17
Voluntary Short Term Disability (STD)
For employees who wish to purchase Short Term Disability coverage, ACP offers eligible employees a voluntary
Short Term Disability benefit. This coverage is offered through Cigna. STD provides short-term income protection in
the event of a non-occupational illness or disability. STD provides partial income replacement during your period
of disability to help provide you and your family with financial security. STD begins after a 14 day waiting period.
Benefits begin on the 15th day of your approved disability and will continue for the duration of your disability up to a
maximum of 11 weeks. STD benefits are 60% of your pre-disability earnings to a maximum of $2,300 per week.
Guarantee Issue for STD Insurance:
An employee who applies within 31 days after becoming eligible will not have
to complete Evidence of Insurability for approval. If enrollment is received more than 31 days after first eligible,
Evidence of Insurability must be satisfied and approved before coverage is effective.
Short-term Disability Pre-existing Condition Limitation:
Pre-existing condition limitation is 3/12 - This means you have
not been treated for or incurred expenses for this medical condition within 3 months of the STD coverage effective
date. This limit will not apply after you have been covered under the plan for 12 months.
NOTE: Rates may be slightly different due to rounding issues.
The Voluntary STD premium is per $10 of covered weekly benefit. The premiums are as follows:
Employer Paid Long Term Disability (LTD) Insurance
ACP provides active, full-time employees working aminimumof 27 hours per week with employer paid LTD. LTD provides
long-term income protection in the event of an unexpected non-occupational disability. LTD provides partial income
replacement during your period of disability to help provide you and your family with financial security.
This benefit
is effective on date of hire.
LTD benefits begin after you have been disabled for 90 days due to a non-occupational
injury or sickness. LTD benefits are 60% of pre-disability earnings to a maximum of $5,000 per month (except for Nurse
Practitioners, Physician Assistants and Physicians). The LTD benefit for Physicians, Nurse Practitioners and Physician
Assistants is 50% of annual earnings to a maximum of $10,000 per month and includes a “gross-up” feature. The LTD
benefit will continue until you are no longer disabled or until you reach Social Security Normal Retirement Age (SSNRA).
Voluntary STD - Coverage Amounts and Semi-Monthly Costs
Amounts
$10,000
$0.10
$30,000
$0.30
$50,000
$0.50
$70,000
$0.70
$100,000
$1.00
$130,000
$1.30
$150,000
$1.50
$200,000
$2.00
$250,000
$2.50
$300,000
$3.00
$350,000
$3.50
$400,000
$4.00
$450,000
$4.50
$500,000
$5.00
Sample Coverage
Amounts
Spouse Cost
$5,000
$0.08
$10,000
$0.15
$25,000
$0.38
$35,000
$0.53
$50,000
$0.75
$75,000
$1.13
$100,000
$1.50
$150,000
$2.25
$200,000
$3.00
$250,000
$3.75
Sample Coverage
Amounts
Dependent Child(ren)
Cost
$2,000
$0.03
$4,000
$0.06
$6,000
$0.09
$8,000
$0.12
$10,000
$0.15
Sample Annual
Salary
Estimated Weekly
Benefit Amount for
Covered Disability
Under Age 55
55-59
60-64
65+
$20,000
$231
$6.32
$7.02
$8.18
$8.98
$30,000
$346
$9.48
$10.52
$12.27
$13.46
$40,000
$462
$12.65
$14.03
$16.36
$17.95
$80,000
$923
$25.29
$28.06
$32.72
$35.91
$120,000
$1,385
$37.94
$42.09
$49.08
$53.86
$160,000
$1,846
$50.58
$56.12
$65.45
$71.82
$200,000
$2,300
$63.02
$69.92
$81.54
$89.47
$240,000
$2,300
$63.02
$69.92
$81.54
$89.47
$250,000
$2,300
$63.02
$69.92
$81.54
$89.47
Coverage
Low Option
High Option
Employee Monthly
Cost
Employee C st
Per Check
Employee Monthly
Cost
Employee Cost
Per Check
Employee Only
$26.34
$13.17
$35.50
$17.75
Employee + 1
$54.40
$27.20
$73.31
$36.66
Family
$84.24
$42.12
$113.53
$56.77
Coverage
Employee Monthly Cost
Employee Cost Per Check
Employee Only
$7.53
$3.77
Employee + 1
$14.27
$7.14
Family
$20.91
$10.46
Coverage
Employee Monthly Cost
Employee Cost Per Check
Employee Only
$13.34
$6.67
Employee + 1
$22.66
$11.33
Family
$31.75
$15.88
Age
Premium
<20
$0.5480
20-24
$0.5480
25-29
$0.5480
30-34
$0.5480
35-39
$0.5480
40-44
$0.5480
45-49
$0.5480
50-54
$0.5480
55-59
$0.6080
60-64
$0.7090
Age 65 or older
$0.7780