UNUM An ASU Plan |
Standard (Claims on or before Sept. 30) The Hartford (Claims on or after Oct. 1) A State of Arizona Plan |
|
Maximum Covered Salary |
$148,571 | $60,000 |
Weekly Tax-free Benefit |
Pays 70% of base pay, up to the maximums (3 options):
|
Pays 66.66% of base pay, up to $769.27 maximum |
Maximum Payment |
26 weeks | 26 weeks |
Accidental Death and Dismemberment |
$30,000; (See Booklet for schedule of benefits.) |
None |
Benefits Begin |
|
for illness or childbirth, unless you have been covered by another STD Plan for 12 months prior to Oct. 1.) |
Pregnancy Benefits |
Pays 6 weeks for normal birth; 8 weeks for C-section |
Pays from 31st day through 42nd day after birth |
Pre-existing Condition Exclusion |
First 6 months after initial election or after Option level increase |
None |
Recurring Disability Benefits Periods of disability due to the same cause count as one period, unless separated by... |
6 months or more of full-time active work | 30 days or more |
Return to Work Benefits |
Benefits will stop if working in any capacity | Partial benefits if working 80% or less than full-time |
Monthly Cost |
$.84 per $100 of base pay | $.70 per $100 of base pay |
Premium Calculation Example |
Divide SALARY by 100 Multiply by $.084 Divide by 26 EXAMPLE $49,000/100 = 490 490 x .84 = $411.60 $411.26/26 = $15.83 per pay period |
Divide SALARY by 100 Multiply by $.070 Divide by 26 EXAMPLE $49,000/100 = 490 490 x .70 = $343.00 $343.00/26 = $13.19 per pay period |
Plan Summary/Document |
Summary: Booklet Plan Document: Certificate |
Summary: Booklet |