Page 17 - 2019 CareHere Enrollment Guide
P. 17
CAREHERE
Voluntary Long Term Disability (LTD)
You are eligible to purchase voluntary long term disability insurance to offer
you financial assistance in the event you are unable to work for an extended
period of time. The plan covers 60% of your pre-disability monthly earnings
to a maximum of $10,000 per month. There is a 90-day waiting period before
this benefit applies. A pre-existing condition limitation applies for conditions
treated three months prior to your effective date if you become disabled by the
condition in your first 12 months of coverage.
If coverage is elected after you initial eligibility period, you must complete an
Evidence of Insurability (EOI) form and be approved by Cigna for coverage to
be effective.
Long Term Disability Insurance Post-Tax
Contributions (Full-Time Employees Only)
Voluntary Long Term Disability Rates
Multiply your hourly earnings by 2080, divide by 12. Round to the nearest
dollar. Divide that amount by $100. Multiply the result by the applicable rate
below for your monthly rate. For your bi-weekly rate, multiply that number
by 12 and divide by 26.
Age Per $100 Age Per $100
20-24 $0.187 50-54 $1.605
25-29 $0.285 55-59 $1.956
30-34 $0.448 60-64 $1.931
35-39 $0.652 65-69 $2.331
40-44 $0.839 70+ $2.983
45-49 $1.182
ADP will calculate your bi-weekly post-tax pay
period deductions based on your election
17
Voluntary Long Term Disability (LTD)
You are eligible to purchase voluntary long term disability insurance to offer
you financial assistance in the event you are unable to work for an extended
period of time. The plan covers 60% of your pre-disability monthly earnings
to a maximum of $10,000 per month. There is a 90-day waiting period before
this benefit applies. A pre-existing condition limitation applies for conditions
treated three months prior to your effective date if you become disabled by the
condition in your first 12 months of coverage.
If coverage is elected after you initial eligibility period, you must complete an
Evidence of Insurability (EOI) form and be approved by Cigna for coverage to
be effective.
Long Term Disability Insurance Post-Tax
Contributions (Full-Time Employees Only)
Voluntary Long Term Disability Rates
Multiply your hourly earnings by 2080, divide by 12. Round to the nearest
dollar. Divide that amount by $100. Multiply the result by the applicable rate
below for your monthly rate. For your bi-weekly rate, multiply that number
by 12 and divide by 26.
Age Per $100 Age Per $100
20-24 $0.187 50-54 $1.605
25-29 $0.285 55-59 $1.956
30-34 $0.448 60-64 $1.931
35-39 $0.652 65-69 $2.331
40-44 $0.839 70+ $2.983
45-49 $1.182
ADP will calculate your bi-weekly post-tax pay
period deductions based on your election
17
