2016 Benefits Guide
16
LONG TERM DISABILITY
Long Term Disability is intended to protect your income for a long duration. The City of O’Fallon provides this benefit to
you at
no cost.
After the 90th day of an illness or injury, you may be eligible for long term disability benefits through Aetna. The disability
benefit is a monthly benefit and covers 60% of your monthly salary to a maximum of $5,000. This benefit may be paid to
Social Security retirement age or until you no longer meet the definition of disability. You are considered disabled if you
have a loss of duties in regards to your regular occupation due to an illness or injury. After 24 months, benefits continue if
you cannot perform any gainful occupation for which you would be reasonably fitted considering education, training, and
experience. You must be under the care of a doctor. Please refer to the plan summary for detailed information on this
plan.
Age Band
Employee
Rate per $1,000 of
Coverage
0-19
$0.064
20-24
$0.077
25-29
$0.092
30-34
$0.098
35-39
$0.122
40-44
$0.162
45-49
$0.241
50-54
$0.393
55-59
$0.669
60-64
$1.061
65-69
$1.758
70-74
$3.052
75+
$5.065
AD&D
$0.04
Child Life
$0.086
Age Band
Spouse
Rate per $1,000 of
Coverage
0-19
$0.036
20-24
$0.042
25-29
$0.047
30-34
$0.057
35-39
$0.069
40-44
$0.091
45-49
$0.137
50-54
$0.218
55-59
$0.350
60-64
$0.622
65-69
$1.033
70-74
$1.838
75+-79
$3.206
80-84
$5.770
85+
$24.479
$50,000
Elected
Coverage
÷ 1,000 =
50
Units
X
$0.281
Rate
* See Note
=
$14.05
Monthly Cost
*The premium calculation
is based upon the life rate
for an employee age 45
and includes AD&D.
HOW TO CALCULATE




