15-50 Employees: Disability Plans: Definition

Definition of Disability - CPA's 

An eligible employee will be considered disabled during the 180-day elimination period and until the end of the benefit period if, because of injury, sickness, mental illness, substance abuse, or pregnancy, they are unable to perform the duties of their own occupation and as a result, are earnings less than 99% of their monthly rate of basic earnings.

Definition of Disability - non CPA's 

An eligible employee will be considered disabled during the 180-day elimination period and the first 24 monthly benefits if, because of injury, sickness, mental illness, substance abuse, or pregnancy, they are unable to perform the duties of their own occupation and as a result, are earnings less than 85% of their monthly rate of basic earnings. After monthly benefits have been paid for 24 months, eligible employees will be considered disabled only if they are unable to perform the essential duties of any occupation with an earnings potential equal to or greater than their monthly benefit and for which they are, or could become, qualified based on education, training, or experience.

Return to Work Incentive

During the benefit period, current earnings will reduce the monthly benefit only to the extent that current earnings, other benefits, and the monthly benefit exceed 100% of the eligible employee's monthly rate of basic earnings. "Other benefits" include statutory benefits, workers' compensation, Social Security, sick pay, and salary continuation.

For additional information

Firms with 2- 9 employees
Contact: Banyan Administrators, LLC - Managers for the CalCPA ProtectPlus Programs (877) 480-7923

Firms with 10+ employees
Contact: Hover Insurance Services, Inc. (800) 805-9480

 

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