Summary Information Only
This webpage presents summary information only. Any error or omission here
is unintentional and will be resolved in favor of plan documents or
applicable federal or state law or rule.
Plan Documents
Eligibility & Effective Dates
Only
permanent PEBB-eligible employees may enroll in this benefit. Seasonal
and intermittent employees are not eligible to enroll.
If you enroll during Open Enrollment, your coverage becomes effective January 1 of the new plan year. If you enroll outside of Open Enrollment, your coverage becomes effective the first of the following month.
Description of Benefits
The
benefit covers a percentage of your monthly insured earnings. You
determine the percentage when you choose from the four options. For
long-term disability, the insured earnings amount is based on your
monthly earnings in effect on your last full day of work. When your
insured earnings increase (for example, with a pay increase), your
premium rate increases. Insured earnings do not include overtime pay,
bonuses, or dollars received when you opt out of medical coverage.
The
maximum of insured earnings for long-term disability insurance is
limited to $12,000. The maximum monthly benefit (before reduction of
deductible income) is $7,200 if you choose option 1 or 2, or $8,000 if
you choose option 3 or 4. The minimum is $50. The maximum weekly benefit is $1,662 before reduction of deductible income.
Deductible income means other income you are eligible to receive because of your disability.
This includes:
- A portion of your earnings from work while disabled
- Sick leave or other salary continuation, including donated leave (but not vacation or personal business leave)
- A
portion of the benefits you are eligible to receive under any other
group disability program. This includes state disability income benefits
from the Public Employees Retirement System
- Workers’ compensation benefits
- Social Security benefits payable to you and your dependents
- For
members employed by the Oregon University System, benefits you are
eligible to receive under any employer-sponsored individual disability
policy arranged for individuals in a common group.
Tax Treatment
For this long-term disability insurance program, payroll deducts the monthly premium after taxes. However, any long-term disability dollars you receive through this benefit are not taxed.
Additional Benefits
This plan offers additional benefits to help you return to work after you become disabled. Review the online plan certificate for information on these features.
Pre-existing Condition Period
The Standard requires preexisting condition review if you file a long-term disability claim within 12 months of becoming insured. The Standard will look at the 90-day period prior to your insurance effective date. They will review your claim to find out if you were seen or treated for a condition that caused or added to your disability. If you were, your claim will be denied.
The Standard will not review for preexisting condition once you have been insured for 12 months.
Duration of Benefit
Your maximum benefit period is determined by your age when disability begins, as follows:
61 or younger to age 65, or 3 years 6 months, if longer
|
65 2 years |
62 3 years, 6 months
|
67 1 year, 6 months |
| 63 3 years |
68 1 year, 3 months |
64 2 years, 6 months |
69 or older 1 year |
Premium Rates
This insurance may replace a portion of your monthly income should you
become disabled. You must self pay for this coverage; the state does not
provide a benefit amount for this benefit.
Long-term Disability Premium Rates
Premium = Rate X month salary |
Option |
Rate |
Waiting Period |
Coverage |
Coverage Maximum/Minimum |
1 |
$0.00608 |
90 days |
60% of first $12,000 minus deductible income |
$7,200 before reduction by deductible income/$50 |
2 |
$0.0022 |
180 days |
3 |
$0.0138 |
90 days |
66 2/3% of first $12,000 minus deductible income |
$8,000 before reduction by deductible income/$50 |
4 |
$0.0035 |
180 days |
- This
benefit has a waiting period. The waiting period is the amount of time
you must wait before you start receiving a weekly payment after you
become disabled. It is either 90 or 180 days, depending on the option
you choose.
Here is an example to illustrate your premium cost based on your choice of options:
You choose Option 1 -- with a 90-day waiting period and a monthly benefit amount of 60 percent of your pre-disability earnings.
Your gross monthly salary (before any deductions) |
$5,000 |
Times premium |
X 0.00608 |
Premium amount you pay each month |
$30.40 |