the Disability Insurance Plan - Office of Student Health Benefits

WelcomeMay 1, 2011Dear University of Minnesota Academic Health Center students,The University of Minnesota is pleased to partner with The Guardian Life Insurance Company of Americato provide a Disability Insurance Plan* to eligible Academic Health Center students. Enrollment isautomatic for those in a qualifying program.If you become disabled while you are enrolled at the University of Minnesota, the Disability Insurance Planoffers a monthly disability payment and student loan payoff benefit (see chart on page 2 for specifics).Academic Health Center StudentsAlso included as part of the Disability Insurance Plan is the opportunity to convert to an individualdisability policy after you leave the University–with no medical underwriting. This conversionopportunity is extremely valuable and rare. You have the option to enroll 60 days prior to or 31 daysafter graduation–regardless of any pre-existing medical conditions. Many of you would nototherwise qualify for this type of coverage due to pre-existing medical conditions. The University isextremely pleased to offer this one-of-a-kind disability conversion option.I highly encourage you to contact your designated representative at some point during your time atthe University of Minnesota. Your designated representative can explain the benefits of converting to anindividual disability policy that you take with you after you leave the University. No time is too early tocontact your representative.E-mail and U.S. mail correspondence related to your benefits will come from the Office of StudentHealth Benefits. Please add umshbo@umn.edu to your e-mail address book to ensure you receive oure-mails, and bookmark this Web page: www.shb.umn.eduThe Guardian Life Insurance Company of America will be providing coverage and claims for the2011-2012 Disability Insurance Plan.In order to make the most of your coverage, and to be sure that you are aware of deadlines, policiesand procedures that affect you, please review the information found in this brochure and on the Webcarefully.Please feel free to contact me with any questions. We look forward to serving you!Susann JacksonDirector of Student Health BenefitsOffice of Student Health BenefitsUniversity of Minnesotaumshbo@umn.edu(612) 624-0627www.shb.umn.edui

Eligibility and EnrollmentWhile You Are Enrolled at the University of MinnesotaAll students registered for one or more credit in an Academic Health Center program are enrolled in theUniversity-sponsored Disability Insurance Plan.After You Graduate–Guaranteed Conversion OptionAs part of your University-sponsored Disability Insurance Plan you have a time sensitive and uniqueopportunity to convert to an individual disability income policy. 1 Like your education, this policy goeswith you when you leave the University, and the benefits follow you through your lifetime.“25 to 30 percent of students may not otherwise qualify for this type of coverage on astandard basis due to a pre-existing medical condition,” says Dale Forsythe, Disability Income Specialistfor Guardian.The University is extremely pleased to offer this one-of-a-kind conversion opportunity. We encourageyou to take the time to meet with your designated Guardian representative to learn more about thebenefits of converting to an individual disability income policy.Highlights of this opportunity include:• Monthly benefits• No medical underwriting–coverage is guaranteed standard issue• “Medical Specialty” Own Occupation definition of disability–this policy is portable and you can take itwith you after you leave the University• Several important optional benefitsYou have the option to enroll 60 days prior or 31 days after graduation. Please add this to the topof your list of things to do before graduation. No time is too early to contact your representative.For more information, or to schedule a meeting, contact the representative assigned to yourdepartment (listed in the back of this brochure). Your designated representative can explain thebenefits of converting to an individual disability policy that you take with you after you leave theUniversity.1

Academic Health Center Students2Quick Reference Benefit ChartWhile You Are Enrolled at the University of MinnesotaWhile You Are Enrolled at the University of Minnesota 2011-­‐2012 Disability Insurance Plan**: Quick Reference Benefit Chart University of Minnesota Academic Health Center Students The following benefits apply to Academic Health Center students while enrolled at the University of Minnesota. Benefit Group A and B Benefit Group C Benefit Group D Benefit Group E and F Don’t know what group you’re in? Find out on page 4. Monthly Benefit (all eligible) $1,500 $1,000 1 st and 2 nd year students; $1,500 3 rd and 4 th year students $1,000 $500 Elimination Period 90 days 90 days 90 days 90 days Maximum Benefit Period Social Security Normal Retirement Age Social Security Normal Retirement Age Social Security Normal Retirement Age Social Security Normal Retirement Age Total Disability Definition University of Minnesota student in Group A or B for 5 years University of Minnesota student in Group C 5 years University of Minnesota student in Group D for 5 years University of Minnesota student in Group E or F for 2 years Partial Disability Benefits Yes Yes Yes Yes Pre-­‐existing Condition Exclusion 3/12 3/12 3/12 3/12 Survivor Benefit Yes Yes Yes Yes Student Loan Payoff Provision Yes, up to $200,000 Yes, up to $200,000 Yes, up to $150,000 Yes, up to $150,000 Group E; Yes, up to $100,000 Group F Cost of Living Benefit Yes, 3% (48 mo. delay) Yes, 3% (48 mo. delay) Yes, 3% (48 mo. delay) Yes, 3% (48 mo. delay) Critical Disability Benefit Yes Yes Yes Yes Guaranteed Standard Issue Conversion Option Yes, to an Individual Own Occupation Plan with Guardian Life. Up to $3,000 for Group A, and up to $2,000 for Group B of guaranteed coverage for is available without underwriting. Yes, to an Individual Own Occupation Plan with Guardian Life. Up to $2,000 of guaranteed coverage is available without underwriting. Yes, to an Individual Own Occupation Plan with Guardian Life. Up to $1,500 of guaranteed coverage is available without underwriting. Yes, to a Group Trust Plan with Guardian Life. A $1,000 monthly benefit is available without underwriting This Quick Reference Benefit Chart is intended as a guide. This summary presents a brief explanation of the student long term disability coverage. It should not be used to determine whether your disability claim will be paid. The written contract governs the benefits available. For plan details, please refer to the Office of Student Health Benefits website. http://www.shb.umn.edu

After You Graduate–Guaranteed Conversion Plan OptionAfter You Leave the University of Minnesota Guaranteed Standard Issue Disability Insurance Plan: Quick Reference Benefit Chart University of Minnesota Academic Health Center Students The following benefits apply to Academic Health Center students after leaving the University of Minnesota. Participation in this plan is contingent on enrollment. Benefit Group A 1Benefit Group B and C 1 Benefit Group D 1 Benefit Group E and F Don’t know what group you’re in? Find out on page 4. Monthly Benefit (for those who have graduated or completed a residency, fellowship, or internship) $1,000 and $2,000 Future Increase Option Rider $2,000 $1,500 $1,000 Elimination Period 90 days 90 days 90 days 90 days Maximum Benefit Period To age 65 To age 65 To age 65 Social Security Normal Retirement Age Total Disability Definition True Specialty Own Occupation Coverage to age 65 True Specialty Own Occupation Coverage to age 65 True Specialty Own Occupation Coverage to age 65 24 month own occupation definition of disability Residual or Partial Disability Benefit Rider Yes, only a 15% loss required and 100% income replacement avail. first 12 mo. Yes, only a 15% loss required and 100% income replacement avail. first 12 mo. Yes, only a 15% loss required and 100% income replacement avail. first 12 mo. Yes Pre-­‐existing Condition Benefits N/A N/A N/A 3/12 Mental and/or Substance-­‐Related Disorders Coverage Yes, 24 month limitation Yes, 24 month limitation Yes, 24 month limitation Yes, 24 month limitation Recovery Benefit Yes, to age 65 Yes, to age 65 Yes, to age 65 N/A Capital Sum Benefit Yes, 12 times monthly benefit Yes, 12 times monthly benefit Yes, 12 times monthly benefit N/A Premiums Guaranteed Level or Graded Available Guaranteed Level or Graded Available Guaranteed Level or Graded Available Level Waiver of Premium Benefit Yes Yes Yes N/A Presumptive Total Disability Benefit Yes, no permanent loss required Yes, no permanent loss required Yes, no permanent loss required N/A Waiver of Elimination Period 5 year recurrent provision 5 year recurrent provision 5 year recurrent provision N/A Cost of Living Adjustment Rider N/A N/A N/A N/ASurvivor Benefit N/A N/A N/A N/ALoan Payout Benefit N/A N/A N/A N/AAdditional Coverage Available With Underwriting Yes Yes Yes N/A 3This Quick Reference Benefit Chart is intended as a guide. This summary presents a brief explanation of the student long term disability coverage. It should not be used to determine whether your disability claim will be paid. The written contract governs the benefits available. For plan details, please refer to the Office of Student Health Benefits website. http://www.shb.umn.edu

**Important Information: We limit the duration of payments for long term disabilities caused by mental or emotional conditions, or alcohol or drug abuse.We do not pay LTD or STD benefits for charges relating to a covered person: taking part in any war or act of war (including service in the armed forces);committing a felony or taking part in any riot or other civil disorder; or intentionally injuring themselves or attempting suicide while sane or insane. We donot pay benefits during any period in which a covered person is confined to a correctional facility, an employee is not under the care of a doctor, and theemployee’s loss of earnings is not soley due to disability. This policy provides disability income insurance only. It does not provide “basic hospital”, “basicmedical” or “major medical” insurance as defined by the New York State Insurance Department. If the plan is new (not transferred): This LTD plan does notpay charges relating to a pre-existing condition. On New York cases, no benefit will be payable until the employee has been insured for 12 consecutivemonths. At that time, provided the employee remains disabled, he becomes eligible to receive benefits for the full plan duration, form that forward, subjectto all plan provisions. A pre-existing condition includes pregnancy and any condition for which an employee, in the three month period prior to coverageunder this plan, consults with a physician, receives treatment, takes prescribed drugs or exhibits symptoms which would cause an ordinarily prudent person toseek medical care or treatment. Please refer to plan documents for specific time periods. Pre-existing condition limitations vary by state. Contract # BSP 214-98.The Guardian Life Insurance Of America* Disability income products underwritten and issued by Berkshire Life Insurance Company of America, Pittsfield, MA, a wholly owned stock subsidiary ofThe Guardian Life Insurance Company of America (Guardian), New York, NY, or provided by Guardian. Product provisions and features may vary from stateto state.1Disability insurance Policy Forms 1400 underwritten and issued by Berkshire Life Insurance Company of America, Pittsfield, MA, a wholly owned stocksubsidiary of The Guardian Life Insurance Company of America, New York, NY.5

Boynton Health ServiceStudent Health Benefits410 Church Street S.E.Minneapolis, MN 55455www.shb.umn.eduThe University of Minnesota is an equal opportunity educator and employer.This publication is available in alternative formats upon request.©2011 Regents of the University of Minnesota. All rights reserved.®