Group Long Term Disability Insurance
Automobile Club of Southern California has selected Reliance Standard Life Insurance Company (Reliance Matrix) as the new insurer for your Long Term Disability Benefits effective January 1, 2024. Below are highlights of the Long Term Disability Plan in place for employees who meet the eligibility requirements for this benefit.
COVERAGE Disability income protection insurance provides a benefit for long term disability resulting from a covered injury or sickness. Benefits begin at the end of the elimination period and continue while you are disabled up to the maximum benefit duration.
MAXIMUM BENEFIT DURATION Benefits will not extend beyond the longer of your Social Security Normal Retirement Age or Duration of Benefits below: Age at Disablement Duration of Benefits 61 or less To Age 65 62 3 1/2 Years 63 3 Years 64 2 1/2 Years 65 2 Years 66 1 3/4 Years 67 1 1/2 Years 68 1 1/4 Years 69 or more 1 Year
ELIGIBILITY All Active Regular Employees working 25 hours or more per week.
CONTRIBUTION REQUIREMENTS Core: Coverage is 100% Employer Paid. Buy-Up: Coverage is 100% Employee Paid.
BENEFIT AMOUNT Core: The benefit amount is equal to 50% of your monthly covered earnings, from a minimum of $100/10%, to a maximum benefit of $12,000 per month. Buy-Up: The benefit amount is equal to 66.67% of your monthly covered earnings, from a minimum of $100/10%, to a maximum benefit of $12,000 per month.
FEATURES Military Services Leave of Absence FMLA Continuation Own Occupation Coverage – 12 Months
Rehabilitation Benefit
Residual and Partial Disability
Specific Indemnity Benefit
ELIMINATION PERIOD Core: 180 consecutive days of total disability. Buy-Up: 180 consecutive days of total disability.
Survivor Benefit – 3 months
Transfer of Coverage
Work Incentive & Child Care Provisions
Worksite Modification Benefit
VALUE-ADDED SERVICES Travel Assistance Services – Including: Pre-Trip Assistance Emergency Medical Transportation Emergency Personal Assistance Services Emergency Medical Assistance Services
LIMITATIONS Pre-Existing Condition Limitation: 3/12
Mental & Nervous Limitation – 24 months outpatient
Substance Abuse Limitation – 24 months Offsets: your benefit may be reduced by other income sources such as, but not limited to, Social Security, Workers Compensation, State Disability Plans
www.reliancematrix.com
This Plan Highlight is not a complete description of the insurance coverage. Insurance is provided under group policy form LRS-6564, et al. This is not a binding contract. Should there be a difference between this Plan Highlight and the contract, the contract will govern. The Certificate of Coverage will be made available to you that describes the benefits in greater detail; however a benefit will not be paid if caused or contributed by an exclusion listed in the Certificate. Reliance Standard Life Insurance Company is licensed in all states (except New York), the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam. In New York, insurance products and services are provided through First Reliance Standard Life Insurance Company, Home Office: New York, NY. Product features and availability may vary by state.
Made with FlippingBook interactive PDF creator