Wage Continuation. School District of Philadelphia. Short-Term Disability Insurance Summary Plan Description
|
|
- Margaret Oliver
- 5 years ago
- Views:
Transcription
1 School District of Philadelphia Human Resources Office of Employee Benefits Wage Continuation Short-Term Disability Insurance Summary Plan Description K:\9250 Employee Benefits Management\Wage Continuation\CASA NR 634\Plan Doc\Wage Continuation- Summary Plan Descriptionupdated docx Last update: 5/31/2016
2 THE SCHOOL DISTRICT OF PHILADELPHIA WAGE CONTINUATION SUMMARY PLAN DESCRIPTION TABLE OF CONTENTS BENEFITS AT A GLANCE PAGE 3 CLAIM INFORMATION... PAGE 6 GENERAL PROVISIONS... PAGE 7-2 -
3 BENEFITS AT A GLANCE WAGE CONTINUATION Wage Continuation is a voluntary short term disability plan (also known as a Salary Continuance Program) offered by the School District of Philadelphia (SDP) that pays 75% of base pay to enrolled employees who are absent from work due to an extended approved illness.. EFFECTIVE DATE: March 17, 2014 PLAN YEAR: July 1, 2014 to June 30, 2015 and each following July 1 to June 30 ELIGIBLE GROUP(S): CASA Employees All full time employees who are active with the School District of Philadelphia shall have the opportunity to enroll in a Salary Continuance Program which would provide a uniform benefit duration with various waiting periods based on accumulated sick leave. Local 634 Employees All full time employees who are active with the School District of Philadelphia shall have the opportunity to enroll in a Salary Continuance Program which would provide a uniform benefit duration with various waiting periods based on accumulated sick leave. Local 634 employees will be eligible after employment probation. Non-Represented Employees All full time employees who are active with the School District of Philadelphia, excluding Non-Represented Directors, Officers, and Cabinet Level employees, shall have the opportunity to enroll in a Salary Continuance Program which would provide a uniform benefit duration with various waiting periods based on accumulated sick leave. ENROLLMENT PERIOD: All eligible employees must apply within 90 days of hire in an eligible position. Eligible employees who do not apply within the first 90 days of hire may enroll in the program during the School District of Philadelphia s annual Open Enrollment period, which is held from May 1 through May 31, effective July 1. WAITING PERIOD: For employees in an eligible group that apply within 90 days of hire of an eligible position: First of the month following 90 days of continuous active employment. For employees in an eligible group that apply during the Open Enrollment period: July 1 following the end of the Open Enrollment period. Twelve-month employees are eligible to use the benefit on July 1 and premium deductions for the program will begin in July
4 Ten-month employees are eligible to use the benefit as of September 1 and premium deductions will begin in September. Ten-month employees will not be charged during the summer months of July and August and are ineligible to use this benefit during this time. RESTORATION OF SERVICE: Employees rehired within 12 months from the last day of their active employment must re-enroll in the program within 30 days of hire date; otherwise, they must wait until the Open Enrollment period, as described above. If the employee does not re-enroll, it will be considered that they waived enrollment in the plan. Under no circumstances should repayment of premiums be considered as retroactive enrollment in the wage continuation plan for benefits. Employees rehired after 12 months from the last day of their active employment, must re-enroll in the program within 90 days of hire date; otherwise, they must wait until the Open Enrollment period, as described above. ELIMINATION PERIOD AND PREMIUMS: The chart below outlines the plan name, the associated accumulated sick leave, the waiting period and percentage of the premium paid by the School District of Philadelphia, as well as the employee. Accumulated Sick Leave (as of enrollment date) Waiting Period (Corridor Days) Plan Name Percentage of Premium Paid by the SDP Percentage of Premium Paid by the Employee Less than 10 7 WC7D 50% 50% 10 but less than 30 6 WC6D 50% 50% 30 or more 5 WC5D 65% 35% Premium amounts for the Salary Continuance Program shall be deducted from all pays, except for Summer Reserve pay for ten-month employees. Premiums are subject to change each year, effective July 1. Any changes in the premium will be communicated to all employees listed in the Eligible Groups section. At the commencement of each school year (September 1) and until the following August 31, the individual shall be placed in a category corresponding to his/her accumulated sick leave. BENEFIT AMOUNT AND MAXIMUM PERIOD OF PAYMENT: The Salary Continuance Program shall pay 75% of bi-weekly earnings for a maximum of 26 weeks within a 12 month period after the individual has utilized his/her accumulated sick leave plus waiting period. Premium payments are required for your coverage while you are receiving payments under this plan. Your Short Term Disability plan does not cover disabilities due to an occupational sickness or injury
5 The Family Medical Leave Act (FMLA) runs concurrently with any paid personal illness leave. Wage continuation may only be used when an employee has a serious health condition as certified by a physician. Wage Continuation cannot be used to care for a family member. REESTABLISHMENT PERIOD: The following process will apply to an employee who has been absent on Wage Continuation for an extended absence between six (6) weeks and three (3) months within any 12 month period: Employee must return to work on a continuous basis for 3 months to be eligible again for Wage Continuation benefits. During the 3-month period, employees are only permitted to take 4 days: Personal leave, Personal illness, and Illness in the family. The following process will apply to an employee who has been absent on Wage Continuation for an extended absence from 3 months to 6 months within any 12 month period: Employee must return to work on a continuous basis for 6 months to be eligible again for Wage Continuation benefits. During the 6-month period, employees are only permitted to take 6 days: Personal leave, Personal illness, and Illness in the family. If the employee uses more days that allotted during the reestablishment period, the reestablishment period will be extended until the employee completes it in full. The bi-weekly premium for the Wage Continuation program will continue until the employee has exhausted the full 26 weeks. Once exhausted, participation in the program will cease and the employee will no longer be eligible for the benefit. Employees who wish to re-enroll in the program will be required to submit an application during the Open Enrollment period. OTHER BENEFITS If you are approved for the use of the Salary Continuance Program, your District provided medical insurance will continue for you and any dependents, if applicable, for up to 26 weeks, to coincide with the length of the approved absence. CANCELLATION PERIOD: Employees can cancel participation in the Wage Continuation program during the following times only: Open Enrollment: The full month of May, effective July 1. TERMINATION OF COVERAGE Wage Continuation insurance plan will terminate the day an employee: Stops active service, Ceases to be physically active at work, Exhausts the full 26 weeks of the benefit within a 12 month period, - 5 -
6 Or voluntarily cancels the plan. If an employee is placed on temporary layoff or takes an approved leave of absence without pay, the plan will end on the last day of active employment. CLAIM INFORMATION WHEN DO YOU NOTIFY THE SDP OF A CLAIM? We encourage you to notify us of your claim as soon as possible so that a claim decision can be made in a timely manner. You must coordinate your absence with the Employee Health Services (EHS) department. Completing the following steps will ensure a smooth transition: For absences over 3 consecutive days, submit an Extended Illness Absence Card (Form SEH-3) to EHS. This form is available on their website, You will receive a letter from EHS scheduling an appointment for you to visit the SDP s physician for review of your absence. You will continue to use all accrued (banked) sick days until you have none left. Upon approval of your continued absence, you will have a waiting period between your last sick day and when Wage Continuation payments begin. Waiting periods are listed above in the Benefits at a Glance section and range between 5-7 work days. Wage Continuation payments continue until you are cleared to return to work. Payments may continue for up to 26 weeks in a 12 month period. You must contact Health Services at (215) or by at employeehealth@philasd.org. Their office is located at 440 North Broad Street, Room 134, Philadelphia, PA WHAT INFORMATION IS NEEDED AS PROOF OF YOUR CLAIM? Your proof of claim, provided at your expense, must show a detailed medical report from a qualified physician that includes the following: The name and address of any hospital or institution where you received treatment Diagnosis Prognosis Anticipated date of return The District will deny your claim, or stop sending you payments, if the appropriate information is not submitted. TO WHOM WILL THE SDP MAKE PAYMENTS? The District will make payments directly to you via paychecks issued through the Payroll Department as part of the regular payroll schedule. WHAT HAPPENS IF THE SDP OVERPAYS YOUR CLAIM? The SDP has the right to recover, in full, any overpayments due to: Fraud; and Any error the SDP makes in processing a claim - 6 -
7 The SDP will recover any amounts owed through payroll deductions. The SDP will not recover more money than the amount you were paid. GENERAL PROVISIONS WHEN DOES YOUR COVERAGE BEGIN? For employees in an eligible group that apply within 90 days of hire of an eligible position: First of the month following 90 days of continuous active employment For employees in an eligible group that apply during the Open Enrollment period: July 1 following the end of the Open Enrollment period. Twelve-month employees are eligible to use the benefit as of July 1 and charges for the program will begin in July. Ten-month employees are eligible to use the benefit as of September 1 and premium deductions will begin in September. Ten-month employees will not be charged during the summer months of July and August and are ineligible to use this benefit during this time. WHEN CAN YOU APPLY FOR COVERAGE IF YOU (1) DID NOT APPLY WITHIN 90 DAYS OF HIRE OF AN ELIGIBLE POSITION OR (2) IF YOU DID NOT APPLY DURING OPEN ENROLLMENT OR (3) IF YOU VOLUNTARILY CANCELLED YOUR COVERAGE? You can apply for coverage only during the annual Open Enrollment period. Open Enrollment is held during the month of May. Coverage applied for during the annual Open Enrollment period will begin on: July 1, for twelve-month employees September 1, for ten-month employees HOW WILL THE DISTRICT HANDLE INSURANCE FRAUD? It is a crime if you knowingly, and with intent to injure, defraud or deceive the District, or provide any information, including filing a claim that contains any false, incomplete or misleading information. These actions, as well as submission of materially false information, will result in denial of your claim, and are subject to prosecution and punishment to the full extent under state and/or federal law. The District will pursue all appropriate legal remedies in the event of insurance fraud. CAN I USE WAGE CONTINUATION FOR PREGNANCY? Medical leave resulting from pregnancy shall entitle employees to paid leave for up to six (6) weeks in the case of a normal delivery, and up to eight (8) weeks for a Caesarean Section. Such paid leave consists of sick leave and Wage Continuation, in that order. Ten-month employees will not be compensated through the Wage Continuation program during the summer months of July and August. DOES THE POLICY REPLACE OR AFFECT ANY WORKERS COMPENSATION OR STATE DISABILITY INSURANCE? The policy does not replace or affect the requirements for coverage by any Workers Compensation or state disability insurance
8 EMPLOYER S RIGHT TO AMEND THE PLAN The District reserves the rights, in its sole and absolute discretion, to amend or modify, in whole or in part, any or all provisions of this Plan (including any related documents and underlying policies), at any time for any reason or no reason. Any amendment must be in writing and communicated to all eligible employees
Gadsden County School Board. Your Group Disability Plan
Gadsden County School Board Your Group Disability Plan Policy No. 66943 011 Underwritten by Unum Life Insurance Company of America 6/15/2009 CERTIFICATE OF COVERAGE Unum Life Insurance Company of America
More informationCity of Albany/Water, Gas & Light. Your Group Short Term Disability Plan
City of Albany/Water, Gas & Light Your Group Short Term Disability Plan Policy No. 152208 011 Underwritten by Unum Life Insurance Company of America 2/3/2009 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationFirst Unum Life Insurance Company
First Unum Life Insurance Company Wagner College Your Group Disability Plan Policy No. 879348 012 Underwritten by First Unum Life Insurance Company 2/26/2016 CERTIFICATE OF COVERAGE First Unum Life Insurance
More informationMann Financial, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Mann Financial, Inc. Your Group Life and Accidental Death and Dismemberment Plan Policy No. 576099 011 Underwritten by Unum Life Insurance Company of America 3/12/2003 CERTIFICATE OF COVERAGE Unum Life
More informationUniversity of Mississippi. Your Group Life and Accidental Death and Dismemberment Plan
University of Mississippi Your Group Life and Accidental Death and Dismemberment Plan Policy No. 111686 011 Underwritten by Unum Life Insurance Company of America 12/17/2013 CERTIFICATE OF COVERAGE Unum
More informationBeachwood Investment DBA Quality Care Rehab. Group Voluntary Term Life
Beachwood Investment DBA Quality Care Rehab Group Voluntary Term Life Policy No. R0288449 All Employees Underwritten by Unum Life Insurance Company of America December 1, 2010 1 CERTIFICATE OF COVERAGE
More informationEnsign Services, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Ensign Services, Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 415402 031 Underwritten by Unum Life Insurance Company of America 12/31/2013 CERTIFICATE OF COVERAGE
More informationThe Boyd Group (U.S.) Inc. Your Group Life and Accidental Death and Dismemberment Plan
The Boyd Group (U.S.) Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 416752 011 Underwritten by Unum Life Insurance Company of America 5/9/2014 CERTIFICATE OF COVERAGE
More informationJohn Carroll University. Your Group Life and Accidental Death and Dismemberment Plan
John Carroll University Your Group Life and Accidental Death and Dismemberment Plan Identification No. 581726 032 Underwritten by Unum Life Insurance Company of America 11/29/2017 CERTIFICATE OF COVERAGE
More informationCross Country Home Services. Your Group Life and Accidental Death and Dismemberment Plan
Cross Country Home Services Your Group Life and Accidental Death and Dismemberment Plan Identification No. 911293 011 Underwritten by Unum Life Insurance Company of America 4/4/2018 CERTIFICATE OF COVERAGE
More informationJefferson County. Your Group Life and Accidental Death and Dismemberment Plan
Jefferson County Your Group Life and Accidental Death and Dismemberment Plan Identification No. 575304 011 Underwritten by Unum Life Insurance Company of America 1/20/2004 CERTIFICATE OF COVERAGE Unum
More informationCounty of Dane A Municipal Corporation. Your Group Disability Plan
County of Dane A Municipal Corporation Your Group Disability Plan Policy No. 567797 011 Underwritten by Unum Life Insurance Company of America 12/5/2007 CERTIFICATE OF COVERAGE Unum Life Insurance Company
More informationShasta-Tehama-Trinity Joint Community College District. Group Term Life and Accidental Death & Dismemberment
Shasta-Tehama-Trinity Joint Community College District Group Term Life and Accidental Death & Dismemberment Policy No. R0368605 Faculty Employees Underwritten by Unum Life Insurance Company of America
More informationCross Country Home Services. Your Group Life and Accidental Death and Dismemberment Plan
Cross Country Home Services Your Group Life and Accidental Death and Dismemberment Plan Identification No. 911294 011 Underwritten by Unum Life Insurance Company of America 4/4/2018 CERTIFICATE OF COVERAGE
More informationJohn Carroll University. Your Group Life and Accidental Death and Dismemberment Plan
John Carroll University Your Group Life and Accidental Death and Dismemberment Plan Identification No. 581726 032 Underwritten by Unum Life Insurance Company of America 11/10/2011 CERTIFICATE OF COVERAGE
More informationNorthwest Florida State College. Your Group Life and Accidental Death and Dismemberment Plan. Identification No
unum Northwest Florida State College Your Group Life and Accidental Death and Dismemberment Plan Identification No. 69872 817 Underwritten by Unum Life Insurance Company of America 7/11/2012 CERTIFICATE
More informationTown of Knightdale. Your Group Life and Accidental Death and Dismemberment Plan
Town of Knightdale Your Group Life and Accidental Death and Dismemberment Plan Identification No. 114117 011 Underwritten by Unum Life Insurance Company of America 8/30/2004 CERTIFICATE OF COVERAGE SUBJECT:
More informationCross River Bank. Your Group Life and Accidental Death and Dismemberment Plan
Cross River Bank Your Group Life and Accidental Death and Dismemberment Plan Identification No. 908986 011 Underwritten by Unum Life Insurance Company of America 7/7/2016 CERTIFICATE OF COVERAGE Unum
More informationMetropolitan Water Reclamation District of Greater Chicago. Your Group Life and Accidental Death and Dismemberment Plan
Metropolitan Water Reclamation District of Greater Chicago Your Group Life and Accidental Death and Dismemberment Plan Identification No. 700065 011 Underwritten by Unum Life Insurance Company of America
More informationUniversity 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 5/12/2017 CERTIFICATE OF COVERAGE The Group Insurance
More informationCommunity Action Partnership of Ramsey & Washington Counties. Your Group Life and Accidental Death and Dismemberment Plan
Community Action Partnership of Ramsey & Washington Counties Your Group Life and Accidental Death and Dismemberment Plan Identification No. 906711 011 Underwritten by Unum Life Insurance Company of America
More informationAmeriTeam Services LLC D/B/A TeamHealth. Your Group Life and Accidental Death and Dismemberment Plan
AmeriTeam Services LLC D/B/A TeamHealth Your Group Life and Accidental Death and Dismemberment Plan Identification No. 606138 011 Underwritten by Unum Life Insurance Company of America 4/8/2016 CERTIFICATE
More informationState of Alaska. Your Group Life and Accidental Death and Dismemberment Plan
State of Alaska Your Group Life and Accidental Death and Dismemberment Plan Policy No. 905761 011 Underwritten by Unum Life Insurance Company of America 1/30/2015 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationAMENDMENT NO. 4. This amendment forms a part of Group Identification No issued to the Employer/Applicant: Omaha Track, Inc.
AMENDMENT NO. 4 This amendment forms a part of Group Identification No. 689859 001 issued to the Employer/Applicant: Omaha Track, Inc. The entire Summary of Benefits is replaced by the Summary of Benefits
More informationLong-Term Disability
Long-Term Disability Summary Plan Description This brochure is not a contract. Coverage is described in rather general terms; the extent of your coverage at all times is governed by the complete terms
More informationRegions Financial Corporation. Your Group Life Insurance Plan
Regions Financial Corporation Your Group Life Insurance Plan Identification No. 406457 011 Underwritten by Unum Life Insurance Company of America 8/14/2018 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationG4S Secure Solutions (USA), Inc. Your Group Life and Accidental Death and Dismemberment Plan
G4S Secure Solutions (USA), Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 700895 042 Underwritten by Unum Life Insurance Company of America 12/9/2016 CERTIFICATE
More informationMetropolitan Community College, a participating employer in the Private Colleges and Universities Group Insurance Trust
Metropolitan Community College, a participating employer in the Private Colleges and Universities Group Insurance Trust Your Group Life and Accidental Death and Dismemberment Plan Identification No. 127327
More informationForest River, Inc. Your Group Long Term Disability Plan
Forest River, Inc. Your Group Long Term Disability Plan Policy No. 951840 011 Underwritten by Unum Life Insurance Company of America 3/2/2016 CERTIFICATE OF COVERAGE Unum Life Insurance Company of America
More informationDoctors Community Hospital. Your Group Life and Accidental Death and Dismemberment Plan
Doctors Community Hospital Your Group Life and Accidental Death and Dismemberment Plan Identification No. 226205 031 Underwritten by Unum Life Insurance Company of America 2/24/2015 CERTIFICATE OF COVERAGE
More informationAltair Engineering, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Altair Engineering, Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 512738 013 Underwritten by Unum Life Insurance Company of America 6/26/2008 CERTIFICATE OF COVERAGE
More informationThe Pennsylvania State University. Your Group Life and Accidental Death and Dismemberment Plan
The Pennsylvania State University Your Group Life and Accidental Death and Dismemberment Plan Identification No. 605923 042 All full-time Union Employees in the graded benefit plan Underwritten by Unum
More informationCharlotte-Mecklenburg Schools. Your Group Life Insurance Plan
Charlotte-Mecklenburg Schools Your Group Life Insurance Plan Identification No. 420160 011 Underwritten by Unum Life Insurance Company of America 12/8/2015 CERTIFICATE OF COVERAGE SUBJECT: GROUP LIFE
More informationMoberly School District. Your Group Life and Accidental Death and Dismemberment Plan
Moberly School District Your Group Life and Accidental Death and Dismemberment Plan Identification No. 398321 011 Underwritten by Unum Life Insurance Company of America 5/28/2013 CERTIFICATE OF COVERAGE
More informationDistrict School Board of Pasco County. Your Group Disability Plan
District School Board of Pasco County Your Group Disability Plan Policy No. 68687 011 Underwritten by Unum Life Insurance Company of America 1/6/2009 CERTIFICATE OF COVERAGE Unum Life Insurance Company
More informationMontana Unified School Trust. Your Group Life and Accidental Death and Dismemberment Plan
Montana Unified School Trust Your Group Life and Accidental Death and Dismemberment Plan Policy No. 632174 021 Underwritten by Unum Life Insurance Company of America 9/3/2015 CERTIFICATE OF COVERAGE Unum
More informationThomas Road Baptist Church. Your Group Life and Accidental Death and Dismemberment Plan
Thomas Road Baptist Church Your Group Life and Accidental Death and Dismemberment Plan Identification No. 551903 042 Underwritten by Unum Life Insurance Company of America 8/26/2008 CERTIFICATE OF COVERAGE
More informationForest River, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Forest River, Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 951841 011 Underwritten by Unum Life Insurance Company of America 3/2/2016 CERTIFICATE OF COVERAGE Unum
More informationNorthWestern Corporation dba NorthWestern Energy. Your Group Life and Accidental Death and Dismemberment Plan
NorthWestern Corporation dba NorthWestern Energy Your Group Life and Accidental Death and Dismemberment Plan Policy No. 909393 012 Underwritten by Unum Life Insurance Company of America 4/12/2017 CERTIFICATE
More informationDaytona State College. Your Group Life and Accidental Death and Dismemberment Plan
Daytona State College Your Group Life and Accidental Death and Dismemberment Plan Identification No. 69872 805 Underwritten by Unum Life Insurance Company of America 3/7/2014 CERTIFICATE OF COVERAGE Unum
More informationOhio Northern University. Your Group Life and Accidental Death and Dismemberment Plan
Ohio Northern University Your Group Life and Accidental Death and Dismemberment Plan Identification No. 604743 011 Underwritten by Unum Life Insurance Company of America 1/2/2014 CERTIFICATE OF COVERAGE
More informationR LTD-0%-A. Michigan
GROUP INSURANCE POLICY NON-PARTICIPATING POLICYHOLDER: DEMONSTRATION COMPANY 032408 POLICY NUMBER: R0067363 LTD-0%-A POLICY EFFECTIVE DATE: February 1, 2008 POLICY ANNIVERSARY DATE: February 1 GOVERNING
More informationMontana Unified School Trust. Your Group Life and Accidental Death and Dismemberment Plan
Montana Unified School Trust Your Group Life and Accidental Death and Dismemberment Plan Policy No. 632175 011 Underwritten by Unum Life Insurance Company of America 7/22/2015 CERTIFICATE OF COVERAGE
More informationSchool District of Indian River County. Your Group Long Term Disability Plan
School District of Indian River County Your Group Long Term Disability Plan Policy No. 409492 012 Underwritten by Unum Life Insurance Company of America 7/10/2015 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationMultnomah County Oregon. Your Group Life and Accidental Death and Dismemberment Plan
Multnomah County Oregon Your Group Life and Accidental Death and Dismemberment Plan Identification No. 387790 025 Underwritten by Unum Life Insurance Company of America 10/1/2015 CERTIFICATE OF COVERAGE
More informationPresident and Trustees of Bates College. Your Group Long Term Disability Plan
President and Trustees of Bates College Your Group Long Term Disability Plan Policy No. 128121 011 Underwritten by Unum Life Insurance Company of America 11/19/2012 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationSinglepoint Outsourcing, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Singlepoint Outsourcing, Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 139992 021 Underwritten by Unum Life Insurance Company of America 7/3/2017 CERTIFICATE OF COVERAGE
More informationLuther College. Your Group Life and Accidental Death and Dismemberment Plan
Luther College Your Group Life and Accidental Death and Dismemberment Plan Identification No. 691293 011 Underwritten by Unum Life Insurance Company of America 1/17/2017 CERTIFICATE OF COVERAGE Unum Life
More informationPenske Long-Term Disability Summary Plan Description
Penske Long-Term Disability Summary Plan Description Contents Program Highlights... 1 Coverage Available to You...1 Eligibility and Enrollment... 2 Eligibility... If You Are a New Hire... If You Transfer
More informationTufts Associated Health Plans, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Tufts Associated Health Plans, Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 425544 013 Underwritten by Unum Life Insurance Company of America 11/29/2017 CERTIFICATE
More informationA-1 Contract Staffing, Inc.
A-1 Contract Staffing, Inc. Class II Short Term Disability Coverage Long Term Disability Coverage Benefit Highlights SHORT TERM DISABILITY PLAN This short term disability plan provides financial protection
More informationPART-TIME HOURLY DISABILITY PLAN QUICK FACTS AND QUICK LINKS
PART-TIME HOURLY DISABILITY PLAN QUICK FACTS AND QUICK LINKS Your Part-time Hourly Disability Option Short-term Disability A Quick Look at the Disability Plan Short-term disability When benefits begin:
More informationCorporation of Marlboro College. Your Group Life and Accidental Death and Dismemberment Plan
Corporation of Marlboro College Your Group Life and Accidental Death and Dismemberment Plan Policy No. 226908 011 Underwritten by Unum Life Insurance Company of America 3/14/2012 CERTIFICATE OF COVERAGE
More informationThe Johns Hopkins Health System Corporation / The Johns Hopkins Hospital. Your Group Life and Accidental Death and Dismemberment Plan
The Johns Hopkins Health System Corporation / The Johns Hopkins Hospital Your Group Life and Accidental Death and Dismemberment Plan Identification No. 573627 012 Underwritten by Unum Life Insurance Company
More informationGROUP BENEFIT PLAN STATE OF MINNESOTA
GROUP BENEFIT PLAN STATE OF MINNESOTA Long Term Disability TABLE OF CONTENTS Group Long Term Disability Benefits PAGE CERTIFICATE OF INSURANCE...2 SCHEDULE OF INSURANCE...4 Must you contribute toward
More informationOhlone Community College District. Your Group Life and Accidental Death and Dismemberment Plan
Ohlone Community College District Your Group Life and Accidental Death and Dismemberment Plan Identification No. 354009 011 Underwritten by Unum Life Insurance Company of America 3/12/2012 CERTIFICATE
More informationShort Term Disability Claim Application
Claim Application To file an application for Short Term Disability benefits, please follow the instructions below to avoid unnecessary delays. Any cost for completion of this form will be at the insured
More informationArticle SICK LEAVE, SHORT TERM DISABILITY AND LONG TERM DISABILITY BENEFITS
GUILD PROPOSAL August 23, 2017 Article SICK LEAVE, SHORT TERM DISABILITY AND LONG TERM DISABILITY BENEFITS 1. Annual Sick Leave: After completion of the initial ninety (90) days of employment, all full-time
More informationSHORT TERM DISABILITY
For this plan year, the plan includes the following provisions, subject to change or discontinuation with or without notice at anytime. This Summary Plan Description presents an overview of your Benefits.
More informationBenefits Handbook Date September 1, Short Term Disability Benefits Payroll Policy Marsh & McLennan Companies
Date September 1, 2018 Short Term Disability Benefits Payroll Policy Marsh & McLennan Companies Short Term Disability Benefits Payroll Policy Marsh & McLennan Companies, Inc. provides salary continuation
More informationEnhanced Short-Term Disability Insurance. Summary Plan Description
Enhanced Short-Term Disability Insurance Summary Plan Description AMENDMENT NO. 10 This amendment forms a part of Group Policy No. 415507 001 issued to the Policyholder: Vanderbilt University The entire
More informationFoertsch Construction Company, Inc. Your Group Life and Accidental Death and Dismemberment Plan
Foertsch Construction Company, Inc. Your Group Life and Accidental Death and Dismemberment Plan Identification No. 571357 021 Underwritten by Unum Life Insurance Company of America 3/26/2013 CERTIFICATE
More informationLuther College. Your Group Life and Accidental Death and Dismemberment Plan
Luther College Your Group Life and Accidental Death and Dismemberment Plan Identification No. 691294 011 Underwritten by Unum Life Insurance Company of America 1/17/2017 CERTIFICATE OF COVERAGE Unum Life
More informationSick Leave & Disability
In general, all full-time and part-time employees of the Company are eligible for the sick leave and disability plans described in this section. Interns, contract and agency workers and hiring hall employees
More informationNo. Subject Date 2-39 Short Term Disability Pay EXEMPT April 23, 2018
Procedure Title: Short Term Disability Pay Exempt Procedure Owner: Senior Vice President, Compensation and Benefits Process Owner: Senior Director, Benefit Programs Procedure No. Subject Date 2-39 Short
More informationShort Term Disability Income Protection Insurance Plan Summary Plan Description
Short Term Disability Income Protection Insurance Plan Summary Plan Description Isle of Capri STD All Salaried Employees Please read carefully the following description of your Short Term Disability Income
More informationFMLA/CFRA/PDL Designation
Instructions for Department Leave covered under the Family and Medical Leave Act (FMLA), the California Family Rights Act (CFRA), and Pregnancy Disability Leave (PDL) must be designated as FMLA, CFRA,
More informationRetiree Basic Life Group Insurance Plan
112686-021 Retiree Basic Life Group Insurance Plan CERTIFICATE OF COVERAGE Unum Life Insurance Company of America (referred to as Unum) welcomes you as a client. This is your certificate of coverage as
More informationAdvocate Health Care Network Disability Income Protection Summary of Benefits
Advocate Health Care Network Disability Income Protection Summary of Benefits (Amended and Restated as of July 1, 2017) What s Inside Introduction...3 Disability Case Management...4 Disability Council...4
More information- all policy provisions and any amendments and/or attachments issued; - employees' signed applications; and - the certificate of coverage.
DISABILITY INCOME GROUP INSURANCE POLICY NON-PARTICIPATING POLICYHOLDER: Showplace Wood Products, Inc. POLICY NUMBER: 419654 001 POLICY EFFECTIVE DATE: July 1, 2015 POLICY ANNIVERSARY DATE: July 1 GOVERNING
More informationWheaton Franciscan Services, Inc. Summary Plan Description Executive LTD Plan Effective January 1, 2016 Last updated 12/30/15
Wheaton Franciscan Services, Inc. Summary Plan Description Executive LTD Plan 2016 Effective January 1, 2016 Last updated 12/30/15 AMENDMENT NO. 20 This amendment forms a part of Group Policy No. 387319
More informationRegents of the University of Minnesota. Your Group Long Term Disability Plan
Regents of the University of Minnesota Your Group Long Term Disability Plan Policy No. 471837 002 Underwritten by Unum Life Insurance Company of America 6/6/2018 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationUniversity of Maine System. Full-time Represented and Non-Represented Faculty. Short Term Disability Coverage
University of Maine System Full-time Represented and Non-Represented Faculty Short Term Disability Coverage Benefit Highlights SHORT TERM DISABILITY PLAN This short term disability plan provides financial
More informationTraditional Short-Term Disability Insurance. Summary Plan Description
Traditional Short-Term Disability Insurance Summary Plan Description Vanderbilt University Your Group Short Term Disability Plan Policy No. 224887 011 Underwritten by Unum Life Insurance Company of America
More informationFirst Unum Life Insurance Company
First Unum Life Insurance Company Saratoga Hospital Your Group Short Term Disability Plan Policy No. 466629 012 Underwritten by First Unum Life Insurance Company 5/4/2015 CERTIFICATE OF COVERAGE First
More informationShort-Term Disability
Effective January 1, 2012 Short-Term Disability Experis Policy Number: GP-307243 CONSULTANT SHORT TERM DISABILITY PLAN 1 Short-Term Disability (STD) How Your Short Term Disability Coverage Works...3 How
More informationBenefits Handbook Date November 1, Short Term Disability Benefits Policy Marsh & McLennan Companies
Date November 1, 2014 Short Term Disability Benefits Policy Marsh & McLennan Companies Short Term Disability Benefits Policy Marsh & McLennan Companies, Inc. provides salary continuation through the STD
More informationMultnomah County Oregon. Your Group Life Insurance Plan
Multnomah County Oregon Your Group Life Insurance Plan Identification No. 387790 015 Underwritten by Unum Life Insurance Company of America 12/27/2013 CERTIFICATE OF COVERAGE Unum Life Insurance Company
More informationCity of Missoula. Your Group Life Insurance Plan
City of Missoula Your Group Life Insurance Plan Policy No. 602981 011 Underwritten by Unum Life Insurance Company of America 4/8/2013 CERTIFICATE OF COVERAGE Unum Life Insurance Company of America (referred
More informationBenefits. Long-Term Disability KPERS. Kansas Public Employees Retirement System. Summary Plan Description GLD 2006
Long-Term Disability Benefits Kansas Public Employees Retirement System Summary Plan Description GLD 2006 KPERS 2 Plan Sponsor Kansas Public Employees Retirement System 611 S. Kansas Ave., Suite 100 Topeka,
More informationExtended Sick Leave Bank/Donation Policy. To establish guidelines for the administration of a Sick Leave
1 Policy 3:11 Revised: 6/94 Extended Sick Leave Bank/Donation Policy 1.0 PURPOSE: To establish guidelines for the administration of a Sick Leave Bank which allows eligible employees to borrow extended
More informationCOMPANY POLICY APPVION, INC. ACCIDENT & SICKNESS FOR BARGAINING UNIT HOURLY EMPLOYEES
COMPANY POLICY Number: 9-94-236 Effective Date: 01/01/1993 Revision: 03/01/2014 Approved: Kerry Arent Subject: APPVION, INC. ACCIDENT & SICKNESS FOR BARGAINING UNIT HOURLY EMPLOYEES I. PURPOSE: Appvion
More informationMONTEFIORE MEDICAL CENTER
H52238 07/27/2009 GROUP BOOKLET-CERTIFICATE FOR MEMBERS OF MONTEFIORE MEDICAL CENTER ACTIVE MIDDLE MANAGEMENT, PHYSICAL THERAPISTS, CLERICAL EMPLOYEES, SECURITY STAFF OR HOUSE STAFF EMPLOYEES Group Long
More informationFirst Unum Life Insurance Company
First Unum Life Insurance Company New York University Your Group Long Term Disability Plan Policy No. 222895 022 Underwritten by First Unum Life Insurance Company 12/15/2011 CERTIFICATE OF COVERAGE First
More informationCity of Johnston, Iowa Paid-Time-Off Policy
City of Johnston, Iowa Paid-Time-Off Policy Paid-Time-Off (PTO) Paid-Time-Off (PTO) is an all-inclusive paid time off program that will provide income protection for no fault time away from work including
More informationLong Term Disability, Life, Supplemental Life and Supplemental Dependent Life GROUP BENEFIT PLAN
Long Term Disability, Life, Supplemental Life and Supplemental Dependent Life GROUP BENEFIT PLAN TABLE OF CONTENTS Group Long Term Disability Benefits PAGE CERTIFICATE OF INSURANCE... 2 SCHEDULE OF INSURANCE...
More informationThe Diocese of Sioux Falls. Your Group Life Insurance Plan
The Diocese of Sioux Falls Your Group Life Insurance Plan Identification No. 551767 022 Underwritten by Unum Life Insurance Company of America 12/21/2016 CERTIFICATE OF COVERAGE Unum Life Insurance Company
More informationShort Term Disability
Short Term Disability Salt Lake City Corporation Plan B Full-Time Employees covered under Plan B Personal Leave Plan Disability Income Coverage: Short Term Benefits Updated & Effective March 1, 2019 YOUR
More informationNew York Paid Family Leave (PFL)
Frequently Asked Questions New York Paid Family Leave (PFL) Effective January 1, 2018 These Frequently Asked Questions (FAQs) are provided for informational purposes only. Content is derived from state
More informationShort Term Disability Coverage
Short Term Disability Coverage Highlights Turner offers Short Term Disability coverage that provides salary and benefit continuation when you are unable to perform your job due to medical, mental, or other
More informationForest River, Inc. Your Group Short Term Disability Plan
Forest River, Inc. Your Group Short Term Disability Plan Policy No. 951839 011 Underwritten by Unum Life Insurance Company of America 2/29/2016 CERTIFICATE OF COVERAGE Unum Life Insurance Company of America
More informationColliers International USA, LLC. Your Group Short Term Disability Plan
Colliers International USA, LLC Your Group Short Term Disability Plan Policy No. 505972 013 Underwritten by Unum Life Insurance Company of America 12/3/2013 CERTIFICATE OF COVERAGE Unum Life Insurance
More informationBenefits Handbook Date November 1, Short Term Disability Benefits Policy MMC
Date November 1, 2010 Short Term Disability Benefits Policy MMC Short Term Disability Benefits Policy Marsh & McLennan Companies, Inc. ( MMC ) provides salary continuation through the STD Payroll Policy.
More informationYOUR GROUP TERM LIFE BENEFITS
Release R89.0 YOUR GROUP TERM LIFE BENEFITS FOR EMPLOYEES OF: Creighton University CLASS(ES): All Eligible Creighton University Employees REVISION EFFECTIVE DATE: May 1, 2016 PUBLICATION DATE: April 19,
More informationSchleich Enterprises, Inc. Your Group Long Term Disability Plan
Schleich Enterprises, Inc Your Group Long Term Disability Plan Policy No. 143532 021 Underwritten by Unum Life Insurance Company of America 2/3/2011 CERTIFICATE OF COVERAGE Unum Life Insurance Company
More informationCITGO Petroleum Corporation Long Term Disability Program for Salaried Employees Summary Plan Description
CITGO Petroleum Corporation Long Term Disability Program for Salaried Employees Summary Plan Description as in effect January 1, 2013 TABLE OF CONTENTS PURPOSE... 1 ELIGIBILITY... 2 Who is Eligible...
More informationChapter 8 Disability 8.1
Chapter 8 Fast Facts STD benefits (if elected) generally continue 60% of your pre-disability pay for up to 11 weeks if you become disabled and unable to work. Once an eligible employee has been disabled
More informationShort-Term Disability Pay Policy For Salaried Associates
Short-Term Disability Pay Policy For Salaried Associates January 1, 2010 Table of Contents Introduction 3 Important Contact Information 4 Eligibility and Enrollment 5 Associate Eligibility 5 Associate
More informationYOUR GROUP VOLUNTARY SHORT-TERM DISABILITY BENEFITS
Release 16.0.0 YOUR GROUP VOLUNTARY SHORT-TERM DISABILITY BENEFITS FOR MEMBERS OF: Brotherhood of Locomotive Engineers & Trainmen 106-537 CLASS(ES): All Eligible Union Members in good standing EFFECTIVE
More informationDisability Coverage. Disability benefits help protect your income if you have an illness or injury that keeps you from working.
Disability Coverage Disability benefits help protect your income if you have an illness or injury that keeps you from working. Plan Highlights If you enroll in the voluntary STD benefit, you will be eligible
More information