benefits at a glance
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Long-term Disability income benefits | Policy # 175781
Option 1 Option 2
Waiting period 17 weeks 17 weeks
Monthly amount
50% of the first $2,500 of your monthly
sal
ary plus 42% of the next $3,500 plus
35% of the remainder to a maximum
benefit of $25,000 or the all source
maximum, whichever is less
62% of the first $2,250 of your monthly salary
plus
54% of the next $3,000 plus 40% of the
remainder to a maximum benefit of $25,000 or
the all source maximum, whichever is less
All source maximum 80% of your pre-disability take-home pay
85% of your pre-disability take-home pay,
whi
chever is less
No evidence
ma
ximum (monthly)
Any amount of LTD insurance over
$11,000
is subject to approval of evidence
of insurability
Any amount of LTD insurance over $11,000 is
subj
ect to approval of evidence of insurability
Inflation protection
5 years after the start of your benefit
peri
od and annually after that, the then
current amount payable will be adjusted to
reflect increases in the Consumer Price
Index, to a maximum of 3% in any year
2 years after the start of your benefit period and
annually after that, the then current amount
payable will be adjusted to reflect increases in
the Consumer Price Index, to a maximum of 3%
in any year
Termination
Your LTD insurance won’t continue past the end of the day before the date you reach age 65,
les
s the waiting period or your employment ends, whichever is earlier.
Healthcare | Policy # 59262
Covered expenses won’t exceed customary charges
Benefit year July 1 to June 30
Termination
Your healthcare coverage won’t continue after you retire or your employment ends, whichever is
earl
ier, unless otherwise required by law.
Option 1 Option 2 Option 3 Option 4
Deductibles
Individual
None
$50 each benefit
year
$50
each benefit year $50 each benefit year
Family
$100 each benefit
year
$100
each benefit year $100 each benefit year
The individual and family deductibles don’t apply to Out-of-Country
Emergency Care and Global Medical Assistance