Page 16 - 2020AONBenefitGuide
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Cigna Short Term Disability



Prepare for the Unexpected with Short Term
Disability (STD) Insurance

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 three months before effective
date of insurance. Pre-existing conditions clause will be satisied after six
months of continuous enrollment.

To calculate your STD bi-weekly payroll deduction, use the formula
indicated below. Round all numbers to the nearest whole number.



Calculate Your STD Weekly Payroll Deduction
1 Enter your annual salary*, not to exceed $86,667 $
If you work part-time, to calculate your annual salary:
Effects of Other Hourly rate × # scheduled hours per week = weekly salary
Weekly salary × 52 = annual salary
Income Benefits 2 Divide your annual earnings (line 1) by 52 $

The disability beneit provided by 3 Multiply the amount on line 2 by 0.60 $
this plan is a total beneit which 4 Multiply the amount on line 3 by 0.061 to get the monthly cost $
means it will be reduced by any 5 Multiply the amount on line 4 by 12 to get your annual cost $
disability beneits payable on behalf 6 Divide the annual cost by 26 to get your bi-weekly cost $
of you or your dependents, or a * To determine your annual salary, multiply your hourly rate by 2,080 hours.
qualiied third party on behalf of
you or your dependents, whether or An evidence of insurability form is required if the beneit was not chosen
not you are actually receiving them.
Examples of other income sources when you irst became eligible. The EOI must be approved before
which may reduce your beneits coverage begins.
include, but are not limited to Social
Security disability or retirement
beneits, Railroad Retirement Act,
company sponsored sick leave, and
workers’ compensation.




16 2020 Benefits Guide
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