Page 61 - LRM.19 Principal Employee Packet
P. 61

VOLUNTARY LONG-TERM DISABILITY





                      Treatment of Mental
                      Treatment of Mental  The benefit payment period listed above is a lifetime maximum for all periods of
                      Health Conditions,
                      Health Conditions,  disability.  All disabilities from conditions with the same maximum benefit payment
                      Drug and Alcohol
                      Drug and Alcohol    period contribute towards one lifetime maximum.
                      Abuse Conditions and
                      Abuse Conditions and
                      Special Conditions
                      Special Conditions
                                          However, if at the end of the benefit payment period, you are confined in a hospital or
                                          any other type of facility providing treatment for any of these conditions, the benefit
                                          payment period may be extended to include the time period you are confined for
                                          treatment.
                                          Special conditions are considered to be Thoracic outlet syndrome /  Headaches, such as
                                          functional, migraine, organic, sinus and tension /  Chronic fatigue syndrome /
                                          Fibromyalgia/ Temporomandibular joint (TMJ) / Cumulative trauma disorder, overuse
                                          syndrome, or repetitive stress disorder including carpal tunnel and ulnar tunnel
                                          syndrome / Environmental allergies and multiple chemical sensitivity / Musculoskeletal
                                          and connective tissue disorders of the neck and back, including any disease or disorder
                                          of the cervical, thoracic and lumbosacral back and surrounding soft tissue, including
                                          sprains and strains of joints and adjacent muscles.






























































        12071610543 - 1                                       5 of 6                                               12/2016
                                                                                                               61
   56   57   58   59   60   61   62   63   64   65   66