BENEFITS AT A GLANCE
Employees can select a benefit equal to e 60% of pre-disability earnings. The maximum Long-term disability benefit payable is $5,000 per month. There is a 90 days elimination period. For an elimination period of 90 days, Voya will consider your disability to be continuous if your disability stops during the elimination period for 14 days or less. The benefit is payable to age 65 or normal social security retirement age as long as the employee continues to meet the definition of disability.
EXCLUSIONS OR LIMITATIONS
Benefits are not paid to a disabled employee who is not under the care of a licensed physician, or whose disability is the result of a self-inflicted injury, or an act or hazard of declared or undeclared war. Disabilities caused by pre-existing conditions are not covered, unless (1) the insured is treatment free for 6 consecutive months on or after the effective date of coverage, or (2) the disability begins more than 12 months after the effective date of coverage.
Pre-existing Condition: Any condition, including pregnancy, for which medical advice, care, diagnosis or treatment was recommended or received, or for which prescription drugs were taken, within 6 months before coverage begins.
Mental Illness, Alcoholism or Drug Abuse benefit: A maximum of 24 months will be payable for disability, if you are not hospitalized.
MAXIMUM BENEFIT PERIOD:
|Age at Disability||Benefit Period||Age at Disability||Benefit Period|
|less than 60||to age 65||65||24 months|
|60||60 months||66||21 months|
|61||48 months||67||18 months|
|62||42 months||68||15 months|
|63||36 months||69 and Over||12 months|
CERTIFICATE OF COVERAGE
Premium Adjustments: Monthly premium costs are based on the employees’ monthly salary and age as of January 1st of each year. Payroll deduction adjustments due to salary changes or age changes are made on the Anniversary Date (December deductions) for January 1 each year
|Age||Rate per $100|
|Under age 40||$0.18|
|40 thru 49||$0.43|
|50 thru 59||$0.53|
|60 and Over||$0.63|
OTHER PLAN DETAILS:
Definition of Disabled Employee: One who, because of an illness or injury, is unable to perform all the material duties of his/her regular occupation; and who, after receiving monthly benefits for 24 months, is unable to perform all the material duties of any occupation for which he/she may reasonably become qualified based on education, training or experience. An employee engaged in any occupation for pay or profit is not considered to be disabled.
Integration of Benefits: The benefit amount is reduced by other income payable for that same disability (Sick Bank, Sick Leave, Workers Compensation, other group disability insurance and employer or government retirement benefits, including Social Security and State Merit disability benefits). However, the minimum monthly benefit is $100.
Retro Disability Benefit: Pays a lump sum amount equal to the employee’s gross monthly benefit times the number of months in the elimination period if Total Disability requires continuous Hospital Confinement for at least 14 consecutive days at the onset of Total Disability. Total Disability must remain continuous throughout the Elimination Period and the benefit is not subject to Other Income offsets.
Maternity Benefits: Paid the same as for an illness.
Survivor Benefits: If you are disabled for 90 days and a monthly benefit is payable at the time of your death, your survivor will receive a lump sum of 3 months benefit.