Page 17 - Hussmann- OE Guide
P. 17
Hussmann Corporation
Disability Coverage
Short Term Disability (STD) Long Term Disability (LTD)
Hussmann provides options for Short Term Disability as well. If Hussmann also provides Long Term
you become disabled and are unable to work due to an accident Disability beneits at no cost to you. Once
or injury, you may be able to receive STD beneits which will your STD beneits end, if you continue to
replace a portion of your salary. be disabled and unable to work due to an
accident or injury, then you may be able
Supplemental LTD to receive LTD beneits. LTD beneits are
You may purchase Supplemental Long Term Disability coverage payable for as long as you remain disabled or
that will replace an additional 20% of your Base Pay. If until your Social Security normal retirement
applicable, base pay will include commission. See the Summary age.
Plan Description for further details.
Basic LTD
The maximum monthly beneit (basic and supplemental LTD Hussmann provides a basic LTD beneit
combined) is $20,000. This beneit will be reduced by certain equal to 40% of your Base Pay. Hussmann
other income such as Social Security disability beneits and other pays the full cost of this beneit. See the
sources of income. Summary Plan Description for further
details.
If you waive this beneit when irst eligible and then choose
to enroll at a later date, evidence of insurability (EOI) will be
required. Pre-Existing Condition Exclusion
The LTD plan does not cover disabilities
LTD premiums are increasing for 2015. In order to calculate the resulting from a pre-existing condition, which is
monthly Supplemental LTD premium, follow this calculation: one for which:
You received medical treatment,
Monthly Earnings (maximum of $33,333) ÷ 100 x 0.261 = consultation, care, or services (including
Monthly Premium/Payroll Deduction diagnostic measures), or took prescribed
drugs or medicines in the 3 months
Annual Monthly Monthly immediately prior to your effective date of
Salary Salary Divide Multiply Premium coverage, and
$400,000 $33,333 ÷ 100 x 0.261 $87.00 Your disability begins in the irst 12 months
$200,000 $16,667 ÷ 100 x 0.261 $43.50 after your effective date of coverage.
$100,000 $8,333 ÷ 100 x 0.261 $21.75
$75,000 $6,250 ÷ 100 x 0.261 $16.31 If you purchase an increased amount of LTD
$50,000 $4,167 ÷ 100 x 0.261 $10.88 coverage, the pre-existing condition exclusion
also applies to the additional amount of
$30,000 $2,500 ÷ 100 x 0.261 $6.53 coverage.
$20,000 $1,667 ÷ 100 x 0.261 $4.35
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Disability Coverage
Short Term Disability (STD) Long Term Disability (LTD)
Hussmann provides options for Short Term Disability as well. If Hussmann also provides Long Term
you become disabled and are unable to work due to an accident Disability beneits at no cost to you. Once
or injury, you may be able to receive STD beneits which will your STD beneits end, if you continue to
replace a portion of your salary. be disabled and unable to work due to an
accident or injury, then you may be able
Supplemental LTD to receive LTD beneits. LTD beneits are
You may purchase Supplemental Long Term Disability coverage payable for as long as you remain disabled or
that will replace an additional 20% of your Base Pay. If until your Social Security normal retirement
applicable, base pay will include commission. See the Summary age.
Plan Description for further details.
Basic LTD
The maximum monthly beneit (basic and supplemental LTD Hussmann provides a basic LTD beneit
combined) is $20,000. This beneit will be reduced by certain equal to 40% of your Base Pay. Hussmann
other income such as Social Security disability beneits and other pays the full cost of this beneit. See the
sources of income. Summary Plan Description for further
details.
If you waive this beneit when irst eligible and then choose
to enroll at a later date, evidence of insurability (EOI) will be
required. Pre-Existing Condition Exclusion
The LTD plan does not cover disabilities
LTD premiums are increasing for 2015. In order to calculate the resulting from a pre-existing condition, which is
monthly Supplemental LTD premium, follow this calculation: one for which:
You received medical treatment,
Monthly Earnings (maximum of $33,333) ÷ 100 x 0.261 = consultation, care, or services (including
Monthly Premium/Payroll Deduction diagnostic measures), or took prescribed
drugs or medicines in the 3 months
Annual Monthly Monthly immediately prior to your effective date of
Salary Salary Divide Multiply Premium coverage, and
$400,000 $33,333 ÷ 100 x 0.261 $87.00 Your disability begins in the irst 12 months
$200,000 $16,667 ÷ 100 x 0.261 $43.50 after your effective date of coverage.
$100,000 $8,333 ÷ 100 x 0.261 $21.75
$75,000 $6,250 ÷ 100 x 0.261 $16.31 If you purchase an increased amount of LTD
$50,000 $4,167 ÷ 100 x 0.261 $10.88 coverage, the pre-existing condition exclusion
also applies to the additional amount of
$30,000 $2,500 ÷ 100 x 0.261 $6.53 coverage.
$20,000 $1,667 ÷ 100 x 0.261 $4.35
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