Underwritten by Standard Insurance Company

The PEBB-sponsored LTD plan has two parts-Basic and Optional. For questions about enrollment and administration, contact your personnel, payroll, or benefits office. For additional information, contact the plan.

Basic Plan: This plan is included in the full PEBB package at no additional cost for employees. The Basic Plan provides a benefit of 60 percent of the first $400 of predisability earnings, reduced by any deductible income. The maximum benefit payable is $240 per month. The minimum benefit is $50 per month. Benefits begin after 90 days of total disability or after the period of your accumulated sick leave, whichever period is longer, and continue during your disability up to the Maximum Benefit Period. The Maximum Benefit Period is determined by the type of disability and the age of the enrollee when he or she becomes disabled.

Optional Plan: This plan allows most employees eligible for the Basic Plan to apply for additional benefits. If the coverage is applied for within 31 days of your eligibility date, you don't need to provide evidence of insurability. When combined with the Basic Plan benefits, the Optional Plan will pay 60 percent of the first $10,000 of your predisability earnings, reduced by any deductible income. The minimum combined benefit is $100 per month. The Optional Plan benefit will increase in accordance with the Cost of Living Adjustment (COLA) provision. Optional Plan benefits begin after the end of the Benefit Waiting Period and continue during disability up to the Maximum Benefit Period.

The premiums for optional coverage are paid by employees.

Review the rate sheet for monthly costs.

To contact Standard Insurance Company call 1-800-368-2860.

Related Documents

• Long Term Disability Enrollment/Change Form (109.3 KB)
• 2009 Long Term Disability Booklet (333.6 KB)