Polk County Government, NC | Plan Year: July 1, 2007 to June 30, 2008

   
 

Short Term Disability Plan

   
  Disability is a Fact of Life
  Disability Plan Details
  Rates

     
 

Standard Life Contact

 
     
     
 

 
     
 

 
 

Please call your Personnel Office for
a
ll questions concerning this plan.

 
     
     

 

 

 

Standard Life Disability Plan Details

Accident & Sickness Protection
On or off the job, 24 hour a day coverage. Income is provided when you are disabled due to a sickness or as a result of an accident. Benefits begin on the first day if you are disabled due to an accident. Benefits begin on the eighth day if you are disabled due to sickness.

You can choose to insure up to 70% of your gross monthly income, up to a maximum of $2,000.00 per month. Income will be provided for the benefit period you choose up to 365 days.

Eligibility
These benefit plans are optional and all full-time employees under 65 years of age may apply. The disability benefit is for employees only. All applications for new participants will be underwritten.

Policy Features

Pre-existing Conditions: If you received medical advice for treatment of a health condition within twelve months prior to the effective date of insurance, there will be no coverage for that condition until twelve consecutive month beyond the effective date

Maternity: Benefits are covered provided conception occurs after the effective date of the policy, not the date the application was signed.

Portability: When an employee leaves the employment of Polk County Government, they may continue the short term disability coverage as long as continuous employment is maintained.

This coverage expires on the policy anniversary date following your 65th birthday.

Limits and Exclusions:
Benefits will not be paid for any total disability which:

1) Occurs while the policy is not in force;

2) Does not require the regular care of a physician;

3) Is due to the use of intoxicants or narcotics, except on the advice of a physician;

4) Is on account of intentional self-inflicted injury;

5) Is a result of mental or nervous disorders;

6) Results from armed conflicts;

7) Arises out of aviation, except scheduled passengers on commercial airlines;

8) Results from traveling more than forty miles outside the US;

9) Results from the participation in a felony or working at an illegal job.

 

 

 

 

 

Benefit Duration:
90 Days
  Benefit Duration:      180 Days   Benefit Duration:      365 Days
Monthly Benefit Semi-Monthly Premium   Monthly Benefit Semi-Monthly Premium   Monthly Benefit Semi-Monthly Premium
$500 $5.63   $500 $8.75   $500 $11.25
$600 $6.75   $600 $10.50   $600 $13.50
$700 $7.88   $700 $12.25   $700 $15.75
$800 $9.00   $800 $14.00   $800 $18.00
$900 $10.13   $900 $15.75   $900 $20.25
$1,000 $11.25   $1,000 $17.50   $1,000 $22.50
$1,100 $12.38   $1,100 $19.25   $1,100 $24.75
$1,200 $13.50   $1,200 $21.00   $1,200 $27.00
$1,300 $14.63   $1,300 $22.75   $1,300 $29.25
$1,400 $15.75   $1,400 $24.50   $1,400 $31.50
$1,500 $16.88   $1,500 $26.25   $1,500 $33.75
$1,600 $18.00   $1,600 $28.00   $1,600 $36.00
$1,700 $19.13   $1,700 $29.75   $1,700 $38.25
$1,800 $20.25   $1,800 $31.50   $1,800 $40.50
$1,900 $21.38   $1,900 $33.25   $1,900 $42.75
$2,000 $22.50   $2,000 $35.00   $2,000 $45.00

 

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