| |
Standard Insurance Company |
Unum |
| Benefit |
66 2/3% of base weekly earnings |
70% of base weekly earnings |
| Maximum weekly benefit |
$769 |
$2,000 |
| Cost |
$0.87 per $100 of base salary |
$0.84 per $100 of base salary |
| Formula to determine pay period premium |
(Maximum Covered Annual Base Pay/100 x $0.87) / 24 |
(Maximum Covered Annual Base Pay/100 x $0.84) / 24 |
| Coverage Options |
N/A |
Three options (A, B & C), with maximum weekly benefits up to:
Option A: $750
Option B: $1,500
Option C: $2,000
|
| Maximum annual salary for premium computation purposes |
$60,000 |
Option A: $55,714
Option B: $111,430
Option C: $148,571
|
| Waiting period before benefits begin: |
0 days
Benefits payable from the first day if caused by an accidental injury. |
0 days
Benefits payable from the first day if hospitalized as an in-patient for at least 24 hours. |
| |
30 days
In case of disability caused by sickness or pregnancy (if applied within 31 days of eligibility date, if covered by plan at least 12 months, or if member is covered by Standard STD plan on 09/30/01) |
30 days
In case of disability due to bodily injuries, sickness, pregnancy or disease. |
| |
60 days
In case of disability caused by sickness or pregnancy (if on the plan for less than 12 months and enrolled after 10/01/01.) Does not apply to new hires enrolling within 31 day enrollment period. |
60 days
Not applicable. |
| Maximum length of benefit |
22-26 weeks |
26 weeks |
| Waiver of Premium feature |
Premiums waived while short-term disability benefits are payable |
Unavailable |
| Pre-existing condition restrictions |
None |
Claims for pre-existing conditions are restricted during the first six months of coverage. |
| Accidental Death & Dismemberment (AD&D) coverage |
None |
$30,000 |
| Work Earnings Integration |
Return to Work Incentive Program available provided; the elimination period has been satisfied prior to the first day of return to work, and participant working 80% or less of the regularly scheduled work week (established prior to the disability onset date). Deductible income: 1/2 of work earnings. |
Not applicable. |
