Page 19 - 2020FCSBenefitsGuide
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Cigna Short Term Disability



Prepare for the Unexpected with Short Term

Disability (STD) Insurance

Physicians are Not Eligible to Participate
Eligible employees are able to purchase voluntary STD insurance (100%
employee paid) which provides beneits should you become disabled
because of a non-occupational illness or injury and cannot work in your
own job. This beneit would begin paying on the 8th day for accident and
for illness with a beneit of up to 60% of your basic weekly earnings with
a maximum beneit of $1,000 per week.


Pre-existing conditions will not be covered if the employee incurred
expenses, received medical treatment, care or services including diagnostic
measures, took prescribed medications, or for which a reasonable person
would have consulted a physician within 3 months before effective
date of insurance. Pre-existing conditions clause will be satisied after 6
months of continuous enrollment.


To calculate your STD bi-weekly payroll deduction, use the formula Effects of Other
indicated below. Round all numbers to the nearest whole number. Income Benefits
The disability beneit provided by
Calculate Your STD Weekly Payroll Deduction this plan is a total beneit which
Enter your annual salary*, not to exceed $86,667 $ means it will be reduced by any
If you work part-time, to calculate your annual salary: disability beneits payable on behalf
Hourly rate × # scheduled hours per week = weekly salary of you or your dependents, or a
Weekly salary × 52 = annual salary qualiied third party on behalf of
Divide your annual earnings (line 1) by 52 $ you or your dependents, whether or
Multiply the amount on line 2 by 0.60 $ not you are actually receiving them.
Multiply the amount on line 3 by 0.061 to get the monthly cost $ Examples of other income sources
Multiply the amount on line 4 by 12 to get your annual cost $ which may reduce your beneits
Divide the annual cost by 26 to get your bi-weekly cost $ include but are not limited to Social
* To determine your annual salary, multiply your hourly rate by 2,080 hours. Security disability or retirement
beneits, Railroad Retirement Act,
An evidence of insurability form is required if the beneit was not chosen company sponsored sick leave, and
when you irst became eligible. The EOI must be approved before workers’ compensation.
coverage begins.











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