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37 Cards in this Set
- Front
- Back
Guaranteed Standard Issue (GSI)
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Coverage is guaranteed as long as the applicant has been actively at work for 180 dayscontinuously on a full-time basis. |
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Guaranteed to Issue (GTI)
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Coverage is guaranteed as long as the applicant has been actively at work for 180 days continuously ona full-time basis. However this coverage requires some medical underwriting andUnum has the right to add riders and/or ratings.
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Fully Underwritten (FUW)
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This coverage requires some medical underwriting and we have the right toadd riders, ratings, or coverage may be reduced or declined, on amounts aboveGSI & GTI. Full medical underwriting will utilize a GTI application,IntelliScript Report check (prescription record report), and possibly a UMH(underwriting medical history report from the applicant’s physician, ifneeded).
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Number of Lives Required for a Multi-Life Case
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2. Voluntary: 10+ |
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Monthly Benefit Amount
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$300-$15,000 (in most states) depending on occupation, income, and other criteria.
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Factors that Affect Premium Amount
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Age, Tobacco Use, Occupation
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Free Look Period
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30 day period during which the client has the right to examine the policy and return it, if not satisfied, for a full refund.
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Elimination Period
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A period of disability, which must be satisfied before an insured is eligible to receive benefits from Unum.
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Elimination Period Options
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90, 180, 365, and 730 days
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Benefit Period
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The longest period of time for which a benefit will be paid for a disability.
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Benefit Period Options
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2 years, 5 years, to age 65 (T65), to age 67 (T67)
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Guaranteed Coverage Increase
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Allows the employer or employees to increase their IDI GSI monthly benefit without evidence of insurability up to the GSI benefit maximum as salary increases occur.
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Non-Cancellable Coverage
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Rates cannot be changed prior to the end of the non-cancellable period as long as premium is paid on time.
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Guaranteed Renewable
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Rates can be changed, but only on a class basis subject to state approval.
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Conditionally Renewable
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At the end of the non-cancellable and guaranteed renewable period, coverage becomes subject to a change in rates.
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Residual Disability
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Due to injury or sickness: 2. You are receiving Physician’s Care. We will waive this requirement if we receive written proof acceptable to us that further Physician’s Care would be of no benefit to you. |
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Residual Disability Post the Elimination Period
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In addition to the other requirements for residual disability you must also incur a loss of earnings while you are engaged in your occupation or any occupation.
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Recovery Benefit
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Benefit paid out when insured returns to work full-time in their own occupation, following a period of disability, but still has an earnings loss of at least 20%. |
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Recovery Payment Formula
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1. Earnings Loss = (Prior Earnings - Monthly Earnings) ÷ Prior Earnings
2. Earnings Loss x Total Disability Benefit = Recovery Payment |
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Recovery Benefit Options
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6 months, 12 months, or for the Full Benefit Period
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Rehabilitation Services
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While an insured is totally or residually disabled and receiving benefits, Unum may cover the expenses of a variety of occupational rehab services based on written agreement by both the Insured and Unum.
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Work Incentive Benefit (WIB)
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Benefit paid during the time the insured is residually disabled after the elimination period. The benefit will be the difference between their prior income and their current earnings up to the maximum benefit amount.
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Survivor Benefit
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If the insured dies while receiving Total Disability Benefits, we will pay a lump sum survivor benefit of 3 times the Total Disability Benefit amount payable (at the time of death).
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Recurrent Disability
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When a person has a period of disability, recovers, and then becomes disabled again for the same or a related condition in less than 6 months (12 months in New York) it is considered a continuation of the prior disability so it is not subject to a new elimination period.
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Your Occupation
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The occupation or occupations in which you are regularly engaged at the time you become disabled.
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Benefits for Total Disability in "Your Occupation"
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Provides benefits if you are totally disabled in your occupation, which means you are unable to work in your occupation, are not working in any other occupation, and are under the care of a physician.
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Benefit Period Options for Total Disability in "Your Occupation"
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24 months: Standard Full Benefit Period: Optional |
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Additional Total Only Benefit (ATO)
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An optional benefit that allows employees to receive extra payments to put toward retirement in the event of Total Disability. The benefit is paid directly to the insured.
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Catastrophic Disability Rider
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Provides additional monthly benefits in the event of: * Cognitive Impairment * Presumptive Disability Note: In CT, NH,TX, and under the CA 675 presumptive disability is the only trigger. |
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Presumptive Disability
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Total and permanent loss of: * hearing in both ears * sight in both eyes * use of two limbs |
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Loss of an Activity of Daily Living (ADL)
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These tasks cannot be performed safely without another person's stand-by assistance or verbal cueing: * Dressing * Toileting * Continence * Eating * Transferring |
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Cognitive Impairment
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Due to injury or illness, the insured has suffered a severe deterioration and/or loss in intellectual capacity and requires another person’s assistance or verbal cueing to protect him or herself or others.
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Cost of Living Adjustment (COLA)
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An optional benefit that helps your monthly benefit keep pace with inflation during a period of disability. Two COLA options are available (to all occupation classes): * CPI-U* 3% Fixed |
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CPI-U
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CPI-U stands for the Consumer Price Index for All Urban Consumers. It is published by the U.S. Department of Labor. With this option, the insured’s monthly benefit (while disabled) will increase by the change in the CPI-U as determined by the U.S. Dept of Labor. |
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Serious Illness Benefit
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Provides a one-time lump sum payment when the insured becomes totally disabled due to: * Heart Attack * Stroke |
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Serious Illness Benefit Amounts |
1. 20X the monthly Total Disability benefit to $100k
2. 10 x the monthly Total Disability benefit to $25k |
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Exclusions and Limitations
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Benefits will not be paid for a disability caused by: 1. War or act of war, whether declared or undeclared 2. Intentionallyself-inflicted injury 3. Any lossexcluded by name or specific description in your policy schedule Benefits will not be paid for any period of time during a disability that you reside outside the United States or itspossessions, or the countries of Canada or Mexico for more than 12 months inthe aggregate, unless we agree in writing. You will be considered to resideoutside these countries when you have been outside the United States or itspossessions, Canada or Mexico for a total period of six months or more duringany 12 consecutive months during a disability. |