Exhibit 2 - LTD Benefit Summary.pdf
PDF 112 KB Posted
- Attached to
- RFP Long-term Disability Insurance
- Solicitation number
- RFP-09005
- Issued by
- Polk County, Florida
About this file
This document is a Benefit Summary for a Long-Term Disability (LTD) Insurance plan provided by National Insurance Services of WI, Inc. for the St. Johns River Water Management District in Florida. The plan provides 66-2/3% of basic monthly earnings up to $9,400 per month for eligible employees, with a 90-day elimination period and maximum benefit period up to the Social Security Normal Retirement Age, depending on age at time of disability. The policy includes additional benefits such as a Survivor Benefit, Rehabilitation Benefit, and Reasonable Accommodation Expense Benefit.
The District is seeking proposals from qualified insurance providers to place coverage for group LTD insurance for its benefit-eligible employees. The Successful Respondent must provide fixed rates for a two-year period, with the option to renew for three or more additional 12-month periods. The proposal must match the current coverage with any modifications outlined in the Statement of Work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 39415_RFP_LTD.pdf | ||
| Exhibit 1 - LTD Claims Experience.pdf | ||
| Exhibit 4 - LTD Class 4 COI.pdf | ||
| Exhibit 3 - LTD Class 1 COI.pdf | ||
| Exhibit 6 - Evaluation Questionnaire.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
© National Insurance Services of WI, Inc. ochs.bs.ltd.pool.master.rev.10/18 St Johns River Water Management
Long Term Disability Insurance - Benefit Summary
Prepared for: St Johns River Water Management
Eligibility
To be eligible, you must be an active employee working a minimum of 16 hours per week.
Coverage Eligibility Date You are benefit eligible as follows:
• Senior Management Employees: upon the first day of active employment.
• All Others: the first of the month following 30 days of active employment, unless hired on February 1st, then eligible on March 1st.
Benefit Amount
66-2/3% of your basic monthly earnings, up to a maximum monthly benefit of $9,400.
Pre-Existing Conditions Definition: A pre-existing condition is a condition for which you have consulted a medical provider or received medical treatment or services during the 3-month period prior to your effective date of coverage. Coverage under this plan: You cannot receive benefits due to a pre-existing condition until you have been continuously covered under the group policy for at least 12 months and been actively at work for at least one day after the end of the 12 months.
Definition of Disability As a result of physical disease, injury, mental disorder, substance abuse or pregnancy, you are considered disabled if you are unable to perform one or more of the material duties of your Own Occupation during your Own Occupation Period.
After your Own Occupation Period ends, you are still considered disabled only if you are unable to perform one or more of the material duties of Any Occupation. Please see your certificate of insurance for full definition.
Own Occupation Period From the end of the Elimination Period to the end of the Maximum Benefit Period.
Earning Income While Disabled Benefits are reduced by other income you may receive during a disability, including Social Security or a State Retirement Disability benefit plan. See your certificate of insurance for details.
Minimum Monthly Benefit
$100/month
Elimination Period
Benefits will begin 90 days after suffering a covered illness or accident.
How Long Benefits Will Be Paid If you are Disabled prior to age 61, benefits may continue to age 65 or the Social Security Normal Retirement Age. If Disabled on or after age 61, refer to Maximum Benefit Period in the Schedule of Benefits of certificate of insurance.
Additional Benefits*
• Survivor Benefit
• Rehabilitation Benefit
• Reasonable Accommodation Expense Benefit
*See certificate of insurance for definitions
When Coverage Ends Coverage ends the date on the earliest of the following: your Employer’s coverage ends; the date you cease to be an Eligible Person; the date your premium payment is not paid when required; or the date you retire.
Questions
Contact Ochs ochs@ochsinc.com
651-665-3789 ● 1-800-392-7295
© National Insurance Services of WI, Inc. ochs.bs.ltd.pool.master.rev.10/18 St Johns River Water Management
Exclusions
A. War.
B. Criminal Conduct.
C. Military Leave.
D. Imprisonment.
E. Intentionally Self-Inflicted Injury-Suicide.
F. Pre-existing Conditions.
Limitations
A. Mental Disorders and Substance Abuse. LTD Benefit payments based on a Mental Disorder or Substance Abuse are limited to 12 months during your lifetime. Other limitations may apply.
B. Special Conditions: If not Hospital confined, LTD Benefit payments based upon a Special Condition as defined in the certificate of insurance are limited to 12 months during your lifetime. Other limitations may apply.
C. Foreign Residency. Payment of LTD Benefits is limited to 6 months while you reside outside of the United States or Canada.
D. Payment Limit. If you are working during a covered Disability, in no event will the LTD Benefit plus Deductible
Income plus Work Earnings exceed 100% of Pre-disability Earnings.
This brochure is not the insurance contract. It is a brief description of your insurance underwritten by Madison National Life Insurance Company, Inc. For complete details including all benefits, exclusions and limitations, refer to the certificate of insurance
GLDI-C200-(0413)-FL as issued by your employer.
File details come from the government source that posted it. Updated .