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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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