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2009 Long-term Disability Insurance
Plan Description
Notice
Eligibility
Premium Rates and Summary
Description of Benefit
Duration of Benefit
Waiting Period
Filing a Claim
Tax Treatment
Additional Benefits
Pre-existing Condition Period
Plan Description
 
 
View the discussion on long-term disability insurance, which is incorporated by reference in the Summary Plan Description.


Notice
This Web page presents summary information only. Any error or omission here is unintentional and will be resolved in favor of plan documents or applicable federal or state law or rule. See plan documents for details.

Eligibility
Only permanent PEBB-eligible employees may enroll in this benefit. Seasonal and intermittent employees are not eligible to enroll.

Premium Rates and Summary
This insurance may replace a portion of your monthly income should you become disabled. You must self pay for this coverage; the state does not provide a benefit amount for this benefit.
 
Long-term Disability Summary
Premium = Rate X month salary
Option
Rate 
Waiting Period
Coverage
 Coverage Maximum/Minimum
1
$0.0054
90 days
60% of first $12,000 minus deductible income
$7,200 before reduction by deductible income/$50
2
$0.0020
180 days
3
$0.0099
90 days
66 2/3% of first $12,000 minus deductible income
$8,000 before reduction by deductible income/$50
4
$0.0030
180 days
 
 
Here is an example to illustrate your premium cost, based on your choice of options:
 
You choose option 1 -- with a 90-day waiting period and a monthly benefit amount of 60 percent of your pre-disability earnings.
 
 Your gross monthly salary (before any deductions)
 $1,900
 Times premium
 X 0.0054
 Premium amount you pay each month
 $10.26

Description of Benefit
The benefit covers a percentage of your monthly insured earnings. You determine the percentage when you choose from the four options. For long-term disability, the insured earnings amount is based on your monthly earnings in effect on your last full day of work. When your insured earnings increase (for example, with a pay increase), your premium rate increases. Insured earnings do not include overtime pay, bonuses, or dollars received when you opt out of medical coverage.

The maximum of insured earnings for long-term disability insurance is limited to $12,000. The maximum monthly benefit (before reduction of deductible income) is $7,200 if you choose option 1 or 2, or $8,000 if you choose option 3 or 4. The minimum is $50.
  • The maximum weekly benefit is $1,662 before reduction of deductible income.
 
Deductible income means other income you are eligible to receive because of your disability. This includes:
  • A portion of your earnings from work while disabled
  • Sick leave or other salary continuation, including donated leave (but not vacation or personal business leave)
  • A portion of the benefits you are eligible to receive under any other group disability program. This includes state disability income benefits from the Public Employees Retirement System
  • Workers’ compensation benefits
  • Social Security benefits payable to you and your dependents
  • For members employed by the Oregon University System, benefits you are eligible to receive under any employer-sponsored individual disability policy arranged for individuals in a common group

Duration of Benefit
Your maximum benefit period is determined by your age when disability begins, as follows:
 

 61 or younger   To age 65, or 3 years 6 months, if longer
 62  3 years, 6 months
 63  3 years
 64  2 years, 6 months
 65  2 years
 66  1 year, 9 months
 67  1 year, 6 months
 68  1 year, 3 months
 69 or older  1 year

Waiting Period
This benefit has a waiting period. The waiting period is the amount of time you must wait before you start receiving a weekly payment after you become disabled. It is either 90 or 180 days, depending on the option you choose.              

Filing a Claim
To file a claim for long-term disability benefits, download and complete a claim packet. Make sure your agency completes Section A.

Tax Treatment
For this long-term disability insurance program, payroll deducts the monthly premium after taxes. However, any long-term disability dollars you receive through this benefit are not taxed.

Additional Benefits
This plan offers additional benefits to help you return to work after you become disabled. Review the online plan certificate for information on these features.

Pre-existing Condition Period
The plan will look back for evidence of a pre-existing condition if you file a long-term disability claim within 12 months of becoming insured. Otherwise, the plan will look back three months from the time you submit a claim.

 
Page updated: October 01, 2009

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