Page 16 - 2017 Benefits Enrollment
P. 16
2017 Benefits Enrollment
Disability FMLA and Disability



Short Term Disability Leave

Short Term Disability (STD) provides you with a percentage of your Your physical and inancial
wellness is important to Intertek.
weekly income while you are unable to work due to a non-work related Intertek helps provide inancial
accident or illness. Intertek offers an STD plan at no cost to you. protection beneits which support

Coverage is determined by your length of service with Intertek. you and your dependents should
you become disabled and unable
Years of Service STD Beneit to work. To ile a disability or
Less than 2 years of service Family and Medical Leave Act
Up to 6 weeks of disability 100% of earnings—Max of $2,000 per week (FMLA) claim, please contact
7 to 26 weeks of disability 60% of earnings—Max of $1,200 per week Liberty Mutual at 800.713.7384 or
2 to 9 years of service go online to mylibertyclaim.com.
Up to 13 weeks of disability 100% of earnings—Max of $2,000 per week
14 to 26 weeks 60% of earnings—Max of $1,200 per week
10 Or more years of service
Up to 26 weeks of disability 100% of earnings—Max of $2,000 per week


Long Term Disability

Long Term Disability (LTD) protects your income by providing you with
a percentage of your income while you are disabled. You have the
option of purchasing Voluntary LTD coverage. Intertek contributes 50
percent of the cost and you pay the remaining 50 percent. If you do

not want to enroll for voluntary LTD coverage you can opt out of the
beneit during enrollment.

LTD Beneit
Beneit percentage 60%
Monthly beneit minimum Greater of $100 or 10%
Monthly beneit maximum $15,000
Beneit waiting period 180 days or end of STD beneits
Beneit duration Until you no longer meet the deinition of disability or
you reach the maximum beneit duration
Monthly rate $0.321 per $100 of covered payroll


LTD Payment Example

The cost for LTD coverage is $0.321 per $100 of monthly covered
payroll. If your monthly salary is $4,000 then the LTD cost is:
$4,000/100 x $0.321 = $12.84 of monthly premium. You pay 50
percent of the monthly premium.




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