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LTD Highlight Sheet

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LTD Highlight Sheet Long Term Disability Income Protection Insurance Plan Highlights Exclusive Independent Contractors of Allstate Insurance Company Policy # 572683 ANNUAL ENROLLMENT 2018 Please read carefully the following description of your Unum Long Term Disability Income Protection insurance plan. Your Plan Eligibility You are eligible for long term disability (LTD) coverage if you are an Exclusive Independent Contractor. An Exclusive Independent Contractor is an insurance agent contracted under the: • Allstate R3001 Exclusive Agency Agreement; • Allstate R3001S Exclusive Agency Agreement; • Allstate R3001 N.J. Exclusive Agency Agreement; • Allstate L2000S Exclusive Financial Specialist Independent Contractor Agreement; or Any person identified as the “Key Person” under the: • Allstate R3001A Exclusive Agency Agreement; • Allstate R3001C Exclusive Agency Agreement; • Allstate R3001A N.J. Exclusive Agency Agreement; or • Allstate L2000C Exclusive Financial Specialist Independent Contractor Agreement. ADR1877-2001 Guarantee Issue Current Employees: If you are enrolling for the first times during annual enrollment, coverage is available to you with answering medical questions and providing evidence of insurability. After the enrollment period, your coverage will be medically underwritten, and you will be required to qualify based on information you provide on your overall medical health including routine, planned, unplanned or ongoing medical care or consultation. This review may result in a declination of coverage. New Employees hired on or after 01/01/2018: You may apply for coverage without answering any medical questions or providing evidence of insurability if you apply for coverage within 31 days after your eligibility date. If you apply more than 31 days after your eligibility date, your coverage will be medically underwritten, and you will be required to qualify based on information you provide on your overall medical health including routine, planned, unplanned or ongoing medical care or consultation. This review may result in a declination of coverage. Benefit Amount Monthly LTD Benefit: • For the first 12 months, 60% of your Monthly Earnings to a maximum of $7500 • After 12 months, 50% of your Monthly Earnings to a maximum of $7500 Annual Earnings If you have been an Exclusive Independent Contractor for at least twenty- four full calendar months as of the August 1st prior to the January 1st prior to your date of disability, Monthly Earnings are an average of your eligible compensation, as defined by Allstate Insurance Company, from Allstate Insurance Company and its affiliates for that twenty-four full calendar month period ended as of the August 1st prior to the January 1st prior to your date of disability. If you have been an Exclusive Independent Contractor for less than twenty- four full calendar months as of the Augusts 1st prior to the January 1st prior to your date of disability, Monthly Earnings are the greater of an average of your eligible compensation, as defined by Allstate Insurance Company, from Allstate Insurance Company and its affiliates for the period of employment ended as of the August 1st prior to the January 1st prior to your date of disability, or $2,500. Eligible compensation, as defined by Allstate Insurance Company, is comprised of wage types with a QAE indicator and reported to you, or an entity that you have a whole or partial ownership interest in, as Current Earnings on your Commission Payment Notifications. The total benefit payable to you on a monthly basis (including all benefits provided under this plan) will not exceed 100% of your monthly earnings. However, if you are participating in Unum’s Rehabilitation and Return to Work Assistance program, the total benefit payable to you on a monthly basis (including all benefits provided under this plan) will not exceed 110% of your monthly earnings. Your LTD benefit may be reduced by the amount of other income replacement benefits you receive for the same disability, such as benefits from Social Security, Workers’ Compensation, etc. During the first 12 months benefits are payable, should the sum of the Monthly Benefit and any commissions paid from Allstate while you are disabled exceed 90% of your Indexed Monthly Earnings, your Monthly Benefit will be reduced by such excess amount. Between the 12th and 24th month that benefits are payable, should the sum of the Monthly Benefit and any commissions paid from Allstate exceed 80% of your Indexed Monthly Earnings, the Monthly Benefit will be reduced by such excess amount. After Monthly Benefits have been payable for 24 months, the Monthly Benefit will be reduced by any commissions paid from Allstate while you are disabled. The monthly benefit will be the greater of 10% of your gross disability payment or $100, regardless of any reductions. Monthly benefits will be prorated if payable for any period less than one month. Definition of Disability You are disabled when Unum determines that: • you are limited from performing the material and substantial duties of your regular occupation; and • After benefits have been paid for 24 months, you are disabled when Unum determines that due to the same sickness or injury, you are unable to perform the duties of any gainful occupation for which you are reasonably fitted by education, training or experience. You must be under the regular care of a physician in order to be considered disabled. Elimination Period The Elimination Period is the length of time of continuous disability which must be satisfied before you are eligible to receive benefits. Option A LTD benefits would begin after 90 consecutive days of disability, if you are disabled, as described in the definition above. Option B LTD benefits would begin after 180 consecutive days of disability, if you are disabled, as described in the definition above. Option C LTD benefits would begin after 365 days of disability, if you are disabled, as described in the definition above. Option D LTD benefits would begin after 730 consecutive days of disability, if you are disabled, as described in the definition above. During your elimination period you will be considered disabled if you are limited from performing the material and substantial duties of your regular occupation due to your sickness or injury, and you are under the regular care of a physician. Benefit Duration Your duration of benefits is based on your age when the disability occurs. Your LTD benefits are payable for the period during which you continue to meet the definition of disability up to age 65, but not less than 5 years. If your disability occurs at or after age 61, benefits would be paid for a reduced period of time. Gainful Occupation Gainful occupation means an occupation that is or can be expected to provide you with an income at least equal to your gross disability payment within 12 months of your return to work. Taxation Because you pay your premiums with post-tax dollars, your benefits will not be taxed. Additional Benefits Rehabilitation and Return to Unum has a vocational Rehabilitation and Return to Work Assistance Work Assistance program available to assist you in returning to work. We will make the final determination of your eligibility for participation in the program, and will provide you with a written Rehabilitation and Return to Work Assistance plan developed specifically for you. This program may include, but is not limited to the following benefits: • coordination with your Employer to assist your return to work; • adaptive equipment or job accommodations to allow you to work; • vocational evaluation to determine how your disability may impact your employment options; • job placement services; • resume preparation; • job seeking skills training; or • education and retraining expenses for a new occupation. If you are participating in a Rehabilitation and Return to Work Assistance program, we will also pay an additional disability benefit of 10% of your gross disability payment to a maximum of $1,000 per month. In addition, we will make monthly payments to you for 3 months following the date your disability ends, if we determine you are no longer disabled while: • you are participating in a Rehabilitation and Return to Work Assistance program; and • you are not able to find employment. Dependent Care Expense If you are disabled and participating in Unum’s Rehabilitation and Return Benefit to Work Assistance program, Unum will pay a Dependent Care Expense Benefit when you are disabled and you: • are incurring expenses to provide care for a child under the age of 15; • and/or start incurring expenses to provide care for a child age 15 or older or a family member who needs personal care assistance. The payment will be $350 per month per dependent, to a maximum of $1,000 per month for all dependent care expenses combined. Waiver of Premium You will not be required to pay LTD premiums as long as you are receiving LTD payments upon completion of the elimination period and approval for Long Term Disability benefits. Work/Life Balance Work-life balance is a comprehensive resource providing access to Employee Assistance professional assistance for a wide range of personal and work-related Program issues. The service is available to you and your family members twenty- four hours a day, 365 days a year, and provides resources to help employees find solutions to everyday issues such as financing a car or selecting child care, as well as more serious problems such as alcohol or drug addiction, divorce, or relationship problems. Services include: toll-free phone access to master’s-level consultants, up to three face-to-face sessions to help with more serious issues; and online resources. There is no additional charge for utilizing the program. Participation is confidential and strictly voluntary, and employees do not have to have filed a disability claim or be receiving benefits to use the program. However, if you become disabled and are receiving benefits, Unum's On Claim Support can provide additional resources including: coaching on how to communicate effectively with medical personnel, conducting consumer research for medical equipment and supplies, assessing emotional needs and locating counseling resources.
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