MEMBER AND EMPLOYEE GROUP SHORT TERM DISABILITY INSURANCE
Protection for your paycheck! Your most valuable asset is your ability to earn an income. Short-term Disability insurance pays a weekly benefit to help you keep your finances on track when you’re out of work because of a covered disability.
- Replaces 70% of your Pre-Disability earnings up to $2,500 per week.
- Choose the Elimination Period that is right for you.
- Benefits paid directly to you, to replace your lost income. Use however you choose.
HOW TO APPLY
To begin your application, click on the link below that applies to you (a NAIFA member or an employee of a NAIFA member). You will be directed to the Ryan Insurance Strategy Consultants application website. Be sure to answer all questions related to the application to the best of your knowledge. Note: If you are a member of NAIFA but an employee at the firm, you will want to apply as a "Member" not an "Employee".
To begin your application, click on the link below that applies to you (a NAIFA member or an employee of a NAIFA member). You will be directed to the Ryan Insurance Strategy Consultants application website. Be sure to answer all questions related to the application to the best of your knowledge. Note: If you are a member of NAIFA but an employee at the firm, you will want to apply as a "Member" not an "Employee".
Use this to determine your monthly income
UPDATE MY EARNINGS AND BENEFITS
If you are already enrolled in the STD and/or LTD coverage CLICK HERE to update your income and benefit.
If you are already enrolled in the STD and/or LTD coverage CLICK HERE to update your income and benefit.
CUSTOMER SERVICE PORTAL
Visit our customer service portal to view your policy information, update your personal information, change the bank account used to pay your premiums and update your monthly earnings for your disability policy(s). Once on the customer service portal homepage, click the red button to download the user guide and information on how to register. If you have additional service and/or administrative questions you can call the customer service center at: (866)809-3899 or email the customer service center at: [email protected]. The customer service center fax number is: (816)-968-0660.
COVERAGE DETAILS / FEATURES AND BENEFITS
Coverage Details
Short-term Disability coverage provides partial income replacement if you can’t work because of a qualifying disability caused by an illness, injury or pregnancy. The benefit payments can help with bills that continue even when you can’t work, like your mortgage or rent – expenses medical insurance won’t cover.
Eligibility
Benefits are paid for a covered disability that begins while you are insured. Disability is defined as: Due to a Sickness, or as a direct result of accidental injury: the member is receiving Appropriate Care and Treatment and complying with the requirements of such treatment, and is unable to earn more than 80% of their pre-disability earnings at their Own Occupation for any employer in the National Economy, and is unable to perform each of the material duties of their Own Occupation.
Effective Date
Maximum Benefit Period 90 days.
Short-term Disability coverage provides partial income replacement if you can’t work because of a qualifying disability caused by an illness, injury or pregnancy. The benefit payments can help with bills that continue even when you can’t work, like your mortgage or rent – expenses medical insurance won’t cover.
Eligibility
- All Active, Eligible Members of NAIFA, employees of members or employees of NAIFA members who are actively at work 20 hours per week.
- Must be under age 65 to enroll.
- New members can enroll in the plans with no medical underwriting required during the 60 days after becoming a member of FSP. New employees can enroll with no medical underwriting required during the 60 days after becoming employed by a member.
- For both members and employees, the Pre-Existing condition limitation will apply to these disability benefits.
- Weekly Income Benefit up to $2,500.
- Replaces up to 70% of lost income. (Subject to any deductible income)
- Affordable rates through your NAIFA association membership.
- Two Elimination Periods to choose from. Plan A = 7 days. Plan B = 29 days.
- Benefits paid directly to you to use as you see fit.
- No application fees, annual service fees, or administrative fees.
- Premiums are drafted monthly via ACH using your checking account.
Benefits are paid for a covered disability that begins while you are insured. Disability is defined as: Due to a Sickness, or as a direct result of accidental injury: the member is receiving Appropriate Care and Treatment and complying with the requirements of such treatment, and is unable to earn more than 80% of their pre-disability earnings at their Own Occupation for any employer in the National Economy, and is unable to perform each of the material duties of their Own Occupation.
Effective Date
- Approved coverage will be effective on the first of the month on or after the date of approval.
- A policy certificate will be issued to you upon approval of your coverage.
- All coverage subject to medical underwriting is subject to approval by Metropolitan Life Insurance Company.
Maximum Benefit Period 90 days.
LIMITATIONS AND EXCLUSTIONS / PRE-EXISTING CONDITION LIMITATION
You will not receive benefits for a disability due to:
Pre-existing Condition Limitation
Pre-existing Condition means a Sickness or accidental injury for which the member:
We will not pay benefits, or any increase in benefit amount due to an elected increase in the amount of insurance for a Disability that results from a Pre-existing Condition, if the member has been Actively at Work for less than 24 consecutive months after the date their Disability insurance or the elected increase in the amount of such insurance takes effect under the certificate.
Reduction in Benefits
We will reduce your disability benefit by the amount of all Other Income as defined in your Certificate. For a complete list of Other Income that will reduce your disability benefits, see your Certificate.
- War, whether declared or undeclared, or act of war, insurrection, rebellion, or terrorist act;
- Your active participation in a riot;
- Intentionally self-inflicted injury;
- Any injury for which You are entitled to benefits under Workers’ Compensation or a similar law
- Attempted suicide;
- or Commission of or attempt to commit a felony.
- Cosmetic surgery or treatment primarily to change appearance;
- Reversal of sterilization;
- Liposuction;
- Visual correction surgery; and
- In vitro fertilization, embryo transfer procedure, or artificial insemination.
Pre-existing Condition Limitation
Pre-existing Condition means a Sickness or accidental injury for which the member:
- Received medical treatment, consultation, care, or services; or
- Took prescription medication or had medications prescribed
We will not pay benefits, or any increase in benefit amount due to an elected increase in the amount of insurance for a Disability that results from a Pre-existing Condition, if the member has been Actively at Work for less than 24 consecutive months after the date their Disability insurance or the elected increase in the amount of such insurance takes effect under the certificate.
Reduction in Benefits
We will reduce your disability benefit by the amount of all Other Income as defined in your Certificate. For a complete list of Other Income that will reduce your disability benefits, see your Certificate.
CURRENT MONTHLY PREMIUM CHART
Current Monthly Premiums
Rates are based on the members attained age when insurance becomes effective. Rates increase when the member moves into the next age bracket. Income is determined by prior calendar year earnings. Rates are subject to change.
Plan A: 7-day Elimination Period
Example: $2,500 per week STD Benefit (based on monthly earnings of $15,475)
Age Monthly Premium
<29 $115.00
30-34 $120.00
35-39 $82.50
40-44 $67.50
45-49 $82.50
50-54 $92.50
55-59 $127.50
60 and over $157.50
Plan B: 29-day Elimination Period
Example: $2,500 per week STD Benefit (based on monthly earnings of $15,475)
Age Monthly Premium
<29 $60.00
30-34 $62.50
35-39 $37.50
40-44 $30.00
45-49 $32.50
50-54. $37.50
55-59 $52.50
60 and over $62.50
Rates are based on the members attained age when insurance becomes effective. Rates increase when the member moves into the next age bracket. Income is determined by prior calendar year earnings. Rates are subject to change.
Plan A: 7-day Elimination Period
Example: $2,500 per week STD Benefit (based on monthly earnings of $15,475)
Age Monthly Premium
<29 $115.00
30-34 $120.00
35-39 $82.50
40-44 $67.50
45-49 $82.50
50-54 $92.50
55-59 $127.50
60 and over $157.50
Plan B: 29-day Elimination Period
Example: $2,500 per week STD Benefit (based on monthly earnings of $15,475)
Age Monthly Premium
<29 $60.00
30-34 $62.50
35-39 $37.50
40-44 $30.00
45-49 $32.50
50-54. $37.50
55-59 $52.50
60 and over $62.50
*Open enrollment recommended for members and employees with a membership date or hire date beyond 60 days. No underwriting required if application is received during the open enrollment period. Guaranteed Issue does not apply if previously declined for medical underwriting.
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Underwritten by:
Metropolitan Life Insurance Company 200 Park Avenue New York, New York 10166 |
Administration by:
Forrest T. Jones and Company, Inc. 3130 Broadway Kansas City, Missouri 64111 |
The Group Short Term Disability plan is made available through the NAIFA professional association. This fact sheet merely describes the coverage and is not a contract of insurance. Complete terms and conditions are listed in the Group Policy issued to NAIFA by Metropolitan Life Insurance Company. Each insured member will receive a Certificate of Insurance outlining his or her coverage under the plan. Like most insurance policies, insurance policies offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Please contact your plan administrator for costs and complete details.
These policies provide disability income insurance only. For policies issued in New York, they do NOT provide basic hospital, basic medical, or major medical insurance as defined by the New York State Insurance Department. The expected benefit ratio for these policies is at least 50%. This ratio is the portion of future premiums that MetLife expects to return as benefits when averaged over all people with the applicable policy.
The Plan Overview provides only a brief overview of the STD and LTD plans. A more complete description of the benefits provisions, conditions, limitations, and exclusions will be included in the Certificate of Insurance, Summary Plan Description and/or other plan documents. If any discrepancies exist between this information and the legal plan documents, the legal plan documents will govern.
Short Term Disability (“STD”) and Long Term Disability (“LTD”) coverages are provided under a group insurance policy issued by MetLife. This STD and LTD coverages terminate when your membership or employment through membership ceases, when you cease to be an eligible member, when your STD and LTD contributions cease, or upon termination of the group contract by your association. Like most group disability insurance policies, MetLife policies contain certain exclusions, exceptions, waiting periods, reductions, limitations and terms for keeping them in force. Contact your plan administrator for complete costs and details.
L0822025452[exp0824][All States][DC,GU,MP,PR,VI] © 2024 MSS
These policies provide disability income insurance only. For policies issued in New York, they do NOT provide basic hospital, basic medical, or major medical insurance as defined by the New York State Insurance Department. The expected benefit ratio for these policies is at least 50%. This ratio is the portion of future premiums that MetLife expects to return as benefits when averaged over all people with the applicable policy.
The Plan Overview provides only a brief overview of the STD and LTD plans. A more complete description of the benefits provisions, conditions, limitations, and exclusions will be included in the Certificate of Insurance, Summary Plan Description and/or other plan documents. If any discrepancies exist between this information and the legal plan documents, the legal plan documents will govern.
Short Term Disability (“STD”) and Long Term Disability (“LTD”) coverages are provided under a group insurance policy issued by MetLife. This STD and LTD coverages terminate when your membership or employment through membership ceases, when you cease to be an eligible member, when your STD and LTD contributions cease, or upon termination of the group contract by your association. Like most group disability insurance policies, MetLife policies contain certain exclusions, exceptions, waiting periods, reductions, limitations and terms for keeping them in force. Contact your plan administrator for complete costs and details.
L0822025452[exp0824][All States][DC,GU,MP,PR,VI] © 2024 MSS