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Schedule of Benefits

 
 

Definition of Disability

The Sun Life Assurance Company of Canada determines the status of each disability. As each disability varies, please contact the Benefit Plans Office or refer to your Plan Booklet for further details.


Benefits

Elimination Period = 90 continuous days. The elimination period is a waiting period during which no benefit is paid. On the 91st day of disability, a worker may be eligible to receive benefits.

Amount of Benefit = 66.67% of the worker's total compensation. Compensation is the sum of a worker's base salary, housing allowance (or value of provided housing) if any, and utilities allowance (if any).

Maximum Benefit = $5,000/month

Minimum Benefit = 15% of the monthly benefit or $100, whichever is greater.

Maximum Benefit Duration

Your age on date disability begins Maximum Benefit Duration
Under age 61 To your normal retirement age,* but not less than 60 months
Age 61 To your normal retirement age,* but not less than 60 months
Age 62 60 months
Age 63 60 months
Age 64 60 months
Age 65 To Age 70, but not less than 12 months
Age 66 To Age 70, but not less than 12 months
Age 67 To Age 70, but not less than 12 months
Age 68 To Age 70, but not less than 12 months
Age 69 and over 12 months

*Your normal retirement age is your retirement age under the Social Security Act where retirement age depends on your year of birth, as follows:

Year of Birth Social Security Retirement Age
Before 1938 65
1938 65 and 2 months
1939 65 and 4 months
1940 65 and 6 months
1941 65 and 8 months
1942 65 and 10 months
1943-1954 66
1955 66 and 2 months
1956 66 and 4 months
1957 66 and 6 months
1958 66 and 8 months
1959 66 and 10 months
After 1959 67

Reductions in Benefit

The benefit amount for a disabled worker may be reduced by the following benefits:

  • Social Security
  • Retirement benefits received from the Employer sponsored retirement program
  • Workers' Compensation
  • Occupational Disease
  • Other group LTD plans maintained by the worker's sponsoring organization

Please note: There will be no reduction in benefits for benefit amounts that are received from an additional individual LTD plan. A worker may collect a benefit from both an individual LTD plan and the WELS VEBA Long Term Disability Income plan.

Partial Disability

Disabled workers who return to work on a part-time basis will be paid a partial benefit based on their loss of earnings (20% minimum loss of earnings required). During the first 12 months of partial disability, the worker may receive up to 100% of pre-disability earnings from the LTD coverage and from his/her part-time earnings. After 12 months of disability, the benefit will be calculated according to the formula outlined in the certificate booklet.

Benefit Limitation

If a disability, as determined by Sun Life, is caused at least in part by a mental, psychoneurotic or personality disorder, benefits are not payable for more than 24 months. Please see your Plan Booklet for more information regarding this benefit limitation.

 
     
     
     
     
     
     
     
     
     
     
   
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