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STANDARD FEATURES
- 6,000 maximum monthly benefits
- $50 minimum monthly benefit
- Maternity covered as any other sickness
- Two-year rate guarantee
- Three-month survivor benefit
- Waiver of premium for disabled employees
- Primary and family Social Security offset
- Coverage for partial disabilities
ELIGIBILITY
You are eligible if you work 30 hours a week, satisfy employer's
minimum service requirement, and, if participation falls below the
plan's requirements, satisfactorily meet our evidence of insurability
guidelines.
ALCOHOLISM, DRUG ADDICTION, AND MENTAL, NERVOUS OR EMOTIONAL DISORDERS
These conditions are covered as any sickness for the first 24 months of
disability. Benefits may be payable beyond 24 months if you are
hospitalized beyond the last day of the 24-month period.
PRE-EXISTING CONDITIONS LIMITATION
We define a pre-existing condition as an injury or sickness for which
you incurred charges, received medical treatment, consulted a
physician or took prescribed drugs within 12 months before you
became insured by this plan.
If a total disability is due to a pre-existing condition and it begins within
24 months of the date you become insured by the plan, no benefits will
be paid unless you have not incurred charges, received medical
treatment, consulted a physician or took prescribed drugs for this
condition, pr any complication of it, for six continuous month while
insured. This feature may vary according to state mandates. Check with
your employer for details.
ELIMINATION PERIOD
The elimination period is the number of days of continuous, total
disability before benefits began under this plan. For a 90-day period or
less elimination period, the disability will be considered continuous if
the total disability stops at any time during the elimination period for
seven days or less. For a 180-day elimination period, the disability will
be considered continuous if the total disability stops at any time during
the elimination period of 14 days or less.
The number of days during which the total disability stops does not apply
toward the number of days required to fulfill the elimination period.
SUCCESSIVE PERIODS OF DISABILITY
Successive periods of disability allows continuation of benefits if the
insured returns to work for less than six months ad is again disabled by
the same or related causes. A new elimination period does not need to
be satisfied. The maximum benefit duration continues to accumulate
from the date disability recurs.
MATERNITY BENEFITS
Benefits for disability due to pregnancy or its complications will be paid
the same as any other sickness.
COST-OF-LIVING FREEZE
Once United States Life has established a monthly LTD benefit, the
monthly benefit will not be reduced further due to subsequent
cost-of-living increases from other benefit sources.
SURVIVOR BENEFITS
United States Life will pay your eligible survivors a lump sum benefit
equal to three times your monthly benefit if you were disabled for a
minimum of 180 days and you were receiving benefits for the disability
on the date of death.
DEFINITIONS
Basic Monthly Earnings
-
Basic monthly earnings means the regular monthly rate of pay
you receive from your employer on the day before total disability
begins. Basic monthly pay includes commissions. Basic monthly
pay excludes bonuses, overtime pay, or other extra compensation.
Total Disability
- Total disability means you are completely unable to perform the
duties of your regular occupation.
- After two years, total disability means you are completely unable
to perform the duties of any gainful occupation for which you are
reasonably fit by training, education or experience.
- Regular occupation is defined as the occupation you were
performing the day before total disability began.
- The total disability must be as a result of an injury or sickness,
and you must be under the care of a physician.
Partial Disability
-
Partial disability means you are able to perform at least one of
your duties of your regular occupation or another occupation on a
part-time basis, or can perform at least one, but not all, of these
duties on a full-time basis. Regular occupation is defined as the
occupation you were performing the day before total disability
began. In order to be considered partially disabled, you must be
totally disabled during the plan's elimination period.
- The partial disability benefit is the monthly benefit payable during
total disability less the wages earned while partially disabled.
DEDUCTIONS FROM OTHER SOURCES
Your monthly benefit will be reduced I you receive income from the
following other sources:
- Self-employment or other employment
- An employer-sponsored disability plan
- An employer-sponsored retirement plan
- A retirement plan sponsored by a government agency, including Veteran's Administration
- Social Security, the Railroad Retirement Act, Canada Pension Plan, or the Quebec Pension Plan or any similar program
- Worker's compensation
- An employer benefit plan that provides disability benefits, if such benefits do not reduce the employee's life insurance amount
WAIVER OF PREMIUM
No premium is required for employees while they are receiving
disability benefits under this plan
GROUP VOLUNTARY DISABILITY EXCLUSIONS
This plan will not pay benefits for disabilities resulting from:
- Intentionally self-inflicted injury
- A war or an act of war
- Committing a crime or attempting to do so
BENEFIT DURATION
Age 65
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