Contact Info:

OFFICE HOURS:

Mon. through Fri.

9am-5pm CST

PHONE:

800-450-1271

773-427-6875 fax

EMAIL:

Customer Service

POSTAL ADDRESS:

1701 E. Lake Avenue

Suite 400

Glenview, IL 60025

  • Overview
  • Eligibility
  • Coverage
  • Cost
  • Enroll Now
  • Forms and Documents
  • Claims

This disability plan is specifically designed for IBEW Local 9 members to help them protect their income and assets in the event of a disability or illness.

Some Questions to Think About

  • Could you afford to take a six-month vacation? If you can’t, do you think you could afford living through a six-month illness or injury?
  • How would you and your family pay your bills without your income?
  • How long would your savings last if you were unable to work because of an illness or accident and your income stopped?
  • If you were sick or injured in an accident today, would your family’s standard of living be affected?
  • What impact would a long-term illness or injury have on your ability to save for retirement?
  • This plan is specifically designed to benefit the members of IBEW Local 9. As a current member, you are eligible to enroll in this group coverage.

  • You must be actively at work to be eligible to enroll.
  • If you joined IBEW within the last 90 days, you are within your open enrollment window and can join with no personal health statement.

  • If you have been a member of IBEW Local 9 for longer than 90 days, you are considered a late applicant and must complete a Late Applicant Enrollment Health Statement. You can expect the insurance carrier to make a determination within 14 business days. You will receive a letter from the insurance carrier to advise if your enrollment has been accepted.

    As a plan participant you must notify Group Benefit Associates:

    • Within 30 days of any layoff and again within 30 days of my subsequent return to work
    • Within 30 days of any disability that prevents you from working
    • Within 30 days of withdrawing from the Union
    • Immediately when your wage rate changes
    • Immediately when your bank account or credit card information changes for the purpose of premium collection

Failure to notify Group Benefit Associates in a timely manner of any of the above listed changes can affect your participation in the plan or the benefits you are eligible to receive under the plan.

Group Benefit Associates has teamed together with Hartford Life and Accident Insurance Company to bring you this program. The Hartford is the insurance carrier for the policy and processes all claims and Group Benefit Associates is the third-party administrator responsible for premium collection and remittance.

Short Term Disability (STD)

  • Benefit Begins: 15 day non-occupational accidental injury, 15 day non-occupational sickness, or pregnancy.
  • Benefit Amount: Choice of $250 or $500 per week
  • Benefit Period: 24 weeks

During the first 12 months of coverage, no STD benefits will be paid for a disability that is due to a pre-existing condition. A pre-existing condition is an injury or sickness for which you received medical treatment, consultation, diagnostic measures, prescribed drugs or medicines, or for which you followed treatment recommendations during the three months prior to your effective date of coverage. This provision also applies if you did not consult a physician when an ordinarily prudent person would have. Exclusions may vary by state.

Long Term Disability (LTD)

  • Benefit Begins: 180 days following non-occupational accidental injury, sickness or pregnancy
  • Benefit Amount: 60% of monthly covered earnings
  • Maximum Benefit: $4,800 per month less deductible sources of income and disability earnings.
  • Minimum Benefit: $100 per month
  • Benefit Period: Up to 5 years
  • Limited Pay Periods: Disabilities due to mental illness and disabilities primarily based on self-reported symptoms are limited to 24 months of benefits during your lifetime.
  • Survivor Benefits: In the event of your death, three times your net disability payment is payable to your spouse or children under age 19.

Short-Term Disability (STD)

  • For STD benefit of $250 per week, the monthly premium is $33.05.
  • For STD benefit of $500 per week, the monthly premium is $66.10.

Long-Term Disability (LTD)

Long Term Disability premiums are based on your age and wage rate. To calculate your LTD premium, enter your Birthdate and Wage Rate below. If you want to do a manual calculation, see the infomation at the bottom of this page.

Birthdate:  
Hourly Wage Rate:  
 
Monthly Covered Earnings:  
LTD Monthly Premium:  

 

**Please note that if you fall into a new age bracket as indicated above, your premium will increase. You will also experience a premium change if you have experienced a change in your pay rate.

Cancellation Requests: Cancellation requests must be received in writing by mail, fax, or e-mail. Cancellations will become effective on the last day of the month in which they are received.

Premium Waived if Disabled: Premium will not need to be paid if you are receiving benefits. Please contact us within 30 days of your disability so that we may waive your premium while you are not working.

Premium Payments: Your initial premium due will be collected within 5 business days of your enrollment. Subsequent premiums will be collected automatically from a Visa, MasterCard or direct debit from a checking account on the 15th of each month. If the 15th falls on a weekend or holiday, the charge will occur on the next business day.

 

LTD Manual Calculation

Please follow the steps below to manually calculate your LTD monthly premium:

Enter your hourly wage rate
$
____.__    
Multiply by 2080
=
____.__    
Divide by 12
=
____.__ (A) =Monthly Earnings*
LTD Rate from Table Below   ____.__ (B)  
Monthly Earnings * LTD Rate (A)*(B)
=
____.__    
Divide by 100
=
____.__   =Monthly Premium

*If your monthly earnings exceed $8,000 (maximum monthly covered earnings) then use $8,000 as your monthly earnings to calculate your premium.

 

LTD Rates per $100 of pre-disability earnings:

Age Rate per $100
15-24 $0.2754
25-29 $0.2754
30-34 $0.3982
35-39 $0.5637
40-44 $0.6837
45-49 $1.1220
50-54 $1.5604
55-59 $2.2397
60-64 $2.5207
65+ $1.8103

Ready to enroll?

Enroll Now

  • If you prefer to complete a paper application, you may DOWNLOAD and print and mail or fax the application form

Note: If you have been a member of IBEW Local 9 for longer than 90 days, you are considered a late applicant and must complete a Late Applicant Enrollment Health Statement. You can expect the insurance carrier to make a determination within 14 business days. You will receive a letter from the insurance carrier to advise if your enrollment has been accepted.

Filing A Claim

The disability income insurance claim form is composed of three separate sections that need to be completed by you, your physician and your employer.

  • Employee Section: Please be sure to complete this part clearly and sign where indicated.
  • Physician Section: Please have the physician that disabled you complete this part. If you have seen additional physicians, please also include their names, addresses, phone numbers and fax numbers on a separate sheet of paper.
  • Employer Section: Even though your policy is purchased through the union, your benefit is based on the income you receive from your particular employer. Your employer assumes no liability or responsibility for your claim by completing this form for you.

Failure to provide proper information and documentation will delay your claim so it is very important the claim form is complete and clear. Once complete, forward the form to our office by mail or fax.

 

How Your Claim Will Be Handled:

Once received by Group Benefit Associates, we will begin waiving your premium as of the date of your disability. The processing of your claim will be handled by The Hartford and therefore you may inquire with them regarding the status of your claim. Please note that Group Benefit Associates does not have access to information regarding claims determination or benefit payments.

The Hartford Claims Customer Support:

Telephone 877-778-1383

Fax 877-431-8901

Premium billing questions are handled by Group Benefit Associates at 800-450-1271.