Benefits and riders may vary by state and may not be available in all states. This is not a complete disclosure of plan qualifications and limitations. Please access our website to obtain a completed list for the Workplace Voluntary Benefit product at Disclosure.ManhattanLife.com Please review this information before applying for coverage. The amount of benefits provided depends on the plan selected. Premiums will vary according to the selection made.
THIS POLICY PROVIDES LIMITED BENEFITS.
Policy Form Number: CDI10, CDI10-LA, CDI10-TX, C-DI-11, C-DI-11-MT, C-DI-11-OK, FDI10, F-DI-11 (including state variations) Rider Form Numbers: CDI-ADD10, CDI-ADD10-LA, CDI-ADD-11, FDI-ADD-11, CDI-EAR10, CDI-EAR10-LA, CDI-EA-11, FDI-EA-11, CDI-HCR10, CDI-HCR10-LA, CDI-HCR10-TX, CDI-HC-11, FDI-HC-11, DI-HINJ10, DI-HINJ10-LA, DI-HINJ10-TX, CDI-HII-11, FDI-HII-11, CDI-BBR10, CDI-BBR10-LA, CDI-BB-11, FDI-BB-11, CDI-HIR10, CDI-HIR10-LA, CDI-HIR10-TX, CDI-HI-11, FDI-HI-11, CDI-OSR10, CDI-OSR10-LA, CDI-OS-11, FDI-OS-11, CDI-SIR10, CDI-SIR10-LA, CDI-SI-11, CDI-SI-11-OK, FDI-SI-11 (including state variations) This is not a policy of Workers’ Compensation Insurance. The employer does not become a subscriber to the Workers’ Compensation System by purchasing this policy, and if the employer is a non-subscriber, the employer loses those benefits that would otherwise accrue under the Workers’ Compensation Laws. The employer must comply with the Workers’ Compensation Law as it pertains to the non-subscribers and the required notifications that must be filed and posted.
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