Page 12 - 15NH Intertek
P. 12
Enrollment
Guide
FMLA and Disability Leave
Disability Your physical and inancial wellness is important to Intertek. The company
provides inancial protection beneits that support you and your dependents
through short term and long term disability. To ile a disability or Family
and Medical Leave Act (FMLA) claim, please contact Liberty Mutual at
800-713-7384 or go online to www.mylibertyclaim.com.
Short-Term Disability
Short-Term Disability (STD) provides you with a percentage of your weekly
income while you are out of work following a non-work related accident
or illness. Intertek offers an STD plan at no cost to you. Those eligible will
receive an STD beneit equal to the illustration in the table and are eligible
to receive this beneit for up to 26 weeks.
Years of Service STD Beneit
Less than 2 years of service
Up to 6 weeks of disability 100% of earnings—
Max of $2,000 per week
7 to 26 weeks of disability 60% of earnings—
Max of $1,200 per week
2 to 9 years of service
Up to 13 weeks of disability 100% of earnings—
Max of $2,000 per week
14 to 26 Weeks 60% of earnings—
Max of $1,200 per week
10 or more years of service
Up to 26 Weeks of disability 100% of earnings—
Max of $2,000 per week
Long-Term Disability
Long-Term Disability (LTD) protects your income by providing you with a
percentage of your income while you are disabled. You have the option of
purchasing Voluntary LTD coverage to cover 60% of your monthly earnings
up to a maximum of $15,000. Intertek contributes 50% of the cost and
you pay the remaining 50%. If you do not want to enroll for voluntary LTD
coverage you can opt out of the beneit during enrollment.
Beneit Percentage 60%
Monthly Beneit Minimum Greater of $100 or 10%
Monthly Beneit Maximum $15,000
Beneit Waiting Period 180 days or end of STD beneits
Beneit Duration Until you no longer meet the deinition
of disability or you reach the maximum
beneit duration
12
Guide
FMLA and Disability Leave
Disability Your physical and inancial wellness is important to Intertek. The company
provides inancial protection beneits that support you and your dependents
through short term and long term disability. To ile a disability or Family
and Medical Leave Act (FMLA) claim, please contact Liberty Mutual at
800-713-7384 or go online to www.mylibertyclaim.com.
Short-Term Disability
Short-Term Disability (STD) provides you with a percentage of your weekly
income while you are out of work following a non-work related accident
or illness. Intertek offers an STD plan at no cost to you. Those eligible will
receive an STD beneit equal to the illustration in the table and are eligible
to receive this beneit for up to 26 weeks.
Years of Service STD Beneit
Less than 2 years of service
Up to 6 weeks of disability 100% of earnings—
Max of $2,000 per week
7 to 26 weeks of disability 60% of earnings—
Max of $1,200 per week
2 to 9 years of service
Up to 13 weeks of disability 100% of earnings—
Max of $2,000 per week
14 to 26 Weeks 60% of earnings—
Max of $1,200 per week
10 or more years of service
Up to 26 Weeks of disability 100% of earnings—
Max of $2,000 per week
Long-Term Disability
Long-Term Disability (LTD) protects your income by providing you with a
percentage of your income while you are disabled. You have the option of
purchasing Voluntary LTD coverage to cover 60% of your monthly earnings
up to a maximum of $15,000. Intertek contributes 50% of the cost and
you pay the remaining 50%. If you do not want to enroll for voluntary LTD
coverage you can opt out of the beneit during enrollment.
Beneit Percentage 60%
Monthly Beneit Minimum Greater of $100 or 10%
Monthly Beneit Maximum $15,000
Beneit Waiting Period 180 days or end of STD beneits
Beneit Duration Until you no longer meet the deinition
of disability or you reach the maximum
beneit duration
12
