Clay County Schools 2023 Benefits Guide 23-24PY

Page 64

Frequently Asked Questions When do disability benefits end?

Will my disability income payment be reduced if I have other insurance?

The Total Disability Benefit will end on the policy anniversary date on or next following your 70th birthday.

Benefits are payable regardless of workers’ compensation or any other insurance you may have with other insurance companies. Benefits are payable directly to you (unless you specify otherwise).

The Hospital Confinement benefit increases when the Total Disability Benefit ends. Can I keep my coverage if I change jobs?

When am I considered totally disabled? • Unable to perform the material and substantial duties of your occupation;

If you change jobs or retire, you can take your coverage with you at no additional cost. Your coverage is guaranteed renewable for life as long as you pay your premiums when they are due or within the grace period.

• Not, in fact, working at any occupation; and

How do I file a claim?

Totally disabled means you are:

• Under the regular and appropriate care of a doctor.

Visit coloniallife.com or call our Policyholder Service Center at 1-800-325-4368 for additional information.

What if I want to return to work part time after I am totally disabled?

What is a pre-existing condition?

You may be able to return to work part time and still receive benefits. We call this “Partial Disability.” This means you may be eligible for coverage if:

A pre-existing condition means a sickness or physical condition for which any covered person was treated, received medical advice, or had taken medication within 12 months before the effective date of the policy. If you are age 65 or older when the policy is issued, pre-existing conditions include only conditions specifically excluded from coverage by the rider.

• You are unable to perform the material and substantial duties of your job for more than half of your normally weekly scheduled hours; • You are able to work at your job or your place of employment for less than half of your normally weekly scheduled hours;

If you become disabled due to a pre-existing condition, we will not pay for any disability period if it begins during the first 12 months the policy is in force.

• Your employer will allow you to return to your job or place of employment for less than half of your normally weekly scheduled hours; and

What is the Mental or Nervous Disorder benefit? This benefit provides coverage for a disability due to a mental or nervous condition. Coverage provides a benefit up to three months per occurrence, with a cumulative lifetime maximum benefit of 24 months.

• You are under the regular and appropriate care of a doctor. The total disability benefit must have been paid for at least 14 days immediately prior to your being partially disabled.

For more information, talk with your Colonial Life benefits counselor.

1. NC Educator Disability is the marketing name of the insurance product filed as “Disability Income Insurance Policy.” 2. U.S. Social Security Administration, The Faces and Facts of Disability. https://www.ssa.gov/disabilityfacts/facts.html. Accessed April 2021. EXCLUSIONS AND LIMITATIONS We will not pay benefits for losses that are caused by or are the result of: Cosmetic Surgery, Felonies and Illegal Occupations, Flying, Hazardous Avocations, Intoxicants and Narcotics, Racing, Semiprofessional or Professional Sports, Substance Abuse, Suicide or Self-Inflicted Injuries, and War or Armed Conflict. This information is not intended to be a complete description of the insurance coverage available. The policy may vary or be unavailable in some states. The policy has exclusions and limitations which may affect any benefits payable. Applicable to policy form NCK1100. For cost and complete details of coverage, call or write your Colonial Life benefits counselor or the company. Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC. ColonialLife.com

© 2022 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a registered trademark and marketing brand of Colonial Life & Accident Insurance Company. FOR EMPLOYEES 2-22 | 1006400

64


Turn static files into dynamic content formats.

Create a flipbook

Articles inside

CONTINUATION OF COVERAGE

1min
page 99

COBRA Continuation

12min
pages 95-98

STUDENT LOAN ASSISTANCE PROGRAM

1min
pages 93-94

Whole Life Plus Insurance

4min
pages 89-90

How much coverage do you need?

2min
page 86

Term Life Insurance

1min
page 85

Hospital Confinement Indemnity Insurance

1min
page 82

Hospital Confinement Indemnity Insurance Medical Treatment Package

1min
pages 81-82

ACCIDENT BENEFIT PREMIUMS

1min
pages 72-74

SHORT-TERM DISABILITY PREMIUMS

4min
pages 67-71

Frequently Asked Questions

2min
pages 64-65

SHORT-TERM DISABILITY BENEFITS

2min
pages 60-63

State of NC Disability Ben-

1min
page 59

Group Critical Illness Insurance

3min
page 56

Group Critical Illness Insurance Progressive Diseases Rider

1min
page 55

Group Critical Illness Insurance

1min
pages 53-55

Group Critical Illness Insurance

1min
pages 52-53

Group Critical Illness Insurance Plan

2min
pages 50-52

Group Critical Illness Insurance Plan

2min
pages 48-50

Cancer Assist Benefits Overview

2min
pages 42-43

Cancer Insurance

2min
page 41

Life Planning Services

1min
page 39

Health Advocate Employee Assistance + Work/Life Programs

1min
page 38

Summary of Basic and Supplemental Group Term Life Benefits for

1min
pages 35-37

Group Term Life Insurance Clay County Schools

2min
pages 33-34

Vision Care Plan for Clay County Schools

1min
pages 30-31

Important information

2min
pages 28-29

Frequently asked questions

2min
page 27

Dental Insurance

2min
pages 25-26

Pharmacy

1min
page 23

24/7 access to quality care... on your schedule!

1min
pages 20-22

THE FSA STORE

3min
pages 15-18

HARMONY ENROLLMENT INSTRUCTIONS

2min
pages 11-14

HARMONY ENROLLMENT INSTRUCTIONS

1min
page 10

ENROLLMENT INFORMATION

1min
page 9

QUALIFYING LIFE EVENTS

1min
page 8

QUALIFYING LIFE EVENTS

1min
page 7

IMPORTANT NOTICES

2min
page 6

ELIGIBILITY REQUIREMENTS

1min
page 4

EMPLOYEE BENEFITS GUIDE

1min
page 2
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.