Participant Rights and Responsibilities
Upon Transfer or Termination

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Table of Contents
 

Page contents:

Summary

Eligibility

Discontinuation of Participation

Rights and Privileges after Participation End

Conversion of Long-Term Disability Insurance

Participant Responsibilities

Customer Service


 

Indiana University

Participant Rights and Responsibilities Upon Transfer or Termination

Section I.
Insurance Plans

Long-Term Disability (LTD) Coverage

Long-Term Disability Plan Summary

Indiana University provides the opportunity for employees to purchase optional Long-Term Disability Insurance. The benefit pays a regular income when an employee is totally disabled and cannot work. The plan includes an optional Retirement Protection Benefit that provides for contributions to a Retirement Annuity while the employee is disabled. The employee may choose between benefits that start after 90 days or 180 days of total disability. Premiums are based on age, salary, and the coverage option selected.

Eligibility

All full-time Academic and Staff employees are eligible to purchase Long-Term Disability Insurance.

Discontinuation of Participation

Participation by the employee in Long-Term Disability Insurance ends on the date that the employee:

Rights and Privileges after Participation Ends

If coverage ceases, it will not affect benefits for a disability existing on or before that date.

Conversion of Long-Term Disability Insurance

When Disability Insurance ceases under the group policy due to termination of employment with the university or transfer to an ineligible class, coverage may be converted to an individual policy without providing proof of good health. A conversion policy only includes the monthly income benefit. Conversion coverage is only available if the following conditions have been met:

  1. The employee must have been insured under the group policy for at least 12 continuous months. These months must directly precede the date the employee's insurance ceases.
  2. The employee's insurance must not be ceasing because of retirement.
  3. The employee must not be disabled under this policy.
  4. The employee must apply for insurance under the conversion policy and pay the first premium within 31 days after group coverage ends.
  5. The employee cannot be eligible for coverage under another employer's Group Total Disability Benefits policy within 31 days of the termination of insurance under the IU-sponsored LTD policy.

Participant Responsibilities

Summary of actions the participant must take to convert to an individual policy:

  • Complete and mail the LTD conversion application (see below) to Standard Insurance at the address noted on the top left corner of the application. Include your initial premium payment with your application. The application must be mailed to within 31 days after the date on which group coverage terminates.
  • Contact University Human Resources to request completion of the employer portion of the application: . University Human Resources will submit the employer portion of the application to Standard Insurance separately.
  • Pay subsequent premium payments on time.
  • Notify the policy underwriter of beneficiary changes.
  • Notify the policy underwriter of address and name changes.

LTD Conversion Applications (state specific, based on your legal residence)

Customer Service

To obtain information on converting Long-Term Disability Insurance to an individual policy, contact Standard Insurance at 1-800-378-4668 and reference group policy number 135262.