Summary of Benefits

Your Benefits would begin:
Following 180 consecutive days of Total Disability. You must submit written proof of claim within 90 days after the Elimination Period begins.
Your Monthly Benefit would be:

60% of your covered monthly earnings at the time of termination, subject to a maximum monthly benefit of $3,500, less benefits from other income.

If your benefit percentage and/or maximum monthly benefit under the former plan are less than the above, your coverage under this conversion policy will be calculated based on the former plan's benefit percentage and/or maximum monthly benefit.

Your Maximum Benefit will be reduced by Other Income Benefits you receive or are eligible to receive (such as Family Social Security benefits, Workers Compensation benefits, or wages).

Your Minimum Benefit will be:
The greater of:
  • $50; or
  • 10% of the Monthly Benefit prior to any Other Income Benefit reductions.
Your Benefit Duration will be:
Age at Disability Duration of Benefits
61 or less To age 65
62 3.5 years
63 3 years
64 2.5 years
65 2 years
66 1.75 years
67 1.5 years
68 1.25 years
69 or older 1 year
Survivor Benefits – Your eligible survivors may be eligible for the following benefits if you die while receiving benefits under this plan:
3 times your last Monthly Benefit, payable to surviving spouse or children under 25.
Definition of Disability:
Each and every material duty of any occupation your education, training, or experience will allow.
Exclusions – Not covered under the plan includes:
  • Commission of a felony;
  • Active participation in a riot or violent disorder;
  • Intentionally self-inflicted injury;
  • War, declared or undeclared; or
  • Injury or sickness occurring while confined in a penal or correctional institution.
Limitations – disabilities due to:
  • Mental or Nervous Disorders – twelve (12) month limit unless hospital confined at the end of the 12 months;
  • Substance Abuse – 24-month limit. No benefit payable unless you are participating in rehabilitation program approved by us.
When Conversion Insurance Ends:

LTD conversion coverage will terminate on the first of the following to occur:

  • The end of the period for which your last premium has been paid;
  • Twelve (12) months from your effective date;
  • The date you retire;
  • The date you die;
  • The date you become covered under another group
    Long Term Disability policy; or
  • The date the Conversion policy terminates.