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VOLUNTARY BENEFITS ENROLLMENT INFORMATION

Available to Store Managers & MIT’s only

CIGNA VOLUNTARY SHORT TERM DISABILITY CIGNA VOLUNTARY LONG TERM DISABILITY

United Pacific offers the opportunity to purchase Voluntary Short-Term Disability (STD) income replacement at United Pacific offers you the opportunity to purchase Voluntary Long Term Disability (LTD) income replacement at
discounted group rates, through Cigna. If you experience a temporary disability, benefits begin 7 days after the discounted group rates, through Cigna. If you become totally and permanently disabled, benefits begin 180 days
start of your accident, sickness or pregnancy and will continue up to a maximum of 25 weeks. STD works with after the start of your illness or injury and will continue as long as you remain disabled up to Social Security Normal
state disability programs, Social Security, and any other group disability coverage, to provide you with a combined Retirement Age. LTD works with state disability programs, Social Security, and any other group disability coverage,
monthly benefit equal to 60% of your pre-disability earnings up to a maximum benefit of $1,252 per week. to provide you with a combined monthly benefit equal to 60% of your pre-disability earnings to a maximum benefit
of $10,000 per month.
EMPLOYEE RATE PER MONTH
VOLUNTARYSTD RATE PER $10 OF MONTHLY COVERED INCOME EMPLOYEE RATE PER MONTH
Employee/Spouse/Child(ren) $0.715 VOLUNTARY LTD RATE PER $100 OF MONTHLY COVERED INCOME
Age
<25 $0.086
25-29 $0.111
30-34 $0.212
35-39 $0.331
40-44 $0.495
45-49 $0.666
50-54 $0.922
55-59 $0.978
60-64 $1.032
65-69 $1.073
70-99 $1.100

Pre-existing Condition Exclusion for Voluntary Long Term Disability Plan:
If you were diagnosed, consulted or treated for any medical condition 3 months prior to your enrollment in this plan,
the disability caused by this condition will not be covered until you have been on the plan for 12 months. After 12
months of consecutive enrollment, the pre-existing condition will no longer apply.

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