Page 15 - Guide
P. 15
2017 BENEFITS ENROLLMENT
Short Term Disability Premiums for this plan are based
on your current age and are
calculated online for each
All full-time employees working 20 hours or more per week are eligible individual employee . Please
to purchase short term disability through Humana. If you are working at login to fkgoil.choosemylo.com
a full-time job while coverage is in force and a covered off-the-job injury to view your coverage options
or illness causes you to become totally disabled, Humana will pay the and determine your particular
premium for the short term
following beneits. disability coverage option .
Disability Coverage
Beneit Percentage 60% of base monthly income
Maximum
Monthly Beneit Minimum $300
Monthly Beneit Maximum $3,000
Elimination Period-Accident 14 days
Elimination Period-Sickness 14 days
Beneits Duration 3 months
Any medical condition which has been
diagnosed or for which you have received
Pre-Existing Condition treatment during the 12-month period
Exclusion before your initial effective date will not
be covered until 12 months following your
effective date . This includes pregnancy .
Plan Details
You can purchase up to a monthly beneit maximum of $3,000 on a
guaranteed issue basis. No medical questions will be asked.
MOTOMART 15
Short Term Disability Premiums for this plan are based
on your current age and are
calculated online for each
All full-time employees working 20 hours or more per week are eligible individual employee . Please
to purchase short term disability through Humana. If you are working at login to fkgoil.choosemylo.com
a full-time job while coverage is in force and a covered off-the-job injury to view your coverage options
or illness causes you to become totally disabled, Humana will pay the and determine your particular
premium for the short term
following beneits. disability coverage option .
Disability Coverage
Beneit Percentage 60% of base monthly income
Maximum
Monthly Beneit Minimum $300
Monthly Beneit Maximum $3,000
Elimination Period-Accident 14 days
Elimination Period-Sickness 14 days
Beneits Duration 3 months
Any medical condition which has been
diagnosed or for which you have received
Pre-Existing Condition treatment during the 12-month period
Exclusion before your initial effective date will not
be covered until 12 months following your
effective date . This includes pregnancy .
Plan Details
You can purchase up to a monthly beneit maximum of $3,000 on a
guaranteed issue basis. No medical questions will be asked.
MOTOMART 15
