providing the above information. Also, when it comes to any type of accommodations with your employer, they would have to receive a note from your health care provider with the actual restrictions and limitations because they must review it then decide on if they would be willing to accommodate you returning to work in any capacity. Attached to this email is the Attending Physician Statement form that must be completed by your health care provider for ongoing claim review. If you have any questions/concerns, please reach out via email or the number below.