Benefit Guide - People

ANCILLARY BENEFITS Short Term & Long Term Disability

VOLUNTARY SHORT - TERM DISABILITY (STD) Voluntary Short - Term Disability provides a reasonable replacement of weekly income to an insured that becomes disabled for more than 7 days due to an accident or illness. All full - time employees working a minimum of 30 hours per week are eligible for Voluntary LTD coverage. The Voluntary STD benefit is equal to 50% of your weekly earnings (based salary) to a maximum benefit of $1,000 per week. VOLUNTARY STD MONTHLY RATES THIS IS AN OPTIONAL BENEFIT EMPLOYEES PAY 100% OF THE COST

VOLUNTARY SHORT-TERM DISABILITY PLAN BENEFITS

RATE PER $10 OF BENEFIT

RATE PER $10 OF BENEFIT

AGE

AGE

15-24

$0.240

50-54

$0.190

Minimum Hours Per Week

30 hours

25-29

$0.240

55-59

$0.220

Benefit Amount

60% of your weekly earnings

30-34

$0.320

60-64

$0.330

Maximum Weekly Benefit

$1,500 per week

35-39

$0.230

65+

$0.330

Maximum Duration

13 Weeks

40-44

$0.170

Elimination Period

7 days Accident or Illness

45-49

$0.170

VOLUNTARY LONG - TERM DISABILITY (LTD) Long - Term Disability provides a reasonable replacement of monthly income to an insured that becomes disabled for more than 6 months due to an accident or illness. All full - time employees working a minimum of 30 hours per week are eligible for LTD coverage. The LTD benefit is equal to 60% of your earnings (based salary) to a maximum benefit of $1,500 per month.

VOLUNTARY 6TD MONTHLY RATES THIS IS AN OPTIONAL BENEFIT EMPLOYEES PAY 100% OF THE COST

RATE PER $10 OF BENEFIT

RATE PER $10 OF BENEFIT

LONG TERM DISABILITY PLAN BENEFITS

AGE

AGE

Minimum Hours Per Week

30 hours

15-24

$0.080

50-54

$0.610

Benefit Amount

60% of your monthly earnings

25-29

$0.080

55-59

$0.700

Maximum Benefit

$6,000 per month

30-34

$0.160

60-64

$0.600

Definition of Disability

SSNRA

35-39

$0.250

65+

$0.600

Elimination Period

90 days

40-44

$0.350

45-49

$0.450

Pre-Existing Conditions Limitations

3/12

HOW IT CAN HELP • Consultative services are available to provide direct support and assistance • Work/life assistance that can help you save money and balance commitments • Access legal and financial assistance and resources - including WillPrep Services

EMPLOYEE ASSISTANCE PROGRAM We all need a little support every now and then. Guardian ’ s Employee Assistance Program gives you and your family members access to confidential personal support, across everything from stress management and nutrition to handling legal or financial issues. The services available include consultations with experienced professionals, as well as access to resources and discounts designed tohelpyou in a variety of different ways.

HOW TO ACCESS Visit Worklife.uprisehealth.com Access Code: Worklife Call: 800.386.7055 24 hour crisis help available

For additional plan information, please refer to your detailed plan design. In the event of a discrepancy, the carrier Plan Document shall prevail.

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