Page 130 - Group Insurance and Retirement Benefit IC 83 E- Book
P. 130

STD and Major Medical Plans

                   Today, some employers are including STD benefits as a standard part of employee health

                   plans, right along with major medical expense coverage‘s. Other employers offer STD
                   coverage  separately  as  an  option  the  employee  may  choose  or  not.  In  whatever  form,

                   many employers offer STD benefits at every income and occupational level within their
                   companies.  As  you  will  see  in  the  next  section,  long-term  disability  benefits  may  be

                   offered differently.


                   Long-Term Disability (LTD) Plans


                   After the short-term disability benefit period ends, many group plans provide long-term
                   disability benefits when the employee is still disabled. However, LTD  benefits, unlike

                   STD, are sometimes made available only to higher-income, usually salaried, personnel
                   rather than to both salaried and hourly employees. For example, the LTD plan might be

                   available only for employees earning $30,000 or more annually. There are two reasons
                   for  this.  First,  lower-income  earners  are  often  covered  adequately  by  social  insurance

                   programs. Second, because insurance company experience shows that lower-income and

                   hourly employees as a group incur greater claim costs, the risk is less desirable from the
                   insurer's point of view.


                   Probationary Period

                   Different LTD and STD plans might have probationary periods as short as three months

                   before the employee is eligible to enroll. On the other hand, some LTD group policies

                   require  an  employee  to  be  continuously  employed  for  as  long  as  one  year  before
                   becoming eligible.



                   Some LTD plans also require the employee to be actively at work for a specified period-
                   30 days, typically-without illness or injury in order to enroll.  For example, suppose the

                   three-month  required  probationary  period  has  passed  for  a  certain  employee,  but  the
                   employee has been ill for the final four days of the last month of the probationary period.
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