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Short Term Disability Anna Independent School District Plan Benefits Date Prepared: May 27, 2015 Explore the coverage that helps you protect your income and your lifestyle. What is Short Term Disability insurance? Short Term Disability (STD) insurance can help you replace a portion of your income during the initial weeks of a Disability. Eligibility Requirements Short Term Disability: All Active Full-Time Employees Electing the 14/14 Day Elimination Period working at least 20 hours per week
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  MetLife GCERT2000 HighlightsL0114357629[exp0515][xCA]Metropolitan Life Insurance Company, NY, NY Short Term Disability Anna Independent School District Plan BenefitsDate Prepared:May 27, 2015 Explore the coverage that helps you protect your income and your lifestyle. What is Short Term Disability insurance? Short Term Disability (STD)  insurance can help you replace a portion of your income during the initial weeks of aDisability. Eligibility Requirements Short Term Disability:  All Active Full-Time Employees Electing the 14/14 Day Elimination Period working at least20hours perweek areeligible to participate. How is Disability defined under the Plan? Generally, you are considered disabled and eligible for short term benefits if, due to sickness, pregnancy or accidental injury, you are receiving appropriate care and treatment and are complying with the requirements of thetreatment and you are unable to earn more than80% of your predisability earnings at your own occupation.For a complete description of this and other requirements that must be met, refer to the Certificate of Insurance/Summary Plan Description provided by yourEmployer or contact your MetLife benefits administrator with any questions. What is the benefit amount? Short Term Disability: The Short Term Disability benefit replaces a portion of your predisability earnings, less the income that wasactually paid to you for the same Disability from other sources 1  (e.g., state disability benefits, no-fault auto laws,sick pay, etc.).The Benefit amount is60% of your predisability weekly earnings subject to the plan's maximum weekly benefit of $1,750. When do benefits begin and how long do they continue? Short Term Disability: Benefits begin after the end of the elimination period.The elimination period begins on the day you becomedisabled and is the length of time you must wait, while disabled, before you are eligible to receive a benefit. Theelimination period is as follows:  MetLife GCERT2000 HighlightsL0114357629[exp0515][xCA]Metropolitan Life Insurance Company, NY, NY For Injury: 14 days. For Sickness (includes pregnancy): 14 days.Benefits continue for as long as you are disabled up to a maximum duration of11 weeks of Disability.Your plan’s maximum benefit period and any specific limitations are described in the Certificate of Insurance/Summary Plan Description provided by your Employer. Additional Disability Plan Benefits: Coverage with Your Best Interests in Mind... When you are ill or injured for a short period, MetLife believes you need more than a supplement to your income.That’s why we offer return-to-work services, and financial incentives. Services to Help You Get Back to Work Can Include: Nurse Consultant or Case Manager Services: Specialists who personally contact you, your physician and your employer to coordinate an early return-to-work plan when appropriate. Vocational Analysis: Help with identifying job requirements and determining how your skills can be applied to a new or modified jobwith your employer. Job Modifications/Accommodations:  Adjustments (e.g., redesign of work station tools) that enable you to return to work. Retraining: Development programs to help you return to your previous job or educate you for a new one. Financial Incentives:  Allow you to receive Disability benefits or partial benefits while attempting to return to work Answers to Some Important Questions... Q.Can I still receive benefits if I return to work part time?A. Yes.As long as you are disabled and meet the terms of your Disability plan, you may qualify for adjustedDisability benefits.Your plan offers financial and Rehabilitation incentives designed to help you to return to work whenappropriate, even on a part-time basiswhen you participate in an approved Rehabilitation Program.Whiledisabled, you may receive up to 100% of your predisability earnings when combining benefits,Rehabilitation Incentives and other income sources such as Social Security Disability Benefits and StateDisability Benefits, and part-time earnings.With the Rehabilitation Incentive you can get a 10% increase in your weekly benefit.Following the 4th weekly benefit payment, the Family Care Incentive provides reimbursement up to $100per week for eligible expenses, such as child care.You may be eligible for the Moving Expense Incentive if you incur expenses in order to move to a newresidence recommended as part of the Rehabilitation Program. Expenses must be approved in advance. Q.Are there any exclusions for pre-existing conditions?A. Yes. Your plan may not cover a sickness or accidental injury that arose in the months prior to your participation in the plan.A complete description of the pre-existing condition exclusion is included in theCertificate of Insurance/Summary Plan Description provided by your Employer or contact your MetLifebenefits administrator with any questions.  MetLife GCERT2000 HighlightsL0114357629[exp0515][xCA]Metropolitan Life Insurance Company, NY, NY Q.Are there any exclusions to my coverage?A. Yes. Your plan does not cover any Disability which results from or is caused or contributed to by:  Elective treatment or procedures, such as cosmetic surgery, sex-change surgery, reversal of sterilization, liposuction, visual correction surgery or in vitro fertilization, embryo transfer procedure,artificial insemination, or other specific procedures.However, pregnancies and complications fromany of these procedures will be treated as a sickness.  War, whether declared or undeclared, or act of war, insurrection, rebellion or terrorist act;   Active participation in a riot;  Intentionally self-inflicted injury or attempted suicide;  Commission of or attempt to commit a felony. Additionally, no payment will be made for a Disability caused or contributed to by any injury or sickness for which you are entitled to benefits under Workers’ Compensation or a similar law.Other limitations or exclusions to your coverage may apply. Please review your Certificate of Insurance for specific details or contact your benefits administrator with any questions. The “Plan Benefits” provides only a brief overview of the STD plan.A more complete description of the benefits provisions, conditions,limitations, and exclusions will be included in the Certificate of Insurance.If any discrepancies exist between this information and the legal plandocuments, the legal plan documents will govern.Short Term Disability (“STD”) coverage is provided under a group insurance policy (Form GPNP99) issued to your employer by MetLife. ThisSTD coverage terminates when your employment ceases, when you cease to be an eligible employee, when your STD contributions cease (if applicable) or upon termination of the group contract by your employer. Like most group insurance policies, MetLife group policies containcertain exclusions, elimination periods, reductions, limitations and terms for keeping them in force.State variations may apply. 1 Under certain circumstances, MetLife may estimate the amount of income you may receive from other sources.
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