| Benefits Section
3
LONG-TERM
DISABILITY
Long-term
disability insurance is available to all full-time Earlham employees
upon the beginning date of full-time employment at the employee's
expense. After completing one continuous year of full-time service,
all full-time Earlham employees are automatically enrolled in
the long-term disability insurance plan at Earlhams expense.
To establish
eligibility for long-term disability insurance benefits, the
employee must submit a completed claim form signed by his/her
physician to the Earlham Business Office. Only after a completed
claim form is submitted and disability status is accepted by
the insurance company can benefits begin. Eligibility for disabled
status is at the sole determination of the insurance company.
Under this
program, an employee who is unable to work because of serious
illness (including pregnancy-related conditions) or injury continues
to receive a portion of his/her salary. However, there is a 180-calendar-day
waiting period before the insurance benefits begin following
the illness or injury. During the first year of full-time employment,
the employee, though he/she may be enrolled in the long-term
disability insurance plan at his/her own expense, does not receive
any compensation (unless accumulated sick time or vacation time
is available) during the 180-day waiting period. After the first
year, Earlham not only takes over the cost of insurance premiums
but also provides some compensation during the 180-day waiting
period (see the appropriate Intermediate-Term Disability plan
in section
16).
Once the
long-term disability insurance goes into effect, an employee
receives compensation equivalent to 60% of his/her regular gross
wages reduced by other benefits such as Workers' Compensation
or Social Security for which the employee is eligible. (e.g.,
if 60% of the employee's gross pay is $400 and he/she receives
$100 in Social Security benefits, the employee would receive
$300 from the insurance company). The insurance company will
also make contributions on the employee's behalf to the Earlham
College pension plan. The payment of benefits will continue until
rehabilitation or until the employee's eligibility ends. There
is a maximum monthly payment. Consult your plan book for the
full provisions and limitations of the plan.
Earlham
allows employees receiving long-term disability benefits to continue
coverage in the life insurance and personal accident insurance
policies by billing these employees for their monthly premium
amounts. Eligibility for these policies will end if, at any time,
the employee's premiums are 30 days past due.
In the event
that a full-time employee is disabled and receiving Long-Term
Disability benefits, Earlham will continue to pay the employer
portion of the employee's group health insurance premium. A detailed
plan booklet is available from the Business Office.
Earlham
will also bill employees who wish to extend their dependent health
care coverage while receiving Long-term Disability benefits.
If at any time, the employee's dependent health care premium
contributions are 30 days past due, the dependent's Earlham health
insurance coverage will end, and COBRA coverage will be extended
to the dependent. Contact the Business Office to make arrangements
for these billing procedures.
While receiving
Long-term Disability benefits, all de minimus fringe benefits
and Tuition Remission at Earlham continue but only the health
insurance, pension and group life insurance paid benefits are
continued as described above. In the event that the employee
is no longer eligible for long-term disability benefits and does
not return to employment at Earlham, then health care coverage
will continue at the employees expense under the eligibility
requirements described in the plan book. |