Page 41 - PWH.19 Employee Benefits
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LONG TERM DISABILITY INSURANCE SUMMARY
Minimum Hours Requirement Employees must be working at least 30 hours a week
Who Pays for Coverage
Elimination Period You are not required to pay a part of the premium for
Own Occupation Period
Primary Monthly Benefit insurance under the Group Policy.
Maximum Monthly Benefit
Minimum Monthly Benefit 180 days
Maximum Benefit Payment Period
two year(s)
Rehabilitation Services and Benefits
Rehabilitation Services 66 2/3% of your Predisability Earnings.
Predisability Intervention Services
Return to Work Child Care Benefit $3,500
Other Coverage Features the greater of 10% of your Primary Monthly Benefit or
Work Incentive Benefit
Survivor Benefit $100
NOTE: Member's Age on Months of the
The Date Disability Benefit Payment
Begins Period
Before age 65 greater of 36
Months or to Social
Security Normal
Retirement Age
65-67 24 months
68-69 18 months
70-71 15 months
72 and over 12 months
Included
Included
$350
3 months
three times Primary Monthly Benefit
No premiums are required during a Long Term Disability Benefit Payment Period.
Benefits may be reduced by other sources of income and disability earnings.
Some disabilities may not be covered or may be limited under this insurance.
This summary provides only highlights of the Group Policy. The entire Group Policy determines all rights, benefits,
exclusions and limitations of the insurance described above.
GH 802-1 3
