Page 16 - 2016 Intertek Enrollment Guide
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Disability




Short Term Disability
FMLA and Disability
Leave Short Term Disability (STD) provides you with a percentage of
your weekly income while you are out of work following a non-
Your physical and work related accident or illness. Intertek offers an STD plan at no
financial wellness is cost to you. Those eligible will receive an STD beneit equal to the
important to Intertek. illustration in the table and are eligible to receive this beneit for up
The company provides to 26 weeks.
financial protection
Years of Service
benefits that support you Less than 2 years of service STD Beneit
and your dependents Up to 6 weeks of disability 100% of earnings—Max of $2,000 per week

through Short Term and 7 to 26 weeks of disability 60% of earnings—Max of $1,200 per week
Long Term Disability. 2 to 9 years of service
To file a disability or 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
Family and Medical 10 Or more years of service
Leave Act (FMLA) claim, Up to 26 weeks of disability 100% of earnings—Max of $2,000 per week
please contact Liberty
Mutual at 800.713.7384 Long Term Disability
or go online to
www.mylibertyclaim.com. 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. Intertek
contributes 50 percent of the cost and you pay the remaining 50 percent. If you
do not want to enroll for voluntary LTD coverage you can opt out of the beneit
during enrollment.


LTD
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
Rate $0.247 per $100 of covered payroll


LTD Payment Example

Your cost for LTD coverage is $0.247 per $100 of monthly covered payroll. If

your monthly salary is $4,000 then your LTD cost is: $4,000/100 x $0.247 =
$9.88 of monthly premium.


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Open Enrollment
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