Page 20 - 2020FCSBenefitsGuide
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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.
Partner Physicians You would receive 60% of your monthly earnings to a maximum of
and Associate $10,000 per month.
Physicians

You are eligible to participate in an Pre-existing conditions will not be covered if the employee incurred
LTD plan through Cigna. You may expenses, received medical treatment, care or services including diagnostic
elect a monthly beneit equal to measures, took prescribed medications, or for which a reasonable person
50% of your covered earnings up would have consulted a physician within three months before effective
to a maximum beneit of $10,000 date of insurance. Pre-existing conditions clause will be satisied after 12
for Associate Physicians, Partner months of continuous enrollment.
Associates and up to a maximum of
$20,000 for Partner Physicians.
Employee LTD Calculation
Effects of Other To calculate your LTD bi-weekly payroll deduction, use the formula

Income Benefits indicated below. Round all numbers to the nearest whole number.

The disability beneit provided by
this plan is a total beneit; which is, Employee—Calculate Your LTD Bi-Weekly Payroll Deduction
it will be reduced by any disability Enter your annual salary* $
beneits payable on behalf of you If you work part-time, to calculate your annual salary: $
or your dependents, or a qualiied Hourly rate × # scheduled hours per week = weekly salary;
third party on behalf of you or your Weekly salary × 52 = annual salary
dependents, whether or not you are Divide your annual earnings by 12 (monthly income); average monthly $
income cannot exceed $16,666
actually receiving them. Examples Multiply the amount on line 2 by 0.60 $
of other income sources which may Divide the amount on line 3 by 100 and enter the amount on line 4 to get
reduce your beneits include but your monthly cost $
are not limited to Social Security Multiply the amount on line 4 by 12 to get your annual cost $
disability or retirement beneits, Divide the annual cost by 26 to get your bi-weekly cost $
Railroad Retirement Act, company * To determine your annual salary, multiply your hourly rate by 2,080 hours.
sponsored sick leave, and workers’
compensation. An evidence of insurability (EOI) form is required for approval if 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.


20 2020 Benefits Guide
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