1 Massachusetts Institute of Technology Summary Plan Description for the Massachusetts Institute of Technology Long-Term Disability Plan July 1, 2009
2 Table of Contents Introduction 3 For Assistance or More Information 4 The M.I.T. Long-Term Disability Plan Eligibility/Eligible Employees 5 Who is Covered 5 When Coverage Begins 5 When Coverage Ends 5 The Benefit 6 Definition of Totally Disabled 6 No Preexisting Conditions Limits 6 Amount of Benefit 6 When Benefit Payments Begin 6 Benefit Offsets (Reductions) 6-7 Recurring Disabilities 7 Rehabilitative Employment 7 When Benefit Payments End 7-8 Cost of Coverage/Taxability of Benefit 8 Applying for Benefits 8 Case Management 9 Sabbaticals and Leaves of Absence/Active Duty Military Leave 9 Other M.I.T. Employee Benefits during Disability 9 Administration of the Plan 10 Future of the Plan 10 Your Rights 10 If you are Denied a Benefit Your Rights under ERISA Your Responsibilities 12 Directory and Additional Information 13 2
3 Introduction This Summary Plan Description summarizes the main features of the M.I.T. Long-Term Disability Plan (the Plan ). It does not explain all of the Plan s technical details or cover all aspects of the Plan or its administration, but will give you a good understanding of your benefits and rights under the Plan. Additional information related to the Plan is available at The actual terms of the Plan are stated in the Plan document, the legal document governing your rights and benefits under the Plan. Copies of the Plan document are available from the M.I.T Benefits Office. If there are any conflicts between this Summary Plan Description and the Plan document, the Plan document will control. If you have questions about how the Plan applies to you, contact the M.I.T. Benefits Office. M.I.T. Sick Leave Information about M.I.T. sick leave benefits payable before M.I.T. Long-Term Disability Plan benefits are paid is in the M.I.T. Personnel Policy Manual. Union Members Benefits under the Plan are subject to collective bargaining. If you are a union member, you may examine, without charge, at the M.I.T. Human Resources Office, a copy of your bargaining group s collective bargaining agreement. You also may contact your bargaining group for a copy of its collective bargaining agreement. 3
4 For Assistance or More Information Contact the M.I.T. Benefits Office for assistance or more information. on the World Wide Web by on campus 77 Massachusetts Avenue E Cambridge, MA Telephone: (617) TTY: (617) at Lincoln Laboratory 244 Wood Street A-128 Lexington, MA Telephone: (781)
5 M.I.T. Long-Term Disability Plan M.I.T. provides long-term disability coverage to protect you against the loss of your income if you cannot work because of illness or injury. Eligibility/Eligible Employees Generally, you are eligible for long-term disability coverage if you (1) work at least 50% of the normal full-time schedule in your department, laboratory, or center; (2) are appointed to work for M.I.T. for at least three months; and (3) are paid by M.I.T. Union Members If you are a member of a collective bargaining unit you must be (1) regularly scheduled to work at least 20 hours per week and (2) meet the specified service requirements set forth in your union agreement. All the provisions of the Plan are subject to the terms of your collective bargaining agreement. Excluded Employees The following are excluded from eligibility for the Plan: visitors; naval, air force and army officers and enlisted personnel assigned to the Institute and civilian employees of the military; employees on the voucher payroll; employees hired for a period of less than three consecutive months; employees represented by a union who do not become eligible to participate in the Plan as a result of collective bargaining; and such other employees as the Institute may from time to time, in its sole discretion, exclude from the Plan. Who is Covered Coverage is available for you, only, as long as you meet the eligibility requirements outlined above. Coverage is not available for your family members. When Coverage Begins If you are a faculty, academic, sponsored research, administrative, and support staff employee, coverage generally begins upon employment. If you are an eligible service staff employee, coverage generally begins after 36 consecutive months of employment. If you are an eligible employee represented by a union, begins when you satisfy the service requirement as defined by your bargaining group s collective bargaining agreement. You may examine, without charge, at the M.I.T. Human Resources Office, a copy of your bargaining group s collective bargaining agreement. You also may contact your bargaining group for a copy of its collective bargaining agreement. When Coverage Ends Coverage ends earliest date when: your employment ends you fail to meet the eligibility requirements outlined above you become an excluded employee as defined above such other date as M.I.T. may from time to time specify. If your M.I.T. employment ends and you are rehired, you will be subject to the Plan s rules concerning eligibility and commencement of coverage as if you had never before worked for M.I.T. or been covered by the Plan. 5
6 The Benefit The Plan pays you an income benefit if you become and remain totally disabled while covered under the Plan. Definition of Totally Disabled You will be considered totally disabled if you are prevented by bodily injury, sickness, disease, or mental disorder from engaging in your own occupation. After the first 24 months, you will be considered totally disabled only if you are prevented by bodily injury, sickness, disease, or mental disorder from engaging in any occupation for which you are reasonably fitted by education, training or experience. If your disability results from one or more of the following causes you will not be considered totally disabled: self-inflicted injuries, active military duty, declared or undeclared war, your voluntary participation in a rebellion or riot, or attempted commission of any unlawful act. No Preexisting Conditions Limits The Plan does not limit coverage due to preexisting conditions. Amount of Benefit Your benefit, paid monthly, will be the lesser of 60% of your monthly base pay or the maximum amount indicated below. Base pay does not include overtime, bonuses, shift differentials, or other similar items. Total Disability Began Maximum Monthly Benefit Amount Before January 1, 1990 $4,000 January 1, 1990 June 30, 1998 $6,000 July 1, 1998 June 30, 2002 $10,000 July 1, 2002 $15,000 When Benefit Payments Begin You must apply for disability benefits within the deadlines outlined below in Applying for Benefits. If your application is approved, benefits payments begin after your waiting period. Usually your waiting period is the six months after the total disability began. See Applying for Benefits, below. When Benefits are Paid Benefits are paid monthly. Benefit payments will be prorated to reflect partial months when you are totally disabled. Benefit Offsets (Reductions) Your benefit will be offset (or reduced) by certain benefits, including Primary Social Security benefits, Worker s Compensation benefits, veteran s or other employersponsored sickness or disability benefits related to the disability for which this Plan pays benefits, as well as by earnings from Rehabilitative Employment, as described below. If you are awarded a benefit retroactively which should have offset your benefit from this Plan, you must repay the Institute the amount of the retroactive benefit. The Plan Administrator may choose to offset your future benefits payments in order to collect the retroactive award. 6
7 As a result of offsets or retroactive rewards, you may receive no payments from the Plan even if you are eligible for benefits. Social Security Benefits Within 31 days of the approval of you application for benefits from this Plan you must apply for Social Security disability benefits by contacting the Social Security Administration at or The Social Security disability application and appeal process, eligibility rules, and definition of disability are separate from and differ from those of this Plan. If you fail to apply for Social Security disability benefits your benefits from this Plan may end. See Benefit Offsets (Reductions), above, for information about the effect of Social Security disability benefits on your benefit payments from this Plan. Rehabilitative Employment If it is likely to help you recover and return to work, you may accept part-time work at M.I.T or elsewhere while receiving benefits, if approved by the Plan Administrator. Your monthly benefit from the Plan would then be reduced by one half of what you earn each month from such Rehabilitative Employment. Generally, Rehabilitative Employment may not last more than 24 months. Recurring Disabilities If you are no longer totally disabled, return to the M.I.T. job you had prior to becoming totally disabled, and become totally disabled again within 180 days of reemployment, you must file a new claim to resume receiving benefits. However, you will not be required to satisfy another waiting period. When Benefit Payments End Benefits end when the earliest of the following conditions applies: you are no longer totally disabled; you are no longer under an appropriate physician s care; you refuse or fail to be examined by physician; provide information; or participate in a review, treatment, rehabilitation, or other similar program as required by the Plan Administrator or service provider; your Rehabilitative Employment ends; you fail to apply for Social Security disability benefits within 31 days of approval for benefits under this Plan; you die; the Plan terminates; you reach the end of your Maximum Benefit Period, as described below: 7
8 Age at when Disability Began Maximum Benefit Period before age 61 to Social Security Normal Retirement Age 61 4 years 62 3 years 6 months 63 3 years 64 2 years 6 months 65 2 years 66 1 year 9 months 67 1 year 6 months 68 1 year 3 months 69 or older 1 year Your Social Security Normal Retirement Age depends on your year of birth. Year of Birth Social Security Normal Retirement Age 1937 or earlier Age Age 65 and 2 months 1939 Age 65 and 4 months 1940 Age 65 and 6 months 1941 Age 65 and 8 months 1942 Age 65 and 10 months Age Age 66 and 2 months 1956 Age 66 and 4 months 1957 Age 66 and 6 months 1958 Age 66 and 8 months 1959 Age 66 and 10 months 1960 and later Age 67 such other date as M.I.T. may specify from time to time. Cost of Coverage/Taxability of Benefit M.I.T. pays to the entire cost of your coverage. As a result, your benefit payments are taxable. Applying for Benefits You must apply to receive benefits. You must apply no more than 90 days after your waiting period. For most eligible employees, the waiting period is the 6 months beginning on the date the total disability begins. Benefits, if approved, usually begin six months after the disability began. Therefore, you should contact the Plan Administrator within 3 to 4 months of being absent from work to begin the application process and avoid delays. Your application will require information from you and your physician, and may require a physical examination. If your application is not approved you may appeal. See Your Rights and Responsibilities-- If you are Denied a Benefit, below. 8
9 Case Management While you receive benefits you and/or your physician will be required from time to time to provide updated information on your condition and may be required to undergo a physical examination. Failure to provide the required information or to undergo a required examination could cause your benefit payments to end. See When Benefit Payments End, above. Sabbaticals and Leaves of Absence/Active Duty Military Leave Contact the Benefits Office for information about coverage during authorized leaves of absence. Other M.I.T. Employee Benefits during Disability While you receive benefits from the Plan, your M.I.T. Basic Retirement Plan, medical, and dental coverages continue based on the salary you were receiving when the disability began. M.I.T. will pay your share of the cost of coverage during this period, subject to M.I.T. s right to amend or terminate the Plan. If you were approved for LTD on or after January 1, 2004, you must apply for the Met Life Insurance Premium Waiver to continue your group life insurance coverage. If you are denied coverage with Met Life, M.I.T. will continue paying the premium for your Basic Life Insurance and you will be responsible for the Supplemental/Optional Insurance premium. In addition, while you receive benefits from the Plan, you will not contribute to the M.I.T. Supplemental 401(k) Plan. Instead, M.I.T. will contribute to the 401(k) Plan an amount equal to 10% of the salary you were receiving when the disability began, even if you were not contributing to the 401(k) Plan when the disability began, subject to M.I.T. s right to amend or terminate the Plan. Effective July 1, 2009, if you are approved for LTD benefits and you are enrolled in the Dependent Life Insurance plan for spouse/partner, child(ren), or both, your coverage under this plan will terminate 31 days following the date your employment ends. If you would like to continue the Dependent Life Insurance coverage you will be given the option to convert the coverage to an individual policy through the Metropolitan Life Insurance Company. If you are awarded Social Security disability benefits, you will become eligible for Medicare 24 months after the effective date of receipt of such Social Security disability benefits. Medicare is the federal medical insurance program for certain disabled and retired individuals. At the time you become eligible for Medicare, M.I.T. may offer you Medicare supplement coverage, subject to M.I.T. s right to amend or end such practice. Together, Medicare and the Medicare supplement supplied by M.I.T. will provide comprehensive medical insurance coverage. 9
10 Administration of the Plan M.I.T. is the Plan Administrator of the Plan. The Plan Administrator may delegate any of its responsibilities to any other person or entity. As Plan Administrator, M.I.T. has complete discretionary authority with regard to the operation, administration, and interpretation of the Plan. Any determination by the Plan Administrator relating to the Plan shall be final, binding, and conclusive in the absence of clear and convincing evidence that the Plan Administrator acted arbitrarily and capriciously. From time to time the Administrator may contract with insurers, third party administrators, or other similar service providers to supply administrative or other services under the Plan. These services may include administration of benefits, interpretation of Plan provisions, determination of benefits, and payment of claims. Service Provider Determination of benefits and case management services are provided by Prudential Insurance Company. Future of the Plan M.I.T. expects to continue the Plan as a benefit to participants, but reserves the right to change or terminate the Plan in whole or in part, at any time without limitation, by a written instrument signed by an officer of M.I.T. No vested rights of any nature are provided under the Plan. Your Rights You enjoy certain rights and protections under the Plan. However, the Plan is not an employment contract, and your participation in the Plan does not affect M.I.T.'s authority to terminate your employment. If You are Denied a Benefit If your application for benefits is denied (or you believe you are entitled to a benefit under the Plan that you are not receiving), you or your authorized representative may file a written claim directly with the Plan Administrator. Your claim will be reviewed in accordance with reasonable procedures as required by the Employee Retirement Income Security Act of 1974 (ERISA). ERISA is the federal law that governs the Plan. The claim must be sent to the Plan Administrator within 180 days of your receipt of notification of denial, and state the reasons why you feel your application should not have been denied. If the Plan Administrator does not receive your written request within 180 days of your receipt of the notification of denial, the denial will be final, and no further review will be conducted. In your written request, include documentation such as office notes, test results, and consultation reports that objectively support disability from your job for the 6-month period (or other) period indicated in your application for benefits. Include, also, restrictions and limitations from a physician explaining how you are physically prevented from performing your job, and any other information that you fell will support your claim. You may request to receive, free of charge, copies of all documents relevant to your claim. Under normal circumstances, your will be notified within 45 days of the date that your request for review is received. If there are special circumstances requiring delay, you 10
11 will be notified of the final decision within 90 days after your request for review is received. If your claim is denied on review, you may have the right to bring civil action under section 502(a) of Employee Retirement Income Security Act of 1974 (ERISA). ERISA is the federal law that governs the Plan. Your Rights under ERISA You are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA). Right to Information ERISA provides that all Plan participants shall be entitled to certain information. (1) examine, without charge, at the M.I.T. Benefits Office, all documents governing the operation of the Plan, including insurance contracts, and all documents filed by the Plan with the federal government, such as the detailed annual report (From 5500); (2) obtain, on written request to the M.I.T. Benefits Office, copies of all documents governing the operation of the Plan, including insurance contracts and collective bargaining agreements, and copies of the latest detailed annual report (From 5500) and updated summary plan description. A reasonable charge for the copies may be made. (3) receive a summary of the Plan s annual financial report, if any is required by ERISA to be prepared. The plan administrator is required by law to furnish each participant with a copy of any required summary annual report. Prudent Actions by Plan Fiduciaries In addition to creating rights for participants, ERISA imposes duties on the parties responsible for the operation of the Plan. The parties who operate the Plan, called "fiduciaries" of the Plan, have a duty to do so prudently and in your interest and that of the other Plan participants and beneficiaries. No one, including M.I.T. or any other person, may fire you or otherwise discriminate against you in any way to prevent you from obtaining a Plan benefit or exercising your rights under ERISA. Enforcing Your Rights If your claim for Plan benefit is ignored or denied in whole or in part, you have the right to know why this was done, to obtain copies of documents relating to the decision without charge, and to appeal any denial, all within certain time schedules. Under ERISA, there are steps you can take to enforce these rights. For example, if you request materials to which you have a right from the M.I.T Benefits Office and do not receive them within 30 days, you may file suit in a federal court. In such a case, the court may require that you be provided the materials and may order that you be paid up to $110 a day until you receive the materials, unless the materials were not sent because of reasons beyond the control of the Plan Administrator. If you have a claim for benefits that is denied or ignored, in whole or in part, you may file suit in a state or federal court, but if you file suit in a state court, that suit may be removed to the federal court. If it should happen that Plan fiduciaries misuse the Plan s money, or if you are discriminated against for asserting your rights, you may seek assistance from the U.S. 11
12 Department of Labor, or you may file suit in a federal court. The court will decide who should pay court costs and legal fees. If you are successful, the court may order the person you have sued to pay these costs and fees. If you lose, the court may order you to pay these costs and fees if, for example, it finds that your claim is frivolous. Assistance with Your Questions If you have any questions about the Plan, you should contact the M.I.T Benefits Office. If you have any questions about this statement or about your rights under ERISA, or if you need assistance in obtaining documents from the Plan Administrator, you should visit or contact the nearest office the Pension and Welfare Benefits Administration of U.S. Department of Labor listed in your telephone directory or: Division of Technical Assistance and Inquiries Pension and Welfare Benefits Administration U.S. Department of Labor 200 Constitution Avenue, N.W., Washington, D.C You may also obtain certain publications about your rights and responsibilities under ERISA by calling the publications hotline of the Pension and Welfare Benefits Administration. Your Responsibilities You, your authorized representative, and your physicians are responsible for providing truthful and accurate information to the best of your knowledge. If you or they willfully and knowingly provide untruthful or inaccurate information, benefits will be determined according to the true facts, and disciplinary action may be taken. 12
13 Directory and Additional Information Plan Names Massachusetts Institute of Technology Long-Term Disability Plan Plan Sponsor Massachusetts Institute of Technology (M.I.T.) 77 Massachusetts Avenue Cambridge, Massachusetts Telephone: (617) M.I.T. s Employer Identification Number Plan Numbers 504: weekly paid employees 512: monthly paid employees Type of Plan Employee Welfare Benefit Plan Plan Year January 1 December 31 Participating Employer M.I.T. Plan Administrator M.I.T. Legal Process May be made upon M.I.T. c/o M.I.T. Benefits Office 77 Massachusetts Avenue E Cambridge, Massachusetts Plan Funding and Contributions The Plan is self-insured. M.I.T. pays the cost of benefits under the Plan. 13
University of Chicago Group Life Insurance Summary Plan Description January 1, 2010 University of Chicago Group Life Insurance Page 1 Table of Contents Your Group Life Insurance Benefits... 3 Participating
University of Chicago Long-Term Disability Summary Plan Description June 2007 University of Chicago Long-Term Disability Plan Page 1 Table of Contents Your LTD Benefits... 3 Participating in LTD... 3 Eligibility...
Summary Plan Description BASIC LIFE INSURANCE 2015 Table of Contents Introduction... 1 Eligibility and Enrollment... 2 Eligibility... 2 Enrollment... 2 Designating a Beneficiary... 3 Employee Life Insurance...
SPD covers NO codes 7/30/04 9:58 AM Page 3 US Airways, Inc. Flight Attendant Long Term Disability Benefit Plan Summary Plan Description As of January 1, 2004 September 2004 Dear US Airways Benefit Plan
Staker Parson Short Term Disability Income Protection Plan Effective Date: 01/01/2006 Contact Information Plan Administrator: Address and Telephone #: Claims Administrator: Address and Telephone #: Staker
Short Term Disability Income Protection Plan Effective Date: January 1, 2011 Contact Information Plan Administrator: TIB - The Independent Bankers Bank Address and Telephone #: 350 Phelps Drive Irving,
Table of Contents SHORT TERM DISABILITY BENEFITS 5.2 Eligibility... 2 5.3 Enrollment... 2 5.4 Plan Cost... 2 5.5 How the Plan Works... 3 Schedule of Benefits... 3 5.6 Recurring Disability... 4 5.7 Duration
LifeMap Assurance Company 100 SW Market Street P.O. Box 1271, MS E-3A Portland, OR 97207-1271 (503) 721-7161 (800) 794-5390 Short Term Disability Income Plan Benefit Booklet OREGON PUBLIC EMPLOYEES UNION
Your DuPont Benefit Resources Total and Permanent Disability Income Plan July 2008 TABLE OF CONTENTS DETAILS OF THE PLAN...1 PREFACE...1 INTRODUCTION...1 ELIGIBILITY...1 ENROLLMENT...2 COST...2 PLAN BENEFIT...2
CenturyLink RETIREE LIFE INSURANCE BENEFIT Legacy CenturyTel Retirees TABLE OF CONTENTS INTRODUCTION...1 FEATURES OF THE LIFE PLANS...2 Your Beneficiary...2 How to File a Claim...2 Recovery of Payments...2
c AK Steel Corporation Voluntary Term Life Insurance IAM Local 1943 Hourly Employees Summary Plan Description Effective March 15, 2007 Table of Contents Introduction... 1 Former Announcements... 1 Eligibility...
Summary Plan Description Prepared for Worcester Polytechnic Institute Defined Contribution Plan INTRODUCTION Worcester Polytechnic Institute has restated the Worcester Polytechnic Institute Defined Contribution
LONG TERM DISABILITY PLAN 01-01-2015 The Long Term Disability ( LTD ) Plan provides you with protection against complete loss of income during a long period of absence because of a disabling illness or
* COMPANION LIFE INSURANCE COMPANY 7909 PARKLANE ROAD, SUITE 200, COLUMBIA, SC 29223-5666 PO Box 100102, Columbia, SC 29202-3102 (803) 735-1251 (Herein called Companion Life) Certifies that it has issued
Windstream Basic Life and AD&D Summary Plan Description 1 1. INTRODUCTION Windstream Services L.L.C. sponsors the Windstream Basic Life and Accidental Death and Dismemberment (AD&D) Insurance Plan (the
GROUP SHORT TERM DISABILITY INSURANCE PROGRAM EnerNOC, Inc. CERTIFICATE OF INSURANCE We certify that you (provided you belong to a class described on the Schedule of Benefits) are insured, for the benefits
Visa MetLife Long Term Disability (LTD) Plan Summary Plan Description Effective January 1, 2015 MetLife LTD Plan i Table of Contents ABOUT YOUR PARTICIPATION... 1 When Coverage Begins... 1 When Coverage
Your Income Protection Plan Benefits Contents Your Income Protection Plan Benefits...1 About This SPD... 1 Getting More Information... 1 Changes to the Plan... 2 Participating in the IPP...3 Eligibility...
Summary Plan Description Prepared for Norwich University Defined Contribution Retirement Plan INTRODUCTION Norwich University has restated the Norwich University Defined Contribution Retirement Plan (the
Summary Plan Description Long-Term Disability Insurance Benefits Under the Lockheed Martin Group Benefits Plan and the Lockheed Martin Operations Support, Inc. Benefit Plan Effective January 1, 2014 LMC-ZBR
MACALESTER COLLEGE BUSINESS TRAVEL ACCIDENT INSURANCE PLAN SUMMARY PLAN DESCRIPTION Introduction The Macalester College Business Travel Accident Insurance Plan (the Plan ) provides benefits to eligible
LONG-TERM DISABILITY BENEFITS Revised September 1, 2004 No. 6 (*) 7000CI-U-EZ E O BENEFIT INFORMATION WHY LONG-TERM DISABILITY COVERAGE People tend to take their good health and ability to work for granted.
Summary Plan Description for the Health Reimbursement Arrangement Plan General Benefit Information Eligible Expenses All expenses that are eligible under Section 213(d) of the Internal Revenue Code, such
CERNER CORPORATION GLOBAL LIFE INSURANCE PLAN PLAN NUMBER 515 SUMMARY PLAN DESCRIPTION TABLE OF CONTENTS PAGE ARTICLE I. INTRODUCTION... 1 1.1 Purpose of Plan.... 1 1.2 Purpose of This Document.... 1 ARTICLE
GROUP LIFE INSURANCE PROGRAM Troy University RELIANCE STANDARD LIFE INSURANCE COMPANY Home Office: Chicago, Illinois Administrative Office: Philadelphia, Pennsylvania CERTIFICATE OF INSURANCE We certify
Iron Workers District Council of Western New York and Vicinity Welfare Plan Employee Term Life Coverage Disclosure Notice FOR FLORIDA RESIDENTS The benefits of the policy providing your coverage are governed
Sandia Group Term Life Insurance Plans Summary Plan Descriptions Effective: January 1, 2012 This page intentionally left blank. 2 Contents Introduction...7 Primary Group Term Life Insurance Plan...9 Section
THE AVAYA INC. LONG-TERM DISABILITY PLAN FOR SALARIED EMPLOYEES SUMMARY PLAN DESCRIPTION Effective 1/1/2014 Last Updated 03/31/2014 Helpful search tools: Table of Contents (TOC): Each item on the TOC is
Summary Plan Description Prepared for The Cooper Union Defined Contribution Retirement Plan INTRODUCTION The Cooper Union has restated the The Cooper Union Defined Contribution Retirement Plan (the Plan
SUMMARY PLAN DESCRIPTION FOR THE WILLAMETTE UNIVERSITY CONSOLIDATED WELFARE BENEFITS PLAN TABLE OF CONTENTS INTRODUCTION... 1 Type of Plan... 1 Plan Sponsor... 1 Purpose of the Plan... 1 Purpose of this
HEALTH REIMBURSEMENT ARRANGEMENT C O M M U N I T Y C O L L E G E S Y S T E M O F N E W H A M P S H I R E S U M M A R Y P L A N D E S C R I P T I O N Copyright 2005 SunGard Inc. 04/01/05 TABLE OF CONTENTS
CHAPMAN UNIVERSITY DEFINED CONTRIBUTION RETIREMENT PLAN Summary Plan Description This document is a summary of the provisions of Chapman University Defined Contribution Retirement Plan (the Plan ) as in
Section D Long Term Disability (LTD) Insurance Section Page When Coverage Begins...D. 1 When Coverage Terminates...D. 1 What are the Benefits...D. 1 Duration of Benefits...D. 2 What is Total Disability...D.
RESEARCH TRIANGLE INSTITUTE GROUP LONG TERM DISABILITY INSURANCE EFFECTIVE DATE: April 1, 2011 04806A 361388 This document printed in May, 2011 (20) takes the place of any documents previously issued to
Summary Plan Description for the Peace Officers Legal Defense Fund (POLDF) and Trust Introduction TMPA Legal, Inc., ( TMPA Legal ) has established and maintains a prepaid legal services plan known as the
Voluntary Group Insurance Employee Benefit Booklet Short Term Disability Benefits Administered By: This certificate of insurance may not provide all of the benefits and protection provided by law in Arizona.
NFL Player Supplemental Disability Plan 200 St. Paul Place, Suite 2420 Baltimore, MD 21202-2040 (800) 638-3186 May 2005 Dear NFL Player: This booklet summarizes the NFL Player Supplemental Disability Plan
Exelis Inc. Long Term Disability Plan Summary Plan Description (SPD) As of November 1, 2014 Table of Contents About this SPD...1 Important... 1 Eligibility and Participation...2 Eligibility... 2 Enrolling
BOWDOIN COLLEGE EMPLOYEE WELFARE BENEFIT PLAN (Plan #516) Summary Plan Description Effective January 1, 2015 TABLE OF CONTENTS Page PART I INTRODUCTION...1 Purpose of This Booklet...1 PART II ELIGIBLITY
YOUR GROUP INSURANCE PLAN BENEFITS EDUCATIONAL SERVICE UNIT #13 CLASS 0004 AD&D, LIFE The enclosed certificate is intended to explain the benefits provided by the Plan. It does not constitute the Policy
Contents Your Income Security Plan Benefits... 2 About This SPD... 2 Getting More Information... 3 Changes to the Plan... 3 Participating in the Plan... 4 Eligibility... 4 Conditions for Benefit Eligibility...
Short-Term Disability Pay Policy for Hourly & Commissioned Associates POLICY DESCRIPTION Effective March 1, 2014 Effective March 1, 2014, Updated November 26, 2013 1 of 15 Table of Contents Table of Contents...
YOUR GROUP INSURANCE PLAN BENEFITS THE SCHOOL BOARD OF MARION COUNTY, FLORIDA CLASS 0002 OPTIONAL LIFE The enclosed certificate is intended to explain the benefits provided by the Plan. It does not constitute
NRECA Long Term Disability Plan Summary Plan Description for EGYPTIAN ELECTRIC COOPERATIVE ASSN 01-14034-002 Effective Date: January 1, 2008 Introduction This document is a summary plan description (SPD)
Electrical Pension Trustees Pension Plan No. 2 ABOUT THIS BOOKLET To understand your benefits from the Electrical Contractors Association and Local Union 134, I.B.E.W. Joint Pension Trust of Chicago Pension
Sandia National Laboratories Your Group Long Term Disability Plan Policy No. 28157 011 Underwritten by Unum Life Insurance Company of America 10/29/2009 CERTIFICATE OF COVERAGE Unum Life Insurance Company
Boston College 401(k) Retirement Plan I & II This Summary Plan Description (SPD) applies to participants in the Boston College 401(k) Plan I and the Boston College 401(k) Plan II. This SPD is also available
Group Life Insurance and Accidental Death & Dismemberment Insurance Plan for the California Correctional Peace Officers Association Benefit Trust Fund Plan Document and Summary Plan Description CCPOA Benefit
The Retiree Life Insurance Plan Summary Plan Description (A Component of the TECO Energy Group Voluntary Employees Beneficiary Association) The Summary Plan Description (SPD) for The Retiree Life Insurance
BUSINESS IN THE RIGHT DIRECTION. GO WEST. ESOP Summary Plan Description for participants in the Employee Stock Ownership Plan This Summary Plan Description (SPD) corresponds with the plan document dated
Summary Plan Description GROUP UNIVERSAL LIFE INSURANCE 2015 04/2010 Table of Contents Introduction... 1 For Help and Information... 2 Eligibility and Enrollment... 3 Eligibility... 3 Enrollment... 3 Designating
Summary Plan Description The Johns Hopkins University Support Staff Pension Plan for Support Staff and Bargaining Unit Members Effective July 1, 2011 1 Contents Fast Facts... 3 Pension Plan Benefits At-A-Glance...
VI. Long-Term Disability Program Table of Contents About This Section...1 An Overview of the Long-Term Disability Program...2 Definition of Disability...2 Long-Term Disability Benefit Options...2 Basic
Table of Contents Section 4: Disability YOUR CALTECH DISABILITY BENEFITS... 4.1 Short Term Disability... 4.1 Paid Family Leave... 4.1 Long Term Disability... 4.1 YOUR BASIC AND SUPPLEMENTAL LONG TERM DISABILITY
THE STATE FARM INSURANCE COMPANIES GROUP HEALTH AND WELFARE PLAN FOR UNITED STATES EMPLOYEES SUMMARY PLAN DESCRIPTION Effective January 1, 2012 This document, together with the attached documents listed
Date January 1, 2016 Marsh & McLennan Companies This Plan provides you with income in case you can t work for an extended period of time because of an injury or illness. Benefits under Marsh & McLennan
Short Term Disability Income Protection Plan Effective Date: January, 1, 2015 Contact Information Plan Administrator: Address and Telephone #: Prime Therapeutics, LLC 1305 Corporate Center Drive Eagan,
The Ohio State University Disability Program Specific Plan Details Program Provisions for: Long-Term Disability (LTD) Short-Term Disability (STD) Plan Year 204 (January December 3, 204) Office of Human
CenturyLink Retiree Life Insurance Plan SUMMARY PLAN DESCRIPTION for Legacy Qwest Post-1990 Retirees (Management and Occupational) CenturyLink, Inc. Effective January 1, 2013 Table of Contents INTRODUCTION...
Short-Term Disability Pay Policy for Hourly & Commissioned Associates POLICY DESCRIPTION Effective March 1, 2016 Effective March 1, 2016, Updated March 2, 2016 1 of 14 Table of Contents Table of Contents...
Short Term Disability Plan The Short Term Disability Plan provides eligible Full-Time Employees with short term income protection for absences due to nonworking related disability. Coverage is automatic
Human Resources Benefits Office For Your Benefit Class 2 LTD Benefits Program 2013 Summary Plan Description Disability Disability benefits continue part or all of your pay if you are ill or injured and
UNIVERSITY OF ROCHESTER LONG-TERM DISABILITY PLAN The Long-Term Disability (LTD) Plan provides a monthly income benefit when an individual is totally disabled for more than six months. The benefit provided
Montefiore Mount Vernon Hospital Montefiore New Rochelle Hospital Schaffer Extended Care Center Registered Nurses (NYSNA) Disability Benefits Program 2014 Summary Plan Description Disability Benefits Disability
For this plan year, the plan includes the following provisions, subject to change or discontinuation with or without notice at any time. This Summary Plan Description presents an overview of your Benefits.
NYU Staff Pension Plan Summary Plan Description Office & Clerical Staff Laboratory & Technical Staff Non-Union Service Staff Sergeant Guards Security Officers This booklet summarizes the provisions contained
SUMMARY PLAN DESCRIPTION LONG-TERM DISABILITY (LTD) BENEFIT PLAN University of Southern California (FOR DISABILITIES COMMENCING ON OR AFTER JANUARY 1, 2007) I. WHAT IS THE PURPOSE OF THE PLAN? The principal
University of St. Thomas GROUP LONG TERM CARE INSURANCE PROGRAM SUMMARY PLAN DESCRIPTION EFFECTIVE DATE: June 1, 2012 TABLE OF CONTENTS PAGE Part I: Introduction 2 Part II: Long Term Care Insurance 5 Part
Your survivor benefits Contents Your survivor benefits program...1 About this SPD... 1 Changes to the plans... 2 Participating in the plans...3 Eligibility... 3 Enrolling in the plans... 4 Assignment of
CHAPMAN UNIVERSITY DEFINED CONTRIBUTION RETIREMENT PLAN Summary Plan Description This document is a summary of the provisions of Chapman University Defined Contribution Retirement Plan (the Plan ) as in
GROUP LIFE INSURANCE PROGRAM District School Board of Collier County, FL RELIANCE STANDARD LIFE INSURANCE COMPANY Home Office: Chicago, Illinois Administrative Office: Philadelphia, Pennsylvania CERTIFICATE
Faculty & Administrative Officer Employee Retirement Plan Summary Plan Description Effective May 10, 1920 Restatement Effective January 1, 2010 1 Contents About this Summary Plan Description... 4 Eligibility...
Massachusetts Teachers Association Your Group Short Term Disability Plan Policy No. 570975 011 Underwritten by Unum Life Insurance Company of America 8/4/2008 CERTIFICATE OF COVERAGE Unum Life Insurance
Your plan provides you with disability coverage that gives you and your family protection against some of the financial hardships that can occur if you become disabled or injured. The benefits include:
Your DuPont Benefit Resources NonContributory and Contributory Group Life Insurance Plans July 2013 2 This page left blank intentionally. NonContributory and Contributory Group Life Insurance Plans TABLE
YOUR GROUP VOLUNTARY SHORT-TERM DISABILITY BENEFITS Creighton University Revised January 1, 2014 HOW TO OBTAIN PLAN BENEFITS To obtain benefits see the Payment of Claims provision. Forward your completed
Long Term Disability (LTD) TABLE OF CONTENTS (Click on any item below to go to that section) Overview LTD Coverage Benefit Payment of LTD Benefit Other Income Benefits Defining Disabled Recurrent disability
GROUP SHORT TERM DISABILITY INSURANCE PROGRAM State of Michigan - Department of State Police CERTIFICATE OF INSURANCE We certify that the Person whose name appears on the enrollment card attached to this
Massachusetts Teachers Association Your Group Long Term Disability Plan Policy No. 570975 012 Underwritten by Unum Life Insurance Company of America 8/4/2008 CERTIFICATE OF COVERAGE Unum Life Insurance
Personal Retirement Account Plan Summary Plan Description Table of Contents Who Is Eligible...1 When You Participate...1 When You Are Vested...1 Break in Service...1 Maternity/Paternity Absence...1 Your
President and Trustees of Bates College Your Group Long Term Disability Plan Policy No. 128121 011 Underwritten by Unum Life Insurance Company of America 4/1/2011 CERTIFICATE OF COVERAGE Unum Life Insurance