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Association / CCPE / Disability Insurance

This plan provides an income while you are disabled and unable to perform your occupation.

Coverage is available in units of $100 from $500 up to $10,000 per month with benefits based on a percentage of your monthly earnings. Contact your local CCPE authorized insurance representative, Wise Financial Group Inc. @ 1-877-779-4731 to determine the appropriate amount of coverage for your income level.

Note: Should you become disabled, your benefits will be based on your pre-disability income. If your income decreases after you purchase coverage, your monthly benefit may also be decreased.

Benefit payments begin once you have satisfied the elimination period. The elimination period is the number of days of disability for which benefits are not payable. You select an elimination period from 7 days up to 365 days. (The longer the elimination period, the less premium you pay.)

Based on present legislation, disability benefits are not taxable if you pay the total premium yourself from after-tax income.

Some limitations and exclusions apply. Contact your local CCPE authorized insurance representative for details.

Total disability benefit
Benefits are paid as long as you are totally disabled and may continue for life if you are disabled due to an injury, or to age 70 if disability is due to a sickness. Totally disabled means you are unable to perform the regular and important duties of your occupation and are not engaged in any other occupation. You must be under the ongoing care of a physician.

Residual disability benefit
If you are residually disabled, a percentage of the monthly benefit will be paid to age 70 or the benefit period for sickness (whichever is the lesser). Residually disabled means you are able to return to your regular occupation on a limited basis or you cannot return to your regular occupation but are engaged in another occupation and as a result your earnings are reduced by at least 20%.
(Residual disability must start prior to age 60.)

For example,

  • if your monthly pre-disability earnings were $6,000
  • but your monthly earnings during residual disability are $3,600
  • your percentage of earnings lost, therefore, is 40% ($2,400/$6,000)

If your monthly Disability Income Replacement coverage is $3,000, your residual disability benefit would be 40% of $3,000, or $1,200 which, when added to your monthly earnings, would give you a total income during your residual disability of $4,800 (of which $1,200 is tax-free).

Partially disabled
If you are partially disabled following a total disability that starts on or after age 60 and before age 70, the plan will pay 50% of your monthly benefit for up to 6 months. Partially disabled means you are able to return to your regular occupation on a limited basis or you cannot return to your regular occupation but are engaged in another occupation and unable to work more than 20 hours per week.

Coverage between jobs
If you become disabled within 12 months following your last employment, your average monthly earnings before disability will be based on your most recent 12 months of employment for purposes of calculating your benefits.

Guaranteed convertibility
If the contract between the CCPE and Maritime Life were to terminate and you were not provided with coverage under either a new CCPE contract or a contract arranged by an affiliate organization, you would be entitled to convert your coverage to a then current Maritime Life individual guaranteed renewable disability policy, without the need to provide proof of good health.

Cost of living adjustment
To offset the effects of inflation while you are disabled, your monthly benefits will be adjusted according to the annual change in the Consumer Price Index after 12 consecutive months of total or partial disability benefits have been paid. Cost of living adjustments are the lesser of the Consumer Price Index or 5%, per year and are compounded each year.

Cost of living buy back option
After a period of total disability for which you received increased benefits due to the cost of living adjustment, you may elect to retain the new increased benefit amount. The new benefit amount would be equal to the sum of the basic monthly benefit plus any cost of living adjustment benefits declared during any period of disability. This option must be elected within 30 days of any return to work date. Your premium payments would be increased to reflect the new increased benefit amount.

Recurrence of disability
If you suffer a subsequent period of disability resulting from the same injury or sickness within 6 months of your return to full-time employment, the second period of disability will be considered a continuation of the first, and benefits will resume without the need for you to satisfy another elimination period.

Waiver of premium
If you become disabled and benefits are payable for a period longer than 3 months, we will refund the premiums you paid during the elimination period. Premiums will continue to be waived as they become due, on a monthly basis, while you receive benefits and continue to be disabled, up to the benefit period

Presumptive disability
If, due to an injury or sickness, you irrecoverably lose the entire use of any of: both hands; both feet; one hand and one foot; sight in both eyes; hearing in both ears; or speech, you will be deemed to be totally disabled from the date of such loss and total disability benefits will be paid for the benefit period for sickness whether or not your loss was due to an injury or sickness, even though you may be gainfully employed and whether you are under the care of a physician or not. If your loss was due to an injury you would have the option within 46 months of the date of such loss to waive the rights granted by this provision, since you may qualify to receive benefits for a longer period under the Total Disability benefit for injury.

Death benefit
If you should die prior to age 70 and while receiving monthly disability benefits, an amount equal to 3 times the monthly benefit will be paid to your beneficiary or estate.

Retroactive benefit payment rider
If you have been totally disabled and have been receiving monthly benefits for a period of 6 consecutive months, you will receive a retroactive lump sum payment of the monthly benefit amount for the elimination period (so long as your insurance is still in force). If there is a recurrence of your disability, which is being treated as one period of disability under the terms of the policy, this rider will apply as if there had been no break in the benefit payments.

Coverage under this rider ends when

  • you cease to pay the additional premium for this rider;
  • your insurance terminates; or
  • the contract between the CCPE and Maritime Life terminates; whichever occurs first.

Conditions
The plan does not cover disabilities resulting from self-inflicted injuries; war or act of war; service in the armed forces; pregnancy (except complications thereof); or committing a criminal offence.

Guaranteed benefit reinstatement rider
This rider allows you to reduce your disability coverage (to a minimum of $500) if you become over insured due to a temporary reduction in income - then reinstate the coverage without proof of good health when your income increases again. The rider can only be purchased when benefits are reduced. The cost of the rider is 10% of the premium chargeable on the portion of coverage that has been reduced. The rider will terminate upon reinstatement of coverage, or at age 65.

Future increase option rider
You can purchase this rider if you are under age 50. On each certificate anniversary date, you can purchase additional disability insurance (up to 20% of your original coverage, with a minimum increase of $25) without having to provide proof of good health. The total of all increases cannot exceed 2 1/2 times your original coverage amount, or $10,000 per month. You must also show that your then net monthly income is sufficient to entitle you to the increase, taking into account any other disability coverage you may have (other than Business Expense or Office Overhead or any other group insurance benefit you have elected to waive in order to secure coverage under this plan). If, on the effective date of any increase you are disabled and you exercised the previous year's option, you are limited to one option. If, however, in the prior year you did not exercise the option, you can opt for one further increase of up to $200 of monthly benefit. This increased benefit would only apply to a disability that occurred after your complete recovery. To be eligible for increases under this rider, you must be under age 55 and actively at work. Some financial information would be required to substantiate the increase in coverage. Any increase in coverage would be subject to the same terms and conditions as the existing coverage.

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