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UNUM |
VSDP |
| Waiting Period (defined) |
Defined as the time you must complete before eligible for the plan |
(no waiting period applies for plan eligibility) |
| Waiting Period for New Employees |
Applies to new employees only and depends on start date. A minimum of 30 or 60 days will apply. First of the month coinciding with or next following one month of active employment. |
(no waiting period applies for plan eligibility) |
Elimination Period
(how long a person must be deemed disabled before income received) |
- 90 consecutive days
- New Voluntary Individual Short-Term Plan available (through Colonial Insurance Company) will give a new option for the Elimination Period.
|
7 Days for Short-Term Disability
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| Minimum Requirement for Active Employment |
Salaried with at least 20 hours per week |
Salaried with at least 20 hours per week |
| Cost of Insurance |
- Paid by employee
- Non-taxable (Fed, State and S.S.) when receiving disability income
- No premium due when recipient of long term disability
- 5 year age banded group plan: As age and earning increase, the premium increases
|
- Paid by employer
- Benefit is taxable to employee
|
| Evidence of Insurability |
Group coverage provides |
(none) |
| Requirement for Application |
"Guaranteed Issue" |
|
Open Enrollment
Time |
For eligible persons:
- Annual Enrollment Period allows employees to enroll in plan for 1st time or increase/decrease coverage
- Evidence of insurability not required unless previously denied
|
- No planned future enrollment period
- Mandatory participation for newly hired or rehired classified employees
- New faculty may choose either UNUM or VSDP
|
| Amount of Earnings Protected |
Maximum benefit is $5,000 monthly. May choose to cover 50%, 40% or 25% of earnings.
Upon authorization, benefits paid until:
- The maximum benefit period is reached. ADEA 5-year provision may apply.
- The employee returns to work
- The employee is determined no longer disabled
Voluntary Individual Short-Term
Plan available through Colonial
Insurance Company. Coverage ranges from
$400 to $3000 per month.
Maximum of 66 2/3 % of your pay. |
- No monthly maximum.
- Short-Term Disability - Paid at 100%, 80% or 60%, depending on service.
- Long-Term Disability - 60% (or 80% if catastrophic)
- ADEA 5-year provision may apply.
- Short-Term Disability paid on pay dates.
- Long-Term Disability paid monthly until age 65 when service retirement takes effect or person is determined no longer disabled
|
| Basic Monthly Earnings |
Your plan anniversary is Jan. 1,
except for new participants not insured on the annual anniversary date. For these enrollees, insured earnings will be the earnings as of date of hire. |
- Includes salary increases as they occur while on Short- Term Disability
- COLA applied while under Long-Term Disability
|
| Offset |
(none) |
Earned income after 12 months of Long-Term disability. Offsets may apply for Workers Comp and other earnings. |
| Continuance While On Leave |
- If covered, may be eligible for benefits while on Sabbatical/ Educational Leave status, providing disability lasts 90 consecutive days.
- FML guarantees full reinstatement to coverage. Premiums resume.
|
Eligible for benefits while in Paid Leave status or Leave Without Pay (LWOP) status if waiting period and medical conditions are satisfied. |
| Sickness (defined) |
Defined as illness or disease |
(same definition) |
| Injury (defined) |
Defined as bodily injury which is accidental or independent of other causes |
(same definition) |
| Disability Provisions |
Partial Disability:
- Defined as unable to perform all duties on a part-time or full-time basis
- Currently earning at least 20% less per month less than indexed pre-disability earnings per same injury or sickness
|
Short-Term Disability:
- Cannot perform all duties
- May work reduced hours while still receiving program benefits
Long-Term Disability:
- Unable to do present job for more than 12 months (own occupation)
- After 12 months, you must be deemed unable to perform any occupation for which you are reasonably trained
|
| Determinations of Disability |
Requires physician involvement |
Requires physician involvement |
| Adjustment in Benefits Payable |
Only adjusted if still actively employed and salary increases. |
Long-Term Disability: 60% (or 80% if catastrophic).
- Earnings increase by use of disability credits.
- While on Long-Term Disability, any disability credits must be exhausted.
- Will continue to receive salary increases while on Short-Term Disability.
- COLA while on Long-Term Disability.
|
| Earned Income Impact on Disability Earnings |
Will offset VSDP |
(offsets apply) |
| Benefit Cessation |
When your earnings from employment (NOVA and/or other) exceed 80% of your pre indexed earnings. Benefits cease at death, if the disability ends, or the maximum period is reached. ADEA provisions may apply. |
- Upon return to work
- Upon reaching normal retirement date unless ADEA provisions apply.
- At employee death.
- If after 12 months, earnings exceeding 85% of pre-disability earnings.
|
| Recurrent Disability |
If you return to your regular occupation on a full-time basis for 6 months or more, a recurrent disability will be treated as a new period of disability. You must complete another elimination period. (For further information, see Page 14 of your Plan Description.) |
- For non chronic, 14 consecutive days.
- For chronic, 28 consecutive days.
|
| Mental Illness |
Cap on outpatient |
No distinction between mental and physical disability. |
| Portability |
- If covered for 12 consecutive months prior to termination, employee may continue coverage at same premium cost paid to employer plan.
- Some restrictions apply as listed in your plan description booklet.
|
(no portability) |