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When Benefits Begin and End
Benefits can begin after your elimination period has been satisfied if the claims administrator determines that you are disabled. Please see " Important Terms" for the definition of "Elimination Period" and "Disabled."
Benefits continue as long as you meet the plan's definition of disability and continue to provide the necessary evidence of your disability. However, your benefits may also be subject to maximum payment periods, depending on your age at the time the disability begins, as shown in this chart:
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If You're This Age When Disability Begins...
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Benefits Are Payable up to...
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Your benefits will end at the end of the maximum payment period, or earlier, if:
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You are no longer disabled (as determined by The Hartford);
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You fail to provide satisfactory evidence of your disability;
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You refuse to participate in rehabilitation;
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You are no longer under the care of a physician;
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No further benefits are payable under any provision of the plan that limits benefit duration (e.g., mental illness and substance abuse); or
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You die.
If you become disabled after age 60, benefits may continue beyond age 65 (please see above chart).
Benefits Provided to Your Family If You Die
When The Hartford, the claims administrator, receives proof that you have died, it will pay your eligible survivor [spouse or child(ren)] a lump-sum benefit that is three times the lesser of:
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Your monthly income loss multiplied by the benefit percentage (Monthly income loss is the difference of your pre-disability earnings less your monthly earnings at death.); or
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The maximum monthly benefits shown in the schedule of insurance. (Monthly benefit means a monthly sum payable to you while you are disabled, subject to the terms of the group insurance policy.)
If you have no eligible survivors, payment will be made to your estate, unless there is none. In this case, no payment will be made.
However, The Hartford will first apply the survivor benefit to any overpayment that may exist on your claim.
Successive Periods of Disability
You can immediately begin receiving benefits again if you return to work at JPMorgan Chase after receiving benefits, are still eligible for coverage, and then become disabled again due to the same or a related illness or injury within six months after your return.
If the same or a related illness or injury causes your disability more than six months after your return to work, you'll have to complete another elimination period of 182 days before receiving benefits. Of course, as described earlier, you may be eligible to receive benefits under the JPMorgan Chase Disability Leave Policy during the elimination period.
If, during your JPMorgan Chase disability, you suffer a different or unrelated illness or injury, your benefits will continue without interruption. If you suffer a different or unrelated illness or injury after returning to work at JPMorgan Chase, you'll have to complete a new elimination period of 182 days before receiving benefits.
Return-to-Work Program
The Hartford, the claims administrator, offers a non-voluntary vocational rehabilitation program to assist you in returning to work. The Hartford will notify you if you are a candidate for the rehabilitation service. Or, you can ask The Hartford to review your claim to determine whether or not rehabilitation services would help you return to gainful employment.
After their initial review, The Hartford may decide to offer you a return-to-work program.
The return-to-work program offers the following services:
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Coordination with JPMorgan Chase to assist your return to work;
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Evaluation of any medical equipment you may need for your return to work;
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Vocational evaluation to determine how your disability may impact your employment options;
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Job placement services;
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Resume preparation;
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Job-seeking skills training; and
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Retraining for a new occupation.
(If you refuse to participate in this program, your coverage under the LTD Plan may end.) Please contact The Hartford for more details on the vocational rehabilitation program. Please see the "Plan Administration" section of this Guide for contact information.
How Your Benefits Are Determined If You Are Disabled and Working
If you remain disabled according to the plan and work while you are disabled, you may continue to receive a monthly LTD benefit from The Hartford.
In order to be considered disabled while working, your monthly work-related earnings must be less than 80% of your "indexed monthly earnings." (Your "indexed monthly earnings" are your monthly pre-disability earnings adjusted on the 1st of January (or following the date of disability) by the lesser of 10% or the current annual percentage increase in the Consumer Price Index (CPI). Your indexed monthly earnings may increase or remain the same, but they will never decrease.)
However, if your work-related earnings while disabled are equal to or less than 80% of your indexed monthly earnings, The Hartford will determine your LTD benefit as follows:
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During the first 12 months of working while disabled, you'll receive the regular monthly LTD benefit you're eligible to receive from The Hartford, unless your work-related earnings plus your "gross disability payment" exceeds 100% of your indexed monthly earnings. (Your "gross disability payment" is your monthly LTD benefit from The Hartford before any other income benefits are deducted.) If the amount exceeds 100%, The Hartford will subtract the amount over 100% from your monthly LTD benefit.
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After the first 12 months of working while disabled, you'll receive LTD benefits from The Hartford based on the percentage of income you are losing due to your disability. While you are working and receiving LTD benefits, The Hartford requires that you provide them with proof of your work-related earnings while disabled. Proof of earnings includes any appropriate financial records that The Hartford believes are necessary to determine your work-related earnings while disabled.
Please Note: If you're disabled and working for less than one month after the elimination period, The Hartford will send you 1/30th of your payment for each day of your disability.
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