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Voluntary Long-Term Disability Insurance
SUMMARY OF BENEFITS| Sponsored by: | East Baton Rouge Parish School System | Effective date: | January 1, 2009 |
Long-term disability is intended to protect your income for a long duration after you have depleted short-term disability or any sick leave your company may offer.
| Eligibility | All full-time active employees working 30 or more hours per week in an eligible class are eligible for coverage on the policy effective date. |
| Maximum Monthly Benefit | 60% of salary up to $10,000 per month |
| Maximum Benefit Duration | Reducing Benefit Duration / Age 65 |
| Elimination Period | 180 days The number of days you must be disabled prior to collecting disability benefits. |
| Accumulation of Elimination Days | You can satisfy the days of your elimination period with either total (off work entirely) or partial (working some hours at your current job) disability. If you are working on a partial basis, you will have 2x the elimination period days to satisfy the total of 180 days. |
| Pre-Existing Condition | You may not be eligible for benefits if you have received treatment for a condition within the past 12 months until you have been covered under this plan for 24 months, or if you remain treatment free for a period of 12 consecutive months. |
| Enrollment | You are able to take advantage of this coverage now without a health examination. You may not be offered this opportunity again, or may be responsible for the cost of required examinations. |
| Waiver of Premium | You will not be required to pay premium during any time of approved total or partial disability. |
| Survivor Income Benefit | A survivor benefit may be paid to your beneficiary if you should die while receiving qualifying disability payments. |
| EmployeeConnectSM | Access to an employee assistance program for the employee or an immediate household family member who may be experiencing personal or workplace issues. |
| Benefit Limitations |
Mental Illness: 24 months Substance Abuse: No Limit Specified Illness: No Limit |
| Portability | If your employment is terminated for any reason other than retirement, disability, or a leave of absence, you can keep your current LTD coverage at the same rate for up to 12 months. Your current coverage must have been in force for at least 12 months. |
| Cost |
Monthly Premium Calculation John Doe is 35 and earns $2,500 per month. $2,500 x .00295 = $7.38 Monthly premium $_______________ X _____________ = $_________________ Your Monthly Salary* Premium Factor Your Monthly Cost |
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| Understanding Your Benefits |
| Total Disability | You are considered totally disabled if, due to an injury or illness, you are unable to perform each of the main duties of your own occupation. Your “own” occupation is covered for a specific period of time. Following this, the definition of total disability becomes the inability to perform any occupation for which you are reasonably suited based on your experience, education, or training. |
| Partial Disability | You are considered partially disabled if you are unable, due to an injury or illness, to perform the main duties of your regular occupation on a full-time basis. Partial Disability benefits may be payable if you are earning at least 20% of the income you earned prior to becoming disabled, but not more than 99%. Partial disability benefits allow you to work and earn income from your employer as well as continue to receive benefits, which may enable you to receive 100% of your income during your time of disability. |
| Continuation of Disability | If you return to work full-time but become disabled from the same disability within six months of returning to work, you will begin receiving benefits again immediately. |
| Benefit Duration Reduction | Your benefit duration may be reduced if you become disabled after age 65. |
| Pre-Existing Condition | Any sickness or injury for which you have received medical treatment, consultation, care, or services (including diagnostic measures or the taking of prescribed medications) during the specified months prior to the coverage effective date. A disability arising from any such sickness or injury will be covered only if it begins after you have performed your regular occupation on a full-time basis for the specified months following the coverage effective date, unless no treatment was received for the specified consecutive months after the coverage effective date. |
| Benefit Exclusions |
You will not receive benefits in the following circumstances:
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| Benefit Reductions |
Your benefits may be reduced if you are receiving benefits from any of the following sources:
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| Benefit Termination | This coverage will terminate when you terminate employment with this policyholder, or at your retirement. |
For assistance or additional information
Contact Lincoln Financial Group at (800) 423-2765 or log on to www.LincolnFinancial.com
NOTE: This is not intended as a complete description of the insurance coverage offered. Controlling provisions are provided in the policy, and this summary does not modify those provisions or the insurance in any way. This is not a binding contract. A certificate of coverage will be made available to you that describes the benefits in greater details. Should there be a difference between this summary and the contract, the contract will govern.
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Group Insurance products are issued by The Lincoln National Life Insurance Company (Ft. Wayne, IN), which is not licensed and does not solicit business in New York. In New York, group insurance products are issued by Lincoln Life & Annuity Company of New York (Syracuse, NY). Both are Lincoln Financial Group companies. Product availability and/or features may vary by state. Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. Each affiliate is solely responsible for its own financial and contractual obligations.