Totally Disabled Clause Samples
The 'Totally Disabled' clause defines the conditions under which an individual is considered completely unable to perform the duties of their occupation due to illness or injury. Typically, this clause outlines specific criteria, such as the inability to work for a certain period or the need for ongoing medical care, and may require certification from a medical professional. Its core practical function is to establish clear eligibility for disability benefits, ensuring that only those who meet the defined standard receive coverage, thereby preventing disputes and clarifying the insurer’s obligations.
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Totally Disabled. For Subscribers and Adult Dependents: In the judgment of a Medical Group Physician, a person is totally disabled by reason of injury or sickness if the Member is unable to perform each and every duty pertaining to his or her occupation during the first fifty-two (52) weeks of the disability. After the first fifty-two (52) weeks, a person is totally disabled if the Member is unable to perform each and every duty of any business or occupation for which the Member is reasonably fitted by education, training and experience. For Dependent Children: In the judgment of a Medical Group Physician, an illness or injury which makes the child unable to substantially engage in any of the normal activities of children in good health and like age. Urgent Care Services: Services required as the result of a sudden illness or injury, which require prompt attention, but are not of an emergent nature.
Totally Disabled. PROMISTAR may terminate Executive's employment upon his becoming "Totally Disabled." For purposes of this Agreement, Executive shall be "Totally Disabled" if Executive is physically or mentally incapacitated so as to render Executive incapable of performing his usual and customary duties under this Agreement. Executive's receipt of disability benefits under PROMISTAR's long-term disability benefits plan (the "LTD Plan") or receipt of Social Security disability benefits shall be deemed conclusive evidence of being Totally Disabled for purpose of this Agreement; provided, however, that in the absence of Executive's receipt of such long-term disability benefits or Social Security benefits, PROMISTAR's Board of Directors (the "Board") may, in its reasonable discretion (but based upon appropriate medical evidence), determine that Executive is Totally Disabled.
Totally Disabled. 16 Unit members sixty (60) years of age or older who are not eligible for disability 17 protection pursuant to STRS guidelines and who have exhausted all accrued sick leave 18 may opt to waive the substitute pay differential benefit, as described in Paragraph 13.2.5, 19 and select one of the following options: 21 (1) Regular retirement pursuant to STRS guidelines; or 22 23 (2) Receive an additional 100 days substitute pay differential provided by the District. 24
Totally Disabled. The inability to perform sustained remunerative employment or other activity(ies) that are consistent with his/her medical/psychological restrictions while receiving OIL benefits due to the allowed conditions of the claim.
Totally Disabled. With respect to an Employee, the inability of the Employee because of an injury or disease to perform the duties of any occupation for which he is suited by reason of education, training or experience, and, with respect to an Eligible Dependent, the inability of the Eligible Dependent because of an injury or disease to engage in substantially all of the normal activities of persons of like age and sex in good health.
Totally Disabled. The definition of Totally Disabled is tied to Social Security disability, unless otherwise specified in (a), (b), (c), (d), or (e) below. a) x Tied to the Employer's long-term disability plan.
Totally Disabled. Unit members sixty (60) years of age or older who are not eligible for disability protection pursuant to STRS guidelines and who have exhausted all accrued sick leave may opt to waive the substitute pay differential benefit, as described in Paragraph 13.2.5, and select one of the following options:
(1) Regular retirement pursuant to STRS guidelines; or
(2) Receive an additional 100 days substitute pay differential provided by the District. Unit members electing option two (2) shall receive full salary less the amount paid a substitute employed to fill his/her regular position. If no substitute is employed, the unit member shall receive full salary less the amount which would have been paid a substitute had one been employed.