Page 17 - 2020AONBenefitsGuide
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Cigna Long Term Disability
Prepare for the Unexpected with Long Term
Disability (LTD) Insurance
Eligible employees are able to purchase voluntary LTD 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, you would qualify for LTD. This beneit would begin paying on
the 91st day of the illness or injury, but may continue until retirement.
You would receive 60% of your monthly earnings to a maximum of
$10,000 per month.
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 three months before effective
date of insurance. Pre-existing conditions clause will be satisied after 12
months of continuous enrollment.
Employee LTD Calculation
To calculate your LTD bi-weekly payroll deduction, use the formula
indicated below. Round all numbers to the nearest whole number. Effects of Other
Income Benefits
Employee—Calculate Your LTD Bi-Weekly Payroll Deduction The disability beneit provided by
1 Enter your annual salary* $ this plan is a total beneit; which is,
2 If you work part-time, to calculate your annual salary: $ it will be reduced by any disability
Hourly rate × # scheduled hours per week = weekly salary; beneits payable on behalf of you
Weekly salary × 52 = annual salary or your dependents, or a qualiied
3 Divide your annual earnings by 12 (monthly income); average $ third party on behalf of you or your
monthly income cannot exceed $16,666 dependents, whether or not you are
4 Multiply the amount on line 2 by 0.60 $ actually receiving them. Examples
5 Divide the amount on line 3 by 100 and enter the amount on $ of other income sources which may
line 4 to get your monthly cost reduce your beneits include, but
6 Multiply the amount on line 4 by 12 to get your annual cost $ are not limited to Social Security
7 Divide the annual cost by 26 to get your bi-weekly cost $ disability or retirement beneits,
* To determine your annual salary, multiply your hourly rate by 2,080 hours. Railroad Retirement Act, company
sponsored sick leave, and workers’
An evidence of insurability (EOI) form is required for approval if compensation.
you did not choose this beneit when irst eligible. The EOI must be
approved before coverage begins.
Note: Executive, and certain Physician classes may be eligible for supplemental income protection with Guardian Life, and additional disability
insurance protection through Lloyds of London. Details are available through SyncHR.
American Oncology Network 17
Prepare for the Unexpected with Long Term
Disability (LTD) Insurance
Eligible employees are able to purchase voluntary LTD 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, you would qualify for LTD. This beneit would begin paying on
the 91st day of the illness or injury, but may continue until retirement.
You would receive 60% of your monthly earnings to a maximum of
$10,000 per month.
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 three months before effective
date of insurance. Pre-existing conditions clause will be satisied after 12
months of continuous enrollment.
Employee LTD Calculation
To calculate your LTD bi-weekly payroll deduction, use the formula
indicated below. Round all numbers to the nearest whole number. Effects of Other
Income Benefits
Employee—Calculate Your LTD Bi-Weekly Payroll Deduction The disability beneit provided by
1 Enter your annual salary* $ this plan is a total beneit; which is,
2 If you work part-time, to calculate your annual salary: $ it will be reduced by any disability
Hourly rate × # scheduled hours per week = weekly salary; beneits payable on behalf of you
Weekly salary × 52 = annual salary or your dependents, or a qualiied
3 Divide your annual earnings by 12 (monthly income); average $ third party on behalf of you or your
monthly income cannot exceed $16,666 dependents, whether or not you are
4 Multiply the amount on line 2 by 0.60 $ actually receiving them. Examples
5 Divide the amount on line 3 by 100 and enter the amount on $ of other income sources which may
line 4 to get your monthly cost reduce your beneits include, but
6 Multiply the amount on line 4 by 12 to get your annual cost $ are not limited to Social Security
7 Divide the annual cost by 26 to get your bi-weekly cost $ disability or retirement beneits,
* To determine your annual salary, multiply your hourly rate by 2,080 hours. Railroad Retirement Act, company
sponsored sick leave, and workers’
An evidence of insurability (EOI) form is required for approval if compensation.
you did not choose this beneit when irst eligible. The EOI must be
approved before coverage begins.
Note: Executive, and certain Physician classes may be eligible for supplemental income protection with Guardian Life, and additional disability
insurance protection through Lloyds of London. Details are available through SyncHR.
American Oncology Network 17
