GROUP LONG-TERM DISABILITY AND GROUP TERM LIFE Sample Clauses

GROUP LONG-TERM DISABILITY AND GROUP TERM LIFE. Group Long-Term Disability (Choose one) : Option 1 (60% of the monthly rate of basic earnings less other benefits up to $6,000 per month) Option 2 (60% of the monthly rate of basic earnings less other benefits up to $10,000 per month) Group Term Life–Choose one: Option 1 (one times annual earnings up to $50,000) Option 2 (two times annual earnings up to $100,000) NOTE: Group Long-Term Disability and Group Term Life requires 100% participation of all active, regular, full-time (working at least 30 hours per week) Employees.
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GROUP LONG-TERM DISABILITY AND GROUP TERM LIFE. Group Long-Term Disability–Choose one : Option 1 (60% of the monthly rate of basic earnings less other benefits up to $6,000 per month) Option 2 (60% of the monthly rate of basic earnings less other benefits up to $10,000 per month) Group Term Life–Choose one: Option 1 (one times annual earnings up to $50,000) Option 2 (two times annual earnings up to $100,000) NOTE: Group Long-Term Disability and Group Term Life requires 100% participation of all active, regular, full-time (working at least 30 hours per week) Employees. Employee Enrollment Form To be completed by each employee becoming a member of a medical, dental or vision plan, applying for COBRA coverage, or waiving coverage. Type of Enrollment: New Enrollment Re-Hire Re-Enrollment Late Enrollment COBRA Firm Name: Client Code: Date of Hire/Rehire (mm/dd/yy) : Requested Effective Date: Number of hours worked per week: six digit number Personal Information - Please complete requested information Last Name (Print) First MI Home Phone/Cell Phone Business Phone Email Street Address (not PO Box) City State Zip Date of Birth Elections (REQUIRED INFORMATION) Medical Plan Selected: (Please indicate plan name) Dental Vision Employee and Family information - Please Note: Under the Medicare, Medicaid and State Children's Health Insurance Plan Extension Act of 2007, Social Security numbers for ALL family members are required. Please list yourself and all eligible family members to be enrolled by filling out the requested information. Check the Totally Disabled Yes box only if the individual's condition prohibits him/her from working or performing daily activities. Relationship Last Name First Name MI SSN DOB Age Gender Full- Time Student Totally Disabled PMG/IPA Number (if applicable) * Cover/ Waive Cover/ Waive Cover/Waive Self □ M □ F □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Dependents Spouse □ M □ F □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Domestic Partner □ M □ F □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Child □ M □ F □ Y □ N □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Child □ M □ F □ Y □ N □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Child □ M □ F □ Y □ N □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Child □ M □ F □ Y □ N □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive Child □ M □ F □ Y □ N □ Y □ N □ Cover □ Waive □ Cover □ Waive □ Cover □ Waive
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Related to GROUP LONG-TERM DISABILITY AND GROUP TERM LIFE

  • Long Term Disability (LTD 4.7.1 The school board shall cooperate in the administration of the LTD Plan. It is understood that administration means that the school board will co-operate with the enrolment and deduction of premiums and provide available necessary data to the insurer, upon request. The school board will remit premiums collected to the carrier on behalf of the teachers.

  • Long Term Disability The Employer agrees to provide Long Term Disability benefits for active full-time employees after fifty-two (52) weeks if an Employee is unable to perform any occupation (reasonably suited by means of training, education or experience). The Plan will provide for sixty-six and two thirds percent (66 2/3%) of an Employee's basic monthly earnings to a maximum of $1,500.00. Coverage would cease the date an Employee attains normal retirement age.

  • Long Term Disability Plan The Welfare Plan will include a Long Term Disability Plan summarized in Appendix “2”.

  • Long-Term Disability (Employee Paid Plans)

  • Group Term Life Insurance The School District will pay the full premium for each $1,000 of coverage for group term life insurance. The amount of life insurance provided will be $20,000, subject to the conditions of the carrier.

  • LEAVE AND LONG-TERM DISABILITY (Articles to are related to Sick Leave and Long-term Disability will be incorporated in all collective agreements:) The Hospital shall provide a short-term sick leave plan at least equivalent to that described in the Hospitals of Ontario Disability Income Plan brochure. Copies of the brochure will be made available to employees upon request. The Hospital will pay seventy-five percent (75%) of the billed premium towards coverage of eligible employees under the long term disability plan or equivalent); employees shall pay the balance of the billed premiums through payroll deduction. The Hospital further agrees to pay employees an amount equal to any loss of benefits under for the first two days of the fourth and subsequent period of absence in any calendar year. Effective April employees with or more years service will be paid at the benefit level for all incidences of absence covered by Any dispute which may arise concerning an employee's entitlement to term or long-term benefits under may be subject to grievance and arbitration under the provisions of this Agreement. An employee who is absent from work as a result of an illness or injury sustained at work and who has been awaiting approval of a claim for Worker's Compensation for a period longer than one complete pay period may apply to the Hospital for payment equivalent to the lesser of the benefit the employee would receive from Workers' Compensation if the employee's claim was approved, or the benefit to which the employee would be entitled under the short term sick portion of the disability income plan or equivalent plan). Payment will be provided only if the employee provides evidence of disability satisfactory to the Hospital and a written undertaking satisfactory to the Hospitalthat any paymentswill be refunded to the Hospital following final determination of the claim by The Workers' Compensation Board. If the claim for Workers' Compensation is not approved, the monies paid as an advance will be applied towards the benefits to which the employee would be entitled under the short term portion of the disability income plan. Any payment under this provisionwill continue for a maximum of fifteen (15) weeks. (The following clause will only appear in those collective agreements at hospitals where sick leave banks were established on the transfer to or equivalent:) Sick leave banks standing to the credit of an employee shall be utilized to supplement payment for sick leave days which would otherwise be paid at less than full wages, or for sick leave days at no wages. (Articles and will only appear in those collective agreements at hospitals which had sick leave credit pay out provisions in their collective agreements expiring December, Pay out of sick leave credits shall be made on termination of employment or, in the case of death, to the employee's estate. The amount of the payment shall be a cash settlement at the employee's then current salary rate for any unused sick credits to the maximum provided under the previous accumulating sick leave credit plan. Where an employee, employed as of the effective date of the transfer to or equivalent, did not have the required service to qualify for pay out on termination, he shall be entitled to the same pay out provisionsas set out in Article above, providing he subsequently achieves the necessary service to qualify for pay out under those provisions. Where an employee, with accumulated sick leave credits remaining, is prevented from working for the Hospital because of an occupational illness or accident that is recognized by the Workers' Compensation Board as compensable within the meaning of the Workers' Compensation Act the Hospital, on application from the employee, will supplement the award made by the Workers' Compensation Board for loss of wages to the employee by such amount that the award of the Workers' Compensation Board for loss of wages, together with the supplementation of the Hospital, will equal one hundred percent (100%) of the employee's net earnings to the limit of the employee'saccumulated sick leave credits. Employees may utilizesuch sick leave credits while awaiting approval of a claim for Workers' Compensation. (Note: The Hospital shall pay for such medical as it may require from time-to-time to certify an employee’s illness or ability to return to work. Any other related to Sick Leave and Long-Term Disability that existed in theexpiring Collective Agreementwill be continued and numbered in sequence as provisions of this Article, except such of an administrative nature related to this Article which will be continued in the Local Provisions Appendix.)

  • Long Term Disability Insurance Plan The Employer shall provide a mutually acceptable long-term disability insurance plan, a copy of which shall appear in Appendix “A” – Long-Term Disability Insurance Plan. The plan shall provide post-probationary regular employees with salary continuation as per Appendix “A” until age sixty-five (65) in the event of a disability. The cost of the plan shall be borne by the Employer.

  • SICK LEAVE AND LONG-TERM DISABILITY (Articles 12.01 to 12.11 apply to full-time nurses only)

  • Long-term Disability Coverage New employees may enroll in long-term disability insurance by their initial effective date of coverage. Employees who become eligible for insurance may enroll in long-term disability insurance within thirty (30) days of their initial effective date as defined in this Article, Section 5C. An employee who is insurance eligible and moves from a temporary position to a permanent position will be allowed to enroll in long-term disability coverage within thirty (30) days of the event without providing evidence of insurability. The terms are the same as for employees who wish to add/increase during the annual open enrollment. During open enrollment only, an employee may purchase long-term disability coverage that provides benefits of from three hundred dollars ($300) to seven thousand dollars ($7,000) per month, based on the employee's salary, commencing on the 181st calendar day of total disability, and not subject to evidence of insurability but with a limited term pre-existing condition exclusion. Employees should be aware that other wage replacement benefits, as described in the certificate of coverage (i.e., Social Security Disability, Minnesota State Retirement Disability, etc.), may result in a reduction of the monthly benefit levels purchased. In any event, the minimum is the greater of three hundred dollars ($300) or fifteen (15) percent of the amount purchased. The minimum benefit will not be reduced by any other wage replacement benefit. In the event that the employee becomes totally disabled before age seventy (70), the premiums on this benefit shall be waived.

  • SHORT-TERM ILLNESS AND INJURY AND LONG-TERM DISABILITY Employees shall be entitled to coverage for short term illness and injury and long term disability in accordance with agreed upon regulations which will be subject to review and revision during the period of this Agreement by negotiations between the Parties and included as Appendix A to this Agreement.

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