LONG TERM DISABILITY PROGRAM. Effective January 1, 2016 the non-duty disability benefit provisions of the Pension Plan will not apply, and employees will be covered instead by the Long Term Disability (“LTD”) Program described in this Section. Leaves under this Section are unpaid except for the benefits provided by this Section, and employees do not accrue length of service under this Agreement or the Pension Plan while on LTD leave. Terms of the insurance policy control, including the insurance policy preexisting condition provision for employees with less than 12 months of service, except as specifically provided below. When full-time or part-time employees are sick or injured, they may be eligible for benefits through the Long-Term Disability Policy which provides employees with sixty percent (60%) of their pay to age sixty-five (65) in accordance with the following:
i. The Employer shall provide LTD coverage for all full-time and regular part- time employees covered by this Agreement. This coverage shall become effective following the completion of one hundred and eighty (180) days of active service as defined in the insurance policy. Employees who are determined to be eligible for disability benefits shall receive weekly indemnity payments consisting of sixty percent (60%) of their normal gross straight time wages up to five thousand dollars ($5,000) monthly.
ii. These benefits shall be payable from the 180th day of disability due to accident, hospitalization or illness.
iii. This benefit will be offset by any benefit entitlement under Workers’ Compensation, Social Security, “no-fault” personal injury protection and personal sick and accident insurance, and any other disability benefit program or other compensation as defined by the insurance carrier.
iv. The County reserves the right to select an insurance carrier to provide this benefit at substantially the same level.
v. The Employee is considered disabled during the first twenty-four (24) months of benefits if, solely because of injury or sickness, they are unable to perform the material duties of their regular occupation, and unable to earn eighty percent (80%) or more of their regular earnings from working in their regular occupation.
vi. After Disability Benefits have been payable for twenty-four (24) months, the Employee is considered disabled if, solely due to injury or sickness, they are (1) unable to perform the material duties of any occupation for which they are, or may reasonably become, qualified based on education,...
LONG TERM DISABILITY PROGRAM. 1. As soon as administratively feasible on or after the next month following the execution date of this Agreement, the City will offer the Long-Term Disability (“LTD”) Program.
2. Basic coverage featuring benefits to age 65 after an elimination period of 180 calendar days will be provided at no cost to employees who work at least 20 hours per week on a year-round basis and have completed six months of active service following a regular or exempt appointment. Shorter elimination periods will be available through payroll deductions. An employee who is or becomes in a laid off situation shall not be eligible for LTD benefits. LTD benefits shall begin only after all other temporary disability benefits, such as accumulated sick leave, have been exhausted.
3. During a qualifying period of disability, the LTD benefit program will provide no less than 60% of monthly base earnings (excluding bonuses and overtime) as income replacement, up to a maximum of $5,000.00 per month, reduced by all available temporary disability benefits such as sick leave benefits; amounts available from any other city, state or federal programs which may be paid on account of the same disability; and any income earned by the employee during the period of disability.
4. Benefits payable under the LTD benefit program shall be established by an LTD benefit administrator selected by the City. The LTD benefit administrator shall provide a procedure for an employee to dispute claims and claim decisions. No dispute arising under the LTD benefit program shall be subject to the grievance and arbitration procedures set forth in this Agreement, except an allegation that the City has failed to pay required payments to the LTD benefit administrator.
5. The City shall retain the right to manage, at its sole discretion, the administration and funding of the LTD benefit program, including, but not limited to selecting, changing, or terminating third party LTD benefit administrators, operating as the LTD benefit administrator, establishing and managing reserve funds in relation to the LTD benefit program, self-funding the LTD benefit program, and entering into or terminating insurance agreements in relation to the LTD benefit program.
6. The LTD benefit program will also render Special Sick Leave Accounts (Half Rate Sick Leave) unnecessary except for employees not eligible for LTD during the first year of the program due to a pre-existing condition. Consequently, sick leave accrual will be capped at 120 w...
LONG TERM DISABILITY PROGRAM. The County shall provide and pay the premium for a Long-Term Disability (LTD) benefit as described in the applicable plan document to all full and part-time employees (0.4 FTE minimum) who meet the eligibility requirements. The benefit waiting period is the longer of 60 days, or the period the employee elects to receive paid leave. Employees eligible to receive LTD benefits are not required to exhaust sick leave before receiving LTD benefits, but an employee who chooses to use sick leave or other paid leave after the 60th day of disability is not eligible to receive any LTD benefits until the employee stops using paid leave. LTD benefits cannot be supplemented with any paid leave. LTD benefits will be offset by an applicable income, such as short-term disability benefits, retirement benefits, Social Security, and Social Security Disability benefits, etc.
LONG TERM DISABILITY PROGRAM. 1. Basic coverage featuring benefits to age 65 after an elimination period of 180 calendar days will be provided at no cost to employees who work at least 20 hours per week on a year-round basis and have completed six months of active service following a regular or exempt appointment. Shorter elimination periods will be available through payroll deductions. An employee who is or becomes in a laid off situation shall not be eligible for LTD benefits. LTD benefits will begin only after all other temporary disability benefits, such as accumulated sick leave, have been exhausted.
2. During a qualifying period of disability, the LTD benefit program will provide no less than 60% of monthly base earnings (excluding bonuses and overtime) as income replacement, up to a maximum of $5,000.00 per month, reduced by all available temporary disability benefits such as sick leave benefits; amounts available from any other city, state or federal programs which may be paid on account of the same disability; and any income earned by the employee during the period of disability.
3. Benefits payable under the LTD benefit program shall be established by an LTD benefit administrator selected by the City. The LTD benefit administrator shall provide a procedure for an employee to dispute claims and claim decisions. No dispute arising under the LTD benefit program shall be subject to the grievance and arbitration procedures set forth in this Agreement, except an allegation that the City has failed to pay required payments to the LTD benefit administrator.
4. The City shall retain the right to manage, at its sole discretion, the administration and funding of the LTD benefit program, including, but not limited to selecting, changing, or terminating third party LTD benefit administrators, operating as the LTD benefit administrator, establishing and managing reserve funds in relation to the LTD benefit program, self-funding the LTD benefit program, and entering into or terminating insurance agreements in relation to the LTD benefit program.
LONG TERM DISABILITY PROGRAM. For all persons covered by this Agreement, the Board agrees to pay one-hundred percent (100%) of the cost of an income protection insurance policy which shall provide sixty-six and two-thirds (66- 2/3%) percent of gross earnings, after a ninety (90) calendar day waiting period, less any amounts paid or payable under Worker's Compensation Insurance and full disability benefits received from Social Security and Retirement Benefits limited by the express terms of an insurance policy presently in force in the school district. This shall include the following maximum monthly benefits: $4,500. Long-term disability insurance coverage will begin on the first day of the month following employment. The board will pay six (6) months of health insurance for teachers on long-term disability beyond the 12 weeks of Family Medical Leave Act (FMLA).
LONG TERM DISABILITY PROGRAM. The School District of Omaha shall provide long-term disability benefits for full-time employees incurring long illness. This plan provides a monthly benefit of 60% of the employee’s monthly gross salary, to a maximum of $5,000. This monthly benefit will be coordinated with other benefits the employee may be eligible to receive. The benefit begins on the 91st calendar day following the date of disability. The program includes all full-time employees with 30 calendar days of employment. For those employees who become disabled after September 1, 1978, the amount of Social Security benefits to be coordinated with the Monthly Indemnity Benefit provided under the Long-Term Disability Plan shall be based upon the Social Security Benefit in effect on the date of the initial disability award. Any subsequent changes in the Social Security Law which result in an increase in Social Security benefits shall not be used to reduce the amount of Monthly Indemnity Benefit under the Long-Term Disability Plan. Any change in dependent status after the date of the initial disability award will be considered in the computation of Social Security benefits payable, and the Monthly Indemnity Benefit payable under the Long-Term Disability Plan will be adjusted accordingly. Employees who are disabled are allowed to continue participation in the Board of Education group hospitalization, surgical and major medical program for three months following the expiration of sick leave at Board of Education expense.
LONG TERM DISABILITY PROGRAM. (i) All regular employees shall participate in the government-funded CORE Public Education Benefit Trust (PEBT) Long Term Disability (LTD) plan. The Core PEBT LTD plan shall be at no cost to the Employer, the Union or the employees and includes access to the Joint Early Intervention Service (JEIS). The LTD plan shall commence 120 calendar days after disability and shall be fully integrated and subject to such other conditions as the plan carrier shall require. In the event that the PEBT LTD plan is discontinued, any subsequent mutually-agreed LTD plan shall be employer funded at sixty percent (60%) of salary.
(ii) In the event that the PEBT plan ceases LTD coverage then, on the effective date of the coverage ending, Article 21(a), (b) and 22(a) (i) shall be deemed to be amended from 120 calendar days to 180 calendar days.
(iii) In the event that the PEBT plan changes the elimination period from 120 calendar days, the 120 days in Article 21(a), (b) and 22 (a)(i) will be deemed to be changed to the lesser of the new elimination period or 180 calendar days.
(iv) Any employee who has been receiving Short Term Disability (STD) and is turned down for LTD, shall be eligible for STD pursuant to Articles 21(a) and
(b) for a period of 180 calendar days subject to the following conditions:
(a) that the Employer reserves its right to require medical proof of disability/illness;
(b) that the 180 calendar days will include all days, working or not, from the start of the 120 days mentioned in paragraph 21(a);
(c) that the employee made all reasonable efforts to access the PEBT plan including meeting all the PEBT plan requirements regarding medical information, JEIS, appeals, and other process requirements;
(d) that any employee seeking the continuance of STD after being denied access to the PEBT plan will disclose to the Employer the information utilized by the Plan in denying the claim;
(e) that the employee agrees that if the employee is successful in obtaining LTD for any period of time between the 120th and 180th day that the employee will repay the monies received from the Employer for the same period of time for which LTD payments are received. If alternate arrangements are not made with the Employer, then the repayment shall be made immediately upon receipt of the first LTD payment.
LONG TERM DISABILITY PROGRAM. A mutually acceptable long-term disability program will be purchased by the school district for the administrators.
LONG TERM DISABILITY PROGRAM. A) i) All regular employees shall participate in the government-funded CORE Public Education Benefit Trust (PEBT) LTD plan. The Core PEBT LTD plan shall be at no cost to the Employer, the Union or the employees and includes access to the Joint Early Intervention Service (JEIS). The LTD plan shall commence one hundred twenty (120) calendar days after disability and shall be fully integrated and subject to such other conditions as the plan carrier shall require.
LONG TERM DISABILITY PROGRAM. For employees hired on or after July 1, 2016, the non-duty disability benefit provisions of the Pension Plan will not apply, and employees will be covered instead by the Long Term Disability (“LTD”) Program described in this Section. Leaves under this Section are unpaid except for the benefits provided by this Section, and employees do not accrue length of service under this Agreement or the Pension Plan while on LTD leave.
i. The Employer shall provide LTD coverage for all full-time and regular part-time employees covered by this Section. This coverage shall become effective following the completion of 180 days of active service as defined in the insurance policy. Employees who are determined to be eligible for disability benefits shall receive weekly indemnity payments consisting of sixty percent (60%) of their normal gross straight time wages up to $5,000 monthly.
ii. These benefits shall be payable from the 180th day of disability due to accident, hospitalization or illness.
iii. This benefit will be offset by any benefit entitlement under Workers’ Compensation, Social Security, “no-fault” personal injury protection and personal sick and accident insurance, and any other disability benefit program or other compensation as defined by the insurance carrier.
iv. The County reserves the right to select an insurance carrier to provide this benefit at substantially the same level.
v. The Employee is considered disabled during the first 24 months of benefits if, solely because of injury or sickness, he is unable to perform the material duties of his regular occupation, and unable to earn 80% or more of his regular earnings from working in his regular occupation.
vi. After Disability Benefits have been payable for 24 months, the Employee is considered disabled if, solely due to injury or sickness, he is (1) unable to perform the material duties of any occupation for which he is, or may reasonably become, qualified based on education, training or experience; and (2) unable to earn 60% or more of his earnings (as defined in the LTD program document or insurance policy).
