Policy_Document_-_STD_B_Amendment_1_Def_of_Dis.pdf

PDF 27 KB Posted

Attached to
Short Term/Long Term Disability & Long Term Disability Only Services
Solicitation number
2026-RFP-065-PR
Issued by
Dane County, Wisconsin

About this file

This is a Group Policy Amendment document issued by Standard Insurance Company to the County of Dane, Wisconsin, modifying the Definition of Disability provisions under Group Policy 163054-B. The amendment, effective May 30, 2017, establishes an Own Occupation definition of disability requiring that an employee be unable to perform the material duties of their regular job with reasonable continuity and suffer a loss of at least 80 percent in pre-disability earnings when working in that occupation. Material duties are defined as the usual job responsibilities that cannot be reasonably modified or omitted, with a maximum threshold of 8 hours per day or 40 hours per week. The amendment applies to short-term and long-term disability coverage provided to eligible County of Dane employees.

The amendment specifies that disability determination is based on the employee's inability to perform their own occupation at the time disability begins, with earnings loss serving as a key qualifying metric. The Own Occupation definition represents a more restrictive disability standard than alternative definitions that might allow for consideration of other work capacity. This policy modification became effective under the Active Work Provisions and supersedes previous disability definitions contained in Group Policy 163054-B, establishing consistent standards for determining disability eligibility across the County's disability insurance program.

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Text version

GROUP POLICY AMENDMENT NO. 1

Attached to and made a part of Group Policy 163054-B issued to County of Dane as Policyholder.

Effective May 30, 2017, and subject to the Active Work Provisions, the Definition of Disability section of the Group Policy is amended to read as follows:

You are Disabled if you meet the following Own Occupation definition of Disability:

You are required to be Disabled only from your Own Occupation. You are Disabled from your Own Occupation if, as a result of Physical Disease, Injury, Pregnancy or Mental Disorder:

1. You are unable to perform with reasonable continuity the Material Duties of your Own Occupation;

and

2. You suffer a loss of at least 80% in your Predisability Earnings when working in your Own Occupation for your Employer.

Own Occupation means the job you are regularly performing for your Employer when Disability begins.

Material Duties means the usual duties you perform in your regular job with your Employer that cannot be reasonably modified or omitted. In no event will we consider working more than 8 hours per day or an average of more than 40 hours per week to be a Material Duty.

[(OWN JOB DEF_WITH 40) ST.DD.WI.1X]

STANDARD INSURANCE COMPANY

By

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