Short Term Disability: Exempt Employees

Size: px
Start display at page:

Download "Short Term Disability: Exempt Employees"

Transcription

1 Short Term Disability: Exempt Employees Eligibility Minimum Hourly Requirement Waiting Period for Benefits Elimination period Benefit Percentage Maximum Duration Definition of Earnings Successive Periods of Disability Exclusions Contribution You are eligible if you are an exempt full-time faculty or staff member working a minimum of 35 hours per week 6 months from date of hire There is no elimination period. Benefits will commence on the 1st day for injury or sickness. Week 1-14: 100% of your Base Weekly Earnings Week 15-26: 60% of your Base Weekly Earnings 26 weeks Base Salary If you become disabled for the same condition within 90 days following your prior disability, your benefits will continue under the same claim. Workers Compensation and disability due to commission or attempt to commit a felony.

2 Short Term Disability: Non- Exempt Employees Eligibility Minimum Hourly Requirement Waiting Period for Benefits Elimination period Benefit Percentage Maximum Duration Definition of Earnings Partial Disability Successive Periods of Disability Exclusions Contribution You are eligible if you are a non-exempt full-time staff member working a minimum of 35 hours per week 6 months from date of hire 10 work days Week 1-2: Elimination period use sick time available Week 3-14: 100% of your Base Weekly Earnings Week 15-26: 60% of your Basic Weekly Earnings 26 weeks (including the elimination period) Base Salary Partial disability benefits can be payable if you are totally or partially disabled for at least 10 work days and suffer a 20% or greater loss of earnings. If you become disabled for the same condition within 90 days following your prior disability, you will not need to satisfy a new 10 work day elimination period. Workers Compensation and disability due to commission or attempt to commit a felony.

3 Family and Medical Leave Act (FMLA) Eligibility and Service Time Requirements Entitlement/Benefit Duration Benefit Leave Types You are eligible if you have been employed by DePaul for at least 12 months and have at least 1,250 hours of active employment during the 12 month period immediately preceding the start of the leave. 12 weeks in 12 month period (26 weeks if caring for a family member in the Armed Forces) 12 weeks of unpaid job-protected leave unless coordinated with Short Term Disability or sick pay or if vacation time applied. Continuous (3 or more days) or Intermittent Leave Reasons Employee s own serious health condition Definition of Family Member Immediate family members serious health condition Birth and care of a child, or the placement of a child with an employee for adoption or foster care Providing support to family member in Armed Forces Spouse, dependent son or daughter, parent

4 Long Term Disability: Full-time employees Eligibility Minimum Hourly Requirement Waiting Period for Benefits Elimination period Benefit Percentage Definition of Earnings Minimum Monthly Benefit Definition of Disability Pre-Existing Condition Exclusion Partial Disability Survivor Benefit Successive Periods of Disability Contributions Benefit Duration You are eligible if you are a Full-time Employee in a position classified as: faculty or staff, excluding employees who are covered by a collective bargaining agreement and independent contractors. You must work a minimum of 35 hours per week. None The greater of the end of STD or 180 days 66.67% of Base Monthly Earnings less other income benefits to a Maximum Monthly Benefits of $10,000 Base Salary Greater of $100 or 10% of your Basic Monthly Earnings For the first 24 months of benefits, the inability to perform the material duties of your "own occupation"- after that, it is "any occupation" based on your training, education and experience. Benefits are not payable for pre-existing conditions if you become disabled from that condition in the first 12 months after becoming insured. Pre-existing condition means a condition resulting from an Injury or Sickness for which the Covered Person is diagnosed or received treatment within 6 months prior to the Covered Person s Effective Date. Loss of Earnings with 12 month work incentive Lump sum payment equal to three months of net benefits paid to an eligible survivor if you are receiving a benefit and have been disabled for 12 months. If you become disabled for the same condition within 12 months following your prior disability, you will not need to satisfy a new 180 day elimination period. Up to your Social Security Normal Retirement Age

5 Basic Life Insurance: Full-time Employees Eligibility Waiting Period You are eligible if you are a Full-time Employee in a position classified as: faculty or staff, excluding employees who are covered by a collective bargaining agreement and independent contractors. You must work a minimum of 35 hours per week. None Basic Life Amount of Insurance 1.5 times annual earnings up to maximum of $300,000 Basic Life Reduction Schedule Accelerated Death Benefit Basic Annual Earnings Waiver of Premium Conversion and Portability Contributions Age 65-69: 1.0 times annual earnings, $200,000 max Age 70-74: 0.75 times annual earnings, $150,000 max Age 75+: 0.5 times annual earnings, $105,000 max If you have a life expectancy of 12 months or less you may request up to 75% of your coverage amount while still living to a maximum of $500,000. The minimum that can be requested is 10% of your coverage amount or $5,000. Base annual salary In the event you become totally disabled prior to age 70, you may be eligible to continue your group life insurance. You may apply for the waiver after 6 months of being totally disabled and waiver will term at age 70. If all or part of your coverage ends, you may port your coverage into an individual term life policy or convert your policy to an individual whole-life insurance policy.

6 Basic Life Insurance: Part-time employees Eligibility Class 1: Active part-time faculty Class 2: Active part-time staff Employees who are covered by a collective bargaining agreement and independent contractors are excluded. You must be deemed health and welfare benefits eligible by meeting the minimum requirements outlined below. Minimum Hours Waiting Period Class 1: Taught at least six 4-credit hour courses (or the equivalent) in the previous academic year (or seven courses including the summer session) and are anticipated to teach the same number of courses for the upcoming academic year. Class 2: Worked at least 1,000 hours in the previous calendar year based on payroll records and who are expected to work at least 1,000 hours in the upcoming calendar year. Class 1: 1 year of continuous service (determined by academic year, September to June). Class 2: 1 year of continuous service (determined by calendar year, January to December). Basic Life Amount of Insurance 1.5 times annual earning up to maximum of $300,000 Basic Life Reduction Schedule Accelerated Death Benefit Basic Annual Earnings Waiver of Premium Conversion and Portability Contributions Age 65-69: 1.0 times annual earnings, $200,000 max Age 70-74: 0.75 times annual earnings, $150,000 max Age 75+: 0.5 times annual earnings, $105,000 max If you have a life expectancy of 12 months or less you may request up to 75% of your coverage amount while still living to a maximum of $500,000. The minimum that can be requested is 10% of your coverage amount or $5,000. Bass annual salary In the event you become totally disabled prior to age 70, you may be eligible to continue your group life insurance. You may apply for the waiver after 6 months of being totally disabled and waiver will term at age 70. If all or part of your coverage ends, you may port your coverage into an individual term life policy or convert your policy to an individual whole-life insurance policy. *Conversion limited to class 1 and 2.

7 Optional Life, Optional AD&D, and Optional Dependent Life Employee Eligibility: Waiting Period: Optional Employee Life and AD&D Coverage Amount: You are eligible if you are a Full-time Employee in a position classified as: faculty and staff, excluding employees who are covered by a collective bargaining agreement and independent contractors. You must work a minimum of 35 hours per week. None An amount equal to 1, 2, 3, 4, or 5 times your annual earnings not to exceed $500,000. The non-medical maximum is 1, 2, or 3 times your annual earnings. If you elect for more than 3 times your annual earnings, you will be required to submit a medical questionnaire and be approved by Liberty. Late Applicant: Waiver of Premium: Conversion and Portability Dependent Life Insurance and AD&D Coverage Amount: If you declined coverage before and wish to enroll now, you will need to submit a medical questionnaire and be approved for any amount you elect. In the event you become totally disabled prior to age 70, you may be eligible to continue your group life insurance. You may apply for the waiver after 6 months of being totally disabled and waiver will term at age 70. If all or part of your coverage ends, you may port your coverage into an individual term life policy or convert your policy to an individual whole-life insurance policy. Spouse: Option 1: $10,000 Option 2: $20,000 Child: Live Birth to age 26: Option 1: $5,000 Option 2: $10,000 Contributions: 100% Employee paid

Short Term Disability: Exempt Employees

Short Term Disability: Exempt Employees Short Term Disability: Exempt Employees Eligibility Minimum Hourly Requirement Waiting Period for Benefits Elimination period Benefit Percentage Maximum Duration Definition of Earnings Successive Periods

More information

FMLA Eligibility Requirements

FMLA Eligibility Requirements FMLA Eligibility Requirements ELIGIBLE EMPLOYEES An employee who has been employed by the company for 12 months / 52 weeks as of the date the leave commences. During the preceding 12 months / 52 weeks

More information

hy should you consider purchasing life insurance protection at your workplace?

hy should you consider purchasing life insurance protection at your workplace? W hy should you consider purchasing life insurance protection at your workplace? Employees find significant value in obtaining non-medical products in their workplace. Many of us lead busy lives and seldom

More information

Dartmouth College Information About the Family and Medical Leave Act

Dartmouth College Information About the Family and Medical Leave Act Dartmouth College Information About the Family and Medical Leave Act Frequently Asked Questions The following is a list of your rights and benefits as an eligible FMLA employee: 12 weeks of unpaid FMLA

More information

The Ohio State University Disability Program Specific Plan Details

The Ohio State University Disability Program Specific Plan Details 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

More information

LONG-TERM DISABILITY. Table of Contents. Page i SUMMARY PLAN DESCRIPTION

LONG-TERM DISABILITY. Table of Contents. Page i SUMMARY PLAN DESCRIPTION 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.

More information

City of Tuscaloosa GVTL-AE3M Revised: January 1, 2016 All Eligible Employees

City of Tuscaloosa GVTL-AE3M Revised: January 1, 2016 All Eligible Employees City of Tuscaloosa GVTL-AE3M Revised: January 1, 2016 All Eligible Employees This Summary of Coverage provides a brief description of some of the terms, conditions, exclusions and limitations of Your employer

More information

GROUP UNIVERSAL LIFE (GUL) & ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) PROGRAM FREQUENTLY ASKED QUESTIONS (FAQs) MAY 2015

GROUP UNIVERSAL LIFE (GUL) & ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) PROGRAM FREQUENTLY ASKED QUESTIONS (FAQs) MAY 2015 GROUP UNIVERSAL LIFE (GUL) & ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) PROGRAM FREQUENTLY ASKED QUESTIONS (FAQs) MAY 2015 Minnesota Life is the underwriter of the State of Delaware s GUL and AD&D Program.

More information

Voluntary Life Insurance SUMMARY OF BENEFITS

Voluntary Life Insurance SUMMARY OF BENEFITS Voluntary Life Insurance SUMMARY OF BENEFITS Sponsored by: Educational Service Center of Central Ohio Life Benefit Employee Spouse Dependent Amount Choice of $10,000 increments Not to exceed 5 times your

More information

Human Resource Policy Manual

Human Resource Policy Manual HS/EHS Policy Council Approval: 3-23-11 Page 1 of 5 1.0 Family and Medical Leave Act (FMLA) Policy Statement It is the policy of TMC, to comply with the Family and Medical Leave Act (FMLA), which entitles

More information

Section. Long Term Disability (LTD) Insurance

Section. Long Term Disability (LTD) Insurance 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.

More information

YOUR GROUP VOLUNTARY TERM LIFE BENEFITS. Grossmont-Cuyamaca College

YOUR GROUP VOLUNTARY TERM LIFE BENEFITS. Grossmont-Cuyamaca College YOUR GROUP VOLUNTARY TERM LIFE BENEFITS Grossmont-Cuyamaca College Revised July 1, 2007 HOW TO OBTAIN PLAN BENEFITS To obtain benefits see the Payment of Claims provision. Forward your completed claim

More information

YOUR GROUP LIFE INSURANCE PLAN

YOUR GROUP LIFE INSURANCE PLAN YOUR GROUP LIFE INSURANCE PLAN For Employees of Knox County Government and Knox County School Board Knox County Government 6CC000 B-12801 09-14 CONTENTS CERTIFICATION PAGE.............................................

More information

YOUR GROUP LIFE INSURANCE PLAN

YOUR GROUP LIFE INSURANCE PLAN YOUR GROUP LIFE INSURANCE PLAN For Employees of Knox County Government and Knox County School Board Knox County Government 6CC000 B-12801 04-11 CONTENTS CERTIFICATION PAGE.............................................

More information

Voluntary Term Life Insurance

Voluntary Term Life Insurance Voluntary Term Life Insurance Employee Benefit Booklet CITY OF TUCSON GAZ80191-0001 Class 1-01 Products and services marketed under the Dearborn National brand and the star logo are underwritten and/or

More information

SUMMARY OF BENEFITS. Amount One Times Annual Salary rounded to the next higher $1,000. Minimum Amount $10,000. Maximum Amount $100,000

SUMMARY OF BENEFITS. Amount One Times Annual Salary rounded to the next higher $1,000. Minimum Amount $10,000. Maximum Amount $100,000 Group Life Insurance SUMMARY OF BENEFITS Life and AD&D Sponsored by: University of Dallas Life Amount One Times Annual Salary rounded to the next higher $1,000 Minimum Amount $10,000 Maximum Amount $100,000

More information

Table of Contents. Section 4: Disability

Table of Contents. Section 4: Disability 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

More information

THE UNIVERSITY OF IOWA. Life Insurance Long Term Disability Insurance and Retirement Annuity Protection Insurance

THE UNIVERSITY OF IOWA. Life Insurance Long Term Disability Insurance and Retirement Annuity Protection Insurance THE UNIVERSITY OF IOWA Life Insurance Long Term Disability Insurance and Retirement Annuity Protection Insurance 1 2 TABLE OF CONTENTS Page(s) GENERAL INFORMATION... 4-5 Participation in Insurance Programs...

More information

Income Protection Benefits

Income Protection Benefits Income Protection Benefits McAllen Independent School District Information About You Name: Social Security Number / Employee ID Number: Coverage Effective Date: Date of Birth: Date of Hire: Annual Salary:

More information

UNIVERSITY OF HOUSTON SYSTEM ADMINISTRATIVE MEMORANDUM. SECTION: Human Resources NUMBER: 02.D.06

UNIVERSITY OF HOUSTON SYSTEM ADMINISTRATIVE MEMORANDUM. SECTION: Human Resources NUMBER: 02.D.06 UNIVERSITY OF HOUSTON SYSTEM ADMINISTRATIVE MEMORANDUM SECTION: Human Resources NUMBER: 02.D.06 AREA: SUBJECT: Leave Entitlement Family and Medical Leave 1. PURPOSE The University of Houston System provides

More information

Toronto District School Board GROUP LIFE INSURANCE FOR TEACHERS

Toronto District School Board GROUP LIFE INSURANCE FOR TEACHERS INTRODUCTION Toronto District School Board GROUP LIFE INSURANCE FOR TEACHERS This group life insurance plan, under policy G. 10450 with Canada Life, originated in 1971. It is managed by a joint Management

More information

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK A Stock Life Insurance Company 360 Hamilton Avenue, Suite 210 White Plains, New York 10601-1871 (914) 989-4400 CERTIFICATE GROUP LIFE INSURANCE Policyholder:

More information

About Your Benefits 1

About Your Benefits 1 About Your Benefits 1 BENEFIT HIGHLIGHTS Your Benefits. Provide Immediate Eligibility for You and Your Family As a Full-time or Part-time Employee, you are eligible for coverage under most benefits on

More information

LIFE INSURANCE SUMMARY

LIFE INSURANCE SUMMARY LIFE INSURANCE SUMMARY Your family can count on your paycheck to meet day-to-day expenses while you are actively at work, but it is important to plan for their financial security in the event of your death.

More information

Income Protection. Archdiocese of St. Louis Policy# 677885. Supplemental Life Insurance. Administration Guide for Supplemental Life Insurance :

Income Protection. Archdiocese of St. Louis Policy# 677885. Supplemental Life Insurance. Administration Guide for Supplemental Life Insurance : Income Protection Supplemental Life Insurance Administration Guide for Supplemental Life Insurance : Archdiocese of St. Louis Policy# 677885 Eligibility Enrollment Period All full-time active employees

More information

A Guide to Long Term Disability Benefits

A Guide to Long Term Disability Benefits A Guide to Long Term Disability Benefits The University of Maine System is proud to offer a Long Term Disability (LTD) plan to eligible employees. Long term disability is defined as a severe illness or

More information

Frequently Asked Questions Disability & Leaves of Absence

Frequently Asked Questions Disability & Leaves of Absence Frequently Asked Questions Disability & Leaves of Absence Salaried and Non-Bargaining Unit Hourly Employees Reviewed: 7/1/2012 Short Term Disability What is short term disability? Short term disability

More information

UNIVERSITY OF WISCONSIN-MADISON / UW MEDICAL FOUNDATION 2015 PHYSICIAN BENEFITS SUMMARY

UNIVERSITY OF WISCONSIN-MADISON / UW MEDICAL FOUNDATION 2015 PHYSICIAN BENEFITS SUMMARY Eligibility 50% - 100% appointment: UW-Madison Full benefits Full benefits unless otherwise indicated 21% - 49% appointment: UW-Madison Full benefits with higher premiums Physician Retirement Plan only

More information

FAMILY AND MEDICAL LEAVE ACT (FMLA) POLICY

FAMILY AND MEDICAL LEAVE ACT (FMLA) POLICY FAMILY AND MEDICAL LEAVE ACT (FMLA) POLICY Purpose To define policy pursuant to the federal Family and Medical Leave Act for employees of Olympus Corporation of the Americas ( OCA ), Olympus America Inc.

More information

University of Chicago Long-Term Disability Summary Plan Description

University of Chicago Long-Term Disability Summary Plan Description 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...

More information

Group Term Life Insurance

Group Term Life Insurance Group Term Life Insurance For groups with 2-50 employees For the state of Virginia Plan Design Rate basis Rate guarantee 2-14 employees: Age banded rates (Each employee s premium is based on the group

More information

YOUR GROUP VOLUNTARY TERM LIFE BENEFITS

YOUR GROUP VOLUNTARY TERM LIFE BENEFITS YOUR GROUP VOLUNTARY TERM LIFE BENEFITS Pinal County Employee Benefit Trust All eligible active full-time employees hired on or before the 21st of the month Revised January 1, 2013 HOW TO OBTAIN PLAN BENEFITS

More information

January 1, 2009. Optional Life Insurance Plan MMC

January 1, 2009. Optional Life Insurance Plan MMC January 1, 2009 MMC This is an employee-paid group-term life insurance plan that helps you provide for your family s financial security. The Plan pays money to someone you name as your beneficiary if you

More information

THE AVAYA INC. LIFE INSURANCE PLANS Active Represented SUMMARY PLAN DESCRIPTION. Effective 1/1/2013 Last Updated 3/31/2013

THE AVAYA INC. LIFE INSURANCE PLANS Active Represented SUMMARY PLAN DESCRIPTION. Effective 1/1/2013 Last Updated 3/31/2013 THE AVAYA INC. LIFE INSURANCE PLANS Active Represented SUMMARY PLAN DESCRIPTION Effective 1/1/2013 Last Updated 3/31/2013 Helpful search tools: Table of Contents (TOC): Each item on the TOC is a hyperlink

More information

YOUR BENEFITS as an Employee of the City of High Point

YOUR BENEFITS as an Employee of the City of High Point YOUR BENEFITS as an Employee of the City of High Point This handbook is a brief outline of benefits available to employees of the City of High Point. It is not intended to constitute an expressed or implied

More information

Enrollment after the initial 31-day period is limited to the annual NUFlex enrollment or when a Permitted Election Change Event occurs.

Enrollment after the initial 31-day period is limited to the annual NUFlex enrollment or when a Permitted Election Change Event occurs. LONG TERM DISABILITY INSURANCE The long term disability insurance plan (LTD) provides monthly benefits if an employee becomes ill or injured and is unable to work. This income replacement is designed to

More information

New Employer Group Enrollment Information

New Employer Group Enrollment Information DEFINED BENEFIT HYRBRID RETIREMENT PLAN NDPERS is a Defined Benefit Hybrid Retirement plan that pays vested members a retirement benefit, which is generally based on compensation, benefit multiplier, and

More information

INTERNATIONAL FALLS PUBLIC SCHOOLS INDEPENDENT SCHOOL DISTRICT #361

INTERNATIONAL FALLS PUBLIC SCHOOLS INDEPENDENT SCHOOL DISTRICT #361 INTERNATIONAL FALLS PUBLIC SCHOOLS INDEPENDENT SCHOOL DISTRICT #361 BOARD POLICY 426 SERIES: 400 Employees/Personnel SUBJECT: At Will Employees ADOPTED: 7/29/06 REVISED: 11/19/07 02/19/08 5/19/08 11-16-09

More information

Bucknell University Family and Medical Leave

Bucknell University Family and Medical Leave Bucknell University Family and Medical Leave In accordance with the Family and Medical leave Act of 1993 (FMLA), eligible staff members may request up to twelve (12) weeks of unpaid, job-protected family

More information

N. Y. S. C. O. P. B. A. acket OPEN ENROLLMENT. Exclusively for. NYSCOPBA Members and Dependents

N. Y. S. C. O. P. B. A. acket OPEN ENROLLMENT. Exclusively for. NYSCOPBA Members and Dependents N. Y. S. C. O. P. B. A. New York State Correctional Officers & Police Benevolent Association, Inc. P 2014 OPEN ENROLLMENT acket Exclusively for NYSCOPBA Members and Dependents Member and Dependent Life

More information

Policyholder: BOB JONES UNIVERSITY Group Number: GA0845 Class: All Full Time Eligible Employees. Voluntary Group Term Life Insurance

Policyholder: BOB JONES UNIVERSITY Group Number: GA0845 Class: All Full Time Eligible Employees. Voluntary Group Term Life Insurance Policyholder: BOB JONES UNIVERSITY Group Number: GA0845 Class: All Full Time Eligible Employees Voluntary Group Term Life Insurance This is your Certificate of Insurance. It describes the coverage selected

More information

YOUR GROUP LIFE INSURANCE PLAN

YOUR GROUP LIFE INSURANCE PLAN YOUR GROUP LIFE INSURANCE PLAN For Employees of City of Fort Smith 6CC000 B-13291 (1-12) CONTENTS CERTIFICATION PAGE............................................. 1 SCHEDULE OF BENEFITS...........................................

More information

Insurance & Benefits Trust of PORAC

Insurance & Benefits Trust of PORAC Insurance & Benefits Trust of PORAC How Benefits are Funded Percentage of Wages Protected Catastrophic Disability Benefit Maximum Monthly Benefit Maximum Benefit Period Fully self-funded and administered

More information

It is our sincere hope that this information will be helpful as you go through these difficult times.

It is our sincere hope that this information will be helpful as you go through these difficult times. Benefit Guide Extended Illness Disability or Death In situations of extended illness, disability, or death, you and your family members will need to know specific details regarding benefit information.

More information

Leaves of Absence Frequently Asked Questions

Leaves of Absence Frequently Asked Questions Leaves of Absence Frequently Asked Questions 1. What is FMLA? Family Medical Leave Act (FMLA) applies to employers who employ 50 or more employees. FMLA provides eligible employees with up to 12 weeks,

More information

STATE OF MICHIGAN LONG TERM DISABILITY INCOME PROTECTION PLAN October 1, 2007

STATE OF MICHIGAN LONG TERM DISABILITY INCOME PROTECTION PLAN October 1, 2007 STATE OF MICHIGAN LONG TERM DISABILITY INCOME PROTECTION PLAN October 1, 2007 This document is the State of Michigan self-funded Long Term Disability Income Protection Plan (LTD Plan). The LTD Plan is

More information

American United Life Insurance Company Indianapolis, Indiana 46206-0368 Certifies that it has issued and delivered a Policy numbered G 2535(T) E to:

American United Life Insurance Company Indianapolis, Indiana 46206-0368 Certifies that it has issued and delivered a Policy numbered G 2535(T) E to: American United Life Insurance Company Indianapolis, Indiana 46206-0368 Certifies that it has issued and delivered a Policy numbered G 2535(T) E to: Fifth Third Bank, Indiana, Trustee For The American

More information

What Employees Should Know about Their Benefits and Employment

What Employees Should Know about Their Benefits and Employment What Employees Should Know about Their Benefits and Employment School Personnel Support Section North Carolina Department of Public Instruction July 2007 1 State Benefits Eligibility Only permanent full-time

More information

GROUP LIFE INSURANCE POLICY

GROUP LIFE INSURANCE POLICY GROUP LIFE INSURANCE POLICY Sponsor: Lee County Board of County Commissioners Policy Number: SA3-850-291182-01 Effective Date: January 1, 2014 Governing Jurisdiction is Florida and subject to the laws

More information

DRAKE UNIVERSITY SECTION 125 PRE-TAX SALARY REDUCTION PREMIUM PAYMENT PLAN

DRAKE UNIVERSITY SECTION 125 PRE-TAX SALARY REDUCTION PREMIUM PAYMENT PLAN SUMMARY PLAN DESCRIPTION under the DRAKE UNIVERSITY SECTION 125 PRE-TAX SALARY REDUCTION PREMIUM PAYMENT PLAN Dated August 2012 TABLE OF CONTENTS Q-1. What is the purpose of the Plan?.... Page 1 Q-2. What

More information

United of Omaha Life Insurance Company A Mutual of Omaha Company. voluntary term life insurance. work. for you UGC8914_0409

United of Omaha Life Insurance Company A Mutual of Omaha Company. voluntary term life insurance. work. for you UGC8914_0409 United of Omaha Life Insurance Company A Mutual of Omaha Company voluntary term life insurance Benefits work that for you UGC8914_0409 Eligibility All full-time employees, who are citizens or permanent

More information

GROUP BENEFIT PLAN DUKE UNIVERSITY

GROUP BENEFIT PLAN DUKE UNIVERSITY GROUP BENEFIT PLAN DUKE UNIVERSITY Short Term Disability and Long Term Disability The following provisions are applicable to residents of North Carolina. PRE-EXISTING LIMITATION READ CAREFULLY NO BENEFITS

More information

YOUR GROUP SUPPLEMENTAL LIFE INSURANCE PLAN

YOUR GROUP SUPPLEMENTAL LIFE INSURANCE PLAN YOUR GROUP SUPPLEMENTAL LIFE INSURANCE PLAN For Employees of North American Division of Seventh-day Adventists ReliaStar Life Insurance Company P.O. Box 20 Minneapolis, MN 55440-0020 B13826 B-13826 (01-13)

More information

Orange County Transportation Authority- Administrative Group

Orange County Transportation Authority- Administrative Group Group Life Insurance SUMMARY OF BENEFITS Life and AD&D Sponsored by: All Full-Time Administrative Employees and Employees represented by Transportation Communications Union (TCU) Life Employee Amount Two

More information

Y O U R E N R O L L M E N T K I T GROUP INSURANCE. Group Universal Life Dependent Term Life. Issued by The Prudential Insurance Company of America

Y O U R E N R O L L M E N T K I T GROUP INSURANCE. Group Universal Life Dependent Term Life. Issued by The Prudential Insurance Company of America Y O U R E N R O L L M E N T K I T GROUP INSURANCE Group Universal Life Dependent Term Life Issued by The Prudential Insurance Company of America California Resources Corporation (CRC) All Regular Full-Time

More information

Group Short and Long Term Disability Insurance 2-9 Lives

Group Short and Long Term Disability Insurance 2-9 Lives small employer income protection plan Group Short and Long Term Disability Insurance 2-9 Lives A Division of Reliance Standard Life Insurance Company Protect Your Greatest Assets Disability income insurance

More information

FAMILY & MEDICAL LEAVE

FAMILY & MEDICAL LEAVE FAMILY & MEDICAL LEAVE Employees may be eligible for an unpaid leave of absence under the federal Family Medical Leave Act ("FMLA"), subject to its eligibility requirements and other terms, conditions

More information

City of Rexburg Policy # 836476

City of Rexburg Policy # 836476 Term Life Insurance Coverage Highlights Employee Funded City of Rexburg Policy # 836476 Please read carefully the following description of your Unum Term Life insurance plan. Your Plan Eligibility All

More information

A - 3 Plan deduction indicates membership in 1&2..( 24 5$6

A - 3 Plan deduction indicates membership in 1&2..( 24 5$6 ! " #$%&' ( First, an important note from our lawyers. This booklet is intended only as a guide and does not establish any legal rights. It is intended as a summary of the benefits provided at the time

More information

Employee Group Benefits UNDERWRITTEN BY SUN LIFE ASSURANCE COMPANY OF CANADA

Employee Group Benefits UNDERWRITTEN BY SUN LIFE ASSURANCE COMPANY OF CANADA Employee Group Benefits UNDERWRITTEN BY SUN LIFE ASSURANCE COMPANY OF CANADA Howard University and Howard University Hospital D.B.A. Howard University, Inc. YOUR GROUP LIFE INSURANCE CONTAINS AN ACCELERATED

More information

LONG-TERM DISABILITY BENEFITS

LONG-TERM DISABILITY BENEFITS 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.

More information

Summary of Benefits. VidantHealth.com

Summary of Benefits. VidantHealth.com Summary of Benefits VidantHealth.com For additional information, please contact: Human Resources Department Vidant Roanoke-Chowan Hospital 252-209-3418 252-209-3252 fax brittany.oliver@vidanthealth.com

More information

Participating in the Life and Accidental Death and Dismemberment (AD&D) Insurance Plans

Participating in the Life and Accidental Death and Dismemberment (AD&D) Insurance Plans Participating in the Life and Accidental Death and Dismemberment (AD&D) Insurance Plans This document serves as the Summary Plan Description (SPD) for the Campbell Soup Company Life Insurance and Accidental

More information

University System of Maryland. Your Group Life Insurance Plan

University System of Maryland. Your Group Life Insurance Plan University System of Maryland Your Group Life Insurance Plan Identification No. 115327 011 Underwritten by Unum Life Insurance Company of America 7/9/2013 CERTIFICATE OF COVERAGE The Group Insurance Policy

More information

University of Dayton. Your Group Life and Accidental Death and Dismemberment Plan

University of Dayton. Your Group Life and Accidental Death and Dismemberment Plan University of Dayton Your Group Life and Accidental Death and Dismemberment Plan Identification No. 123359 011 Underwritten by Unum Life Insurance Company of America 5/8/2013 CERTIFICATE OF COVERAGE Unum

More information

INFORMATION ABOUT YOUR DISABILITY INSURANCE PLAN WITH LAFOURCHE PARISH SCHOOL BOARD

INFORMATION ABOUT YOUR DISABILITY INSURANCE PLAN WITH LAFOURCHE PARISH SCHOOL BOARD INFORMATION ABOUT YOUR DISABILITY INSURANCE PLAN WITH LAFOURCHE PARISH SCHOOL BOARD Disability Insurance Benefits are designed to help you replace a portion of your income if you are disabled. Disability

More information

President and Trustees of Bates College. Your Group Life and Accidental Death and Dismemberment Plan

President and Trustees of Bates College. Your Group Life and Accidental Death and Dismemberment Plan President and Trustees of Bates College Your Group Life and Accidental Death and Dismemberment Plan Identification No. 128121 012 Underwritten by Unum Life Insurance Company of America 11/21/2012 CERTIFICATE

More information

STATE DISABILITY INSURANCE (SDI)

STATE DISABILITY INSURANCE (SDI) A Brief Introduction to STATE DISABILITY INSURANCE (SDI) Revised 1/10/10 WHAT IS SDI? California State Disability Insurance (SDI) is a partial wage-replacement insurance plan for California workers. Workers

More information

Group Plan Benefits Life, AD&D, STD, LTD

Group Plan Benefits Life, AD&D, STD, LTD BENEFIT HIGHLIGHTS ILLUSTRATION Canadian National - Wisconsin Central General Committee of Adjustment Group Plan Benefits Life, AD&D, STD, LTD Railroad Retirement can fall short of giving you complete

More information

Civil Service Retirement System. Retirement Facts 12. Information About Reemployment for Civil Service Retirement System Annuitants

Civil Service Retirement System. Retirement Facts 12. Information About Reemployment for Civil Service Retirement System Annuitants CSRS Civil Service Retirement System Retirement Facts 12 Information About Reemployment for Civil Service Retirement System Annuitants United States Office of Personnel Management Retirement and Insurance

More information

Family and Medical Leave

Family and Medical Leave Family and Medical Leave Application: All positions covered under the Virginia Personnel Act to include full-time and part-time classified, restricted employees, and eligible wage employees. Background

More information

Life Insurance o $300,000 in death benefits o $100,000 in cash surrender or withdrawal values

Life Insurance o $300,000 in death benefits o $100,000 in cash surrender or withdrawal values NOTICE OF PROTECTION PROVIDED BY ALASKA LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION This notice provides a brief summary of the Alaska Life and Health Insurance Guaranty Association (Association) and

More information

Fayette County Public Schools Policy # 123013

Fayette County Public Schools Policy # 123013 Educator Select Income Protection Plan Insurance Highlights Fayette County Public Schools Policy # 123013 Please read carefully the following description of your Unum Educator Select Income Protection

More information

YOUR GROUP LIFE INSURANCE PLAN

YOUR GROUP LIFE INSURANCE PLAN YOUR GROUP LIFE INSURANCE PLAN For Employees of State of North Carolina 6CC000 B-9321 11-04 (electronic) CONTENTS CERTIFICATION PAGE............................................. 1 SCHEDULE OF BENEFITS...........................................

More information

Employee Benefits Frequently Asked Questions

Employee Benefits Frequently Asked Questions Employee Benefits Frequently Asked Questions USA Health & Dental Plan 1. When will my medical/dental coverage be effective if I am a new employee? If your employment begins on the first day of the calendar

More information

Northwest Independent School District Policy # 628663

Northwest Independent School District Policy # 628663 Educator Select Income Protection Plan Insurance Highlights Northwest Independent School District Policy # 628663 Please read carefully the following description of your Unum Educator Select Income Protection

More information

Earning for Today and Saving for Tomorrow. Basic Life Insurance Plan. inspiring possibilities

Earning for Today and Saving for Tomorrow. Basic Life Insurance Plan. inspiring possibilities Earning for Today and Saving for Tomorrow Basic Life Insurance Plan inspiring possibilities In This Summary Certification Page...3 Schedule of Benefits...4 Life Insurance, Accidental Death and Dismemberment

More information

YOUR GROUP LIFE INSURANCE PLAN

YOUR GROUP LIFE INSURANCE PLAN YOUR GROUP LIFE INSURANCE PLAN For Employees of State of South Dakota All Eligible Employees 6CC000 B-14517 (03-15) CONTENTS CERTIFICATION PAGE............................................. 1 SCHEDULE OF

More information

Optional and Dependent Life Group Insurance Plan 112687.011

Optional and Dependent Life Group Insurance Plan 112687.011 Optional and Dependent Life Group Insurance Plan 112687.011 CERTIFICATE OF COVERAGE Unum Life Insurance Company of America (referred to as Unum) welcomes you as a client. This is your certificate of coverage

More information

Health Benefits Plans (Medical, Dental, and Vision) Summary Plan Description General Information Section

Health Benefits Plans (Medical, Dental, and Vision) Summary Plan Description General Information Section Health Benefits Plans (Medical, Dental, and Vision) Summary Plan Description General Information Section (Effective: January 1, 2007) The Health Plan Summary Plan Description (SPD) includes three major

More information

OKLAHOMA CITY UNIVERSITY POLICY THE FAMILY AND MEDICAL LEAVE ACT (FMLA)

OKLAHOMA CITY UNIVERSITY POLICY THE FAMILY AND MEDICAL LEAVE ACT (FMLA) OKLAHOMA CITY UNIVERSITY POLICY THE FAMILY AND MEDICAL LEAVE ACT (FMLA) Oklahoma City University provides leaves of absence under the Family and Medical Leave Act of 1993, as amended, to eligible regular

More information

I. SECTION VI FACULTY/STAFF BENEFITS. Contents

I. SECTION VI FACULTY/STAFF BENEFITS. Contents Introduction Credit Union Dental Insurance Family Leave Group Life Insurance Group Medical Insurance Long Term Disability Insurance Professional Insurance Retirement System Tax - Deferred Annuity Plan

More information

Group Long Term Disability Insurance

Group Long Term Disability Insurance Group Long Term Disability Insurance with Assisted Living Benefit With State IIA Endorsed Group Long Term Disability Insurance, You Get These Valuable Benefits $10,000 maximum monthly disability benefits

More information

Purpose of the Policy Who Needs to Know This Policy The University s Obligations Supervisor/Human Resources Officers Obligations

Purpose of the Policy Who Needs to Know This Policy The University s Obligations Supervisor/Human Resources Officers Obligations New York University University Policy Title: Workers Compensation Policy and Procedure Effective Date: 01/01/2011 Last Revised: 03/07/2013 Issuing Authority: Office of the Executive Vice President Responsible

More information

MONTANA TECH EMPLOYEE BENEFITS

MONTANA TECH EMPLOYEE BENEFITS MONTANA TECH EMPLOYEE BENEFITS The following is a summary explanation of the payroll deductions and fringe benefits provided to eligible employees of Montana Tech. A. REQUIRED DEDUCTIONS 1. F.I.C.A. (SOCIAL

More information

The University of Tennessee. Group Long Term Disability Plan

The University of Tennessee. Group Long Term Disability Plan The University of Tennessee Group Long Term Disability Plan For Academic and Exempt Employees Effective December 1, 2003 Contents What If Your Paycheck Stops?.........................1 About TIAA and The

More information

GROUP TERM LIFE INSURANCE

GROUP TERM LIFE INSURANCE GROUP TERM LIFE INSURANCE Waunakee School District Waunakee, WI Teachers of Wisconsin, Inc. MADISON NATIONAL LIFE INSURANCE COMPANY, INC. Mailing Address: P.O. Box 5008, Madison, Wisconsin 53705 (HEREIN

More information

St. Thomas University

St. Thomas University St. Thomas University Group Policy Number: G0050234 Plan B: Support Staff Employee Name: Certificate Number: Welcome to Your Group Benefit Program Group Policy Effective Date: September 1, 2010 This Benefit

More information

Group Life and Disability Coverage Administration Manual

Group Life and Disability Coverage Administration Manual Group Life and Disability Coverage Administration Manual How to administer your company s life and disability coverage 47664GAEENGGL 9/14 The contents of this manual should not be considered legal advice

More information

Employee Term Life Accidental Death & Dismemberment. Dependent Term Life. Short-Term Disability. Long-Term Disability

Employee Term Life Accidental Death & Dismemberment. Dependent Term Life. Short-Term Disability. Long-Term Disability Lafayette Life Insurance Company True Group Product Information For Groups with 10+ Employees Employee Term Life Accidental Death & Dismemberment Dependent Term Life Short-Term Disability Long-Term Disability

More information

Group Disability Income Insurance Enrollment at a Glance Protection that provides benefits and access to expert resources during a difficult time.

Group Disability Income Insurance Enrollment at a Glance Protection that provides benefits and access to expert resources during a difficult time. Group Disability Income Insurance Enrollment at a Glance Protection that provides benefits and access to expert resources during a difficult time. For the employees of: Shelby County Government What is

More information

STANDARD INSURANCE COMPANY

STANDARD INSURANCE COMPANY STANDARD INSURANCE COMPANY A Stock Life Insurance Company 900 SW Fifth Avenue Portland, Oregon 97204-1282 (503) 321-7000 CERTIFICATE GROUP LIFE INSURANCE Policyholder: Missouri Department of Transportation

More information

Group Long Term Disability Insurance

Group Long Term Disability Insurance Group Long Term Disability Insurance with Assisted Living Benefit With State IIA Endorsed Group Long Term Disability Insurance, You Get These Valuable Benefits 4 $10,000 maximum monthly disability benefits

More information

SUPPLEMENTAL HOSPITALIZATION INSURANCE ELECTION INFORMATION

SUPPLEMENTAL HOSPITALIZATION INSURANCE ELECTION INFORMATION SUPPLEMENTAL HOSPITALIZATION INSURANCE ELECTION INFORMATION Save paper. Save a step. Save time. Instead of using this election form, make changes online at https://peoplefirst.myflorida.com. Learn more

More information

Long-Term Disability Insurance

Long-Term Disability Insurance Long-Term Disability Insurance Developed for the employees of Pennsylvania State System of Higher Education Protecting Your Family Securing Your Future If you re physically healthy, you can work, play,

More information

WHY WOULD I NEED IT? HOW MUCH DO I NEED?

WHY WOULD I NEED IT? HOW MUCH DO I NEED? WHY WOULD I NEED IT? HOW MUCH DO I NEED? Definitions Actively at Work means you or your Spouse are performing all the Essential Duties of Your Occupation for wage or profit on a full-time basis (at least

More information

City of San Diego. Employees Long-Term Disability Income Plan

City of San Diego. Employees Long-Term Disability Income Plan City of San Diego Employees Long-Term Disability Income Plan City of San Diego Employees Long-Term Disability Income Plan Summary Plan Description This handbook contains an explanation of important featu

More information

Policyholder: Lenoir-Rhyne University Long-Term Disability (LTD) Coverage. Effective Date: 1/1/2014. Your Benefits at a Glance

Policyholder: Lenoir-Rhyne University Long-Term Disability (LTD) Coverage. Effective Date: 1/1/2014. Your Benefits at a Glance Policyholder: Lenoir-Rhyne University Long-Term Disability (LTD) Coverage Effective Date: 1/1/2014 This is a summary of your long-term disability coverage from Principal Life Insurance Company. Long-term

More information

NORTHERN NEW ENGLAND BENEFIT TRUST LIFE INSURANCE ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE

NORTHERN NEW ENGLAND BENEFIT TRUST LIFE INSURANCE ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE NORTHERN NEW ENGLAND BENEFIT TRUST LIFE INSURANCE ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT INTRODUCTION Life Insurance and Accidental Death & Dismemberment

More information

University of Chicago Group Life Insurance Summary Plan Description

University of Chicago Group Life Insurance Summary Plan Description 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

More information