Mid-Term Disability Insurance
You'll Enjoy Worthwhile Benefits — Commensurate With Your Profession
A disability could potentially destroy your way of life. It can take away many things you've achieved through your profession — all the things you've enjoyed at your income level. The ABE-sponsored Mid-Term Disability Plan can insure you and your family against such a loss. Since your income is the basis of your lifestyle, protect it with ABE-sponsored Mid-Term Disability Insurance.
Members Can Insure Income Up To $12,000 Per Month
ABA members residing in the U.S. (excluding NH, NV, OH, VT, WY) and Puerto Rico, under age 65, who are actively working full-time can apply for up to $12,000 a month in disability income benefits, depending on current income. Benefits are available in $100 increments, with a 60, 90, or 180-day waiting period. Total disability benefits (including any other disability plan you may have) may not exceed the lesser of $20,000 or 66 2/3% of your basic monthly pay for benefit amounts through $7,500 (60% for monthly benefits over $7,500).
Spouse/Domestic Partner Plan Option
Your spouse/domestic partner (DP) under age 65 who is actively working full-time may apply for monthly disability income benefits in increments of $100, up to $5,000 a month. The 66 2/3% and 60% limitations stated above also apply to your spouse/DP. Spouse/DP’s coverage is limited to 9 times the member’s monthly benefit. Members must be insured to insure their spouse/DPs. If both you and your spouse/DP are ABA members you may both apply for separate member coverage, but if you apply separately you may not also insure each other as a spouse/DP on your coverage. Spouse/DP also have a choice of waiting periods: 90 or 180 days.
Definition Of Disability
Benefits are paid directly to you for disabilities due to a covered sickness or injury. Benefits begin on the day after the chosen waiting period of 60, 90, or 180 days for members and 90 or 180 days for spouse/DPs. Full benefits are payable up to five years if you are completely unable to perform the material duties of your regular occupation including your particular specialty of law, if applicable, due to a disabling accident or injury. (Speciality of law provision is not applicable to spouse/DP coverage.) If total disability is the result of a covered sickness, benefits are payable for up to two full years (except total disabilities due to mental disorder which limits benefits to one year). Benefits for a disability ocurring after your 70th birthday will be payable for one year.
When Your Insurance Becomes Effective
Once your application is approved and your first premium received, with no change in your health or insurability, your coverage becomes effective on the first day of the following month, providing you are actively working full-time.
You Can Choose The Waiting Period To Save On Premiums
The ABE Mid-Term Disability Plan also allows you to choose when you want to begin to receive your benefits. Select waiting periods of 60, 90, or 180 days for members, and 90 or 180 days for spouses/DPs. The waiting period begins on the first day of total disability occurring after the effective date. Benefits are payable the day after the chosen waiting period has been satisfied.
Partial Disability Benefits
If you are no longer totally disabled, and are able to return to work on a part-time basis, you will be paid partial disability as follows:
|% of Pre-Disability Earnings Received||% of Monthly Disability Benefits Paid|
|71% and Over||0%|
Note: Amounts which do not fall within the percentages stated above for pre-disability earnings will be rounded to the nearest percentage.
The partial disability must begin within 31 days after a total disability for which you received benefits. This benefit will continue for up to 6 months providing the partial disability is the direct result of an injury or sickness that caused the total disability. Partial disability benefits are counted toward any maximum-benefit period.
Waiver Of Premium
Premiums that come due while an insured is disabled and collecting monthly disability benefits may be waived.
A pre-existing condition is considered an injury or sickness for which you incurred charges, received medical treatment, consulted a physician or took prescribed drugs within 12 months before the effective date of your insurance. If total disability is due to a pre-existing condition, no benefits will be paid for such condition, or any complication of it, for 12 continuous months while insured and until actively at work at least 30 days following such 12-month period.
Added Hospital Benefits
When hospitalized for disability, you collect an additional 50% of your monthly benefit for up to 3-full months for each covered accident or sickness, excluding the following: places used mainly for the aged, the chronically ill, convalescents, drug addicts or alcoholics; or as a rest home, nursing home, custodial, educational, or rehabilitory care.
Your Benefits Are Tax Free
Under current federal income tax laws, disability income benefits are usually non-taxable if you personally pay the premiums. Be sure to contact your tax advisor.
30-Day Free Look
This plan is backed by a full 30-day free review. Once your application is approved, you will receive your Certificate of Insurance. If for any reason after you receive it, you are not fully satisfied, simply write “cancel” and return it within 30 days without claim. Your premium will be returned promptly and you will be under no further obligation. This is just one more reason you can count on ABE for such an important purchase.
Your Right To Renew
Your coverage is renewable as long as you stay employed full-time, are under age 75, the group policy stays in effect, the member maintains his or her ABA membership, and premiums are paid when due.
Benefits for Mental, Nervous, or Emotional DisorderIf total or partial disability is due to a mental disorder, the maximum benefit period is one year. “Mental Disorder” means a condition due to or relating from psychiatric or psychological conditions regardless of cause such as: schizophrenia, depression, manic-depressive or bipolar illness, anxiety, personality disorders, and/or adjustment disorders or other conditions usually treated by a mental health provider or other qualified provider using psychotherapy, psychotropic drugs or other similar modalities used in the treatment of the above conditions.
This plan does not provide benefits for: any disability that occurs during or is due or related to intentionally self-inflicted injury while sane or insane [Missouri Residents: This exclusion is not applicable to injury caused by an intentionally self-inflicted injury while insane]; declared or undeclared war or any act thereof; military service; or your incarceration for or participating in (except as a victim) an illegal occupation/activity or the commission of a crime; or any impairment or disease specifically excluded from your coverage. This plan limits benefits due to Mental Disorder to a maximum of 12 monthly payments.
Underwritten by New York Life Insurance Company, 51 Madison Avenue, New York, NY 10010 under Group Policy G-29902-0 on Policy Form GMR-FACE/G-29902-0. Coverage may vary or may not be available in all states.
New York Life Insurance Company's state of domicile is New York and its NAIC ID# is 66915.
All ABE-sponsored plans are group insurance plans, meaning coverage is issued to an ABA member under a Certificate of Insurance. It is not provided under an individual policy, nor is it employer/employee insurance. Plans may vary and may not be available in all states.
IMPORTANT NOTICE: HOW NEW YORK LIFE OBTAINS INFORMATION AND UNDERWRITES YOUR REQUEST FOR GROUP MID-TERM DISABILITY INSURANCE
In this notice, references to “you” and “your” include any person proposed for insurance. Information regarding insurability will be treated as confidential. In considering whether the person(s) in your request for insurance qualify for insurance, we will rely on the medical information you provide, and on the information you AUTHORIZE us to obtain from your physician, other medical practitioners and facilities, other insurance companies to which you have applied for insurance and MIB, Inc. (“MIB”). MIB is a not-for-profit organization of insurance companies, which operates an information exchange on behalf of its members. If you apply for life or health insurance coverage or a claim for benefits is submitted to an MIB member company, medical or non-medical information may be given to MIB and such information may then be furnished by MIB, upon request, to a member company.
MIB and other insurance companies may also furnish New York Life, its subsidiaries or the ABE with non-medical information (such as driving records, past convictions, hazardous sport or aviation activity, use of alcohol or drugs, and other applications for insurance). The information provided may include information that may predate the time frame stated on the medical questions section, if any, on this application. This information may be used during the underwriting and claims processes, where permitted by law.
New York Life may release this information to ABE, other insurance companies to which you may apply for insurance, or to which a claim for benefits may be submitted and to others whom you authorize in writing. However, this will not be done in connection with test results concerning Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV). We may also make a brief report of your protected health information to MIB, but we will not disclose our underwriting decision.
New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. Information in our files may be seen by New York Life and ABE employees, but only on a "need to know" basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for insurance can be approved.
If we cannot provide the coverage you requested, we will tell you why. If you feel our information is inaccurate, you will be given a chance to correct or complete the information in our files. Upon written request to New York Life or MIB, you will be provided with non-medical information. Generally, medical information will be given either directly to the proposed insured or to a medical professional designated by the proposed insured. Your request is handled in accordance with Federal Fair Credit Reporting Act procedures. If you question the accuracy of the information provided by MIB, you may contact MIB and seek a correction. MIB's information office is: MIB, Inc., 50 Braintree Hill Park, Suite 400, Braintree, MA 02184-8734, telephone (866) 692-6901 (TTY 866-346-3642). Information for consumers about MIB may be obtained on its website at www.mib.com.
For NM Residents: Protected persons1 have a right of access to certain Confidential abuse information2 we maintain in our files and they may choose to receive such information directly. You have the right to register as a Protected person by sending a signed request to the Administrator at the address listed on the application. Please include your full name, date of birth and address.
1Protected person means a victim of domestic abuse: who has notified us that he/she is or has been a victim of domestic abuse; and who is an insured person or prospective insured person.
2 Confidential abuse information means information about: acts of domestic abuse or abuse status; the work or home address or telephone number of a victim of domestic abuse; or the status of an applicant or insured as family member, employer or associate of a victim of domestic abuse or a person with whom an applicant or insured is known to have a direct, close, personal, family or abuse-related relationship.
|New York Life Insurance Company||
How Your Assignment of Experience Credits to ABE Works — Your Plan's Unique Charitable Giving Feature
Founded by the ABA in 1942, the American Bar Endowment (ABE) is a §501(c)(3) not-for-profit organization composed of members of the American Bar Association. ABE fulfills its charitable purpose of improving the administration of justice, one of our profession’s highest obligations, by making annual grants to support legal research, educational, and public service projects in the field of law, including those conducted by ABA’s Fund for Justice and Education (FJE) and the American Bar Foundation (ABF). ABE also maintains the Legal Legacy Fund for the support of its grantees. By participating in ABE’s group insurance programs, designed for and available only to ABA members, members can contribute to these efforts. ABA members who enroll in ABE-sponsored insurance programs agree that their share of any experience credits payable on the group policies may be retained by ABE for its charitable purposes unless reclaimed as outlined below. The Internal Revenue Service has ruled that members who donate their experience credits to ABE are eligible for a charitable contribution deduction on their individual income tax returns. Contributions to ABE are tax deductible under Section 170(c) of the U.S. Internal Revenue Code, in accordance with IRS regulations and the March 1987 ruling provided to ABE by the IRS.
Members who donate experience credits to ABE make a difference. These funds, after administrative expenses, are the primary source of ABE’s charitable grants and additions to the Legal Legacy Fund. Insured members who donate their experience credits help meet their professional and public responsibilities, as well as obtaining valuable coverage for their families. About 85% of members donate their experience credits; these members are notified each year by late January of the amount, if any, of their dividend donation for the prior year. (Experience credits are not guaranteed, and in any given year, a given plan may not pay a dividend; experience credits will vary from year to year.)
Members who wish to request a refund of their experience credits may do so. The approximate percentage of premium available for refund (if any) on each plan will be published in each November issue of the ABA Journal. You do not need to wait for this information as refund requests are accepted beginning January 1. To request that experience credits be paid to you rather than donated to ABE: After the first policy year of your participation, a written request for refund (by mail, fax, or email to firstname.lastname@example.org) must be made each year and must reach ABE by December 15. When ABE receives your refund request, it will send a confirmation. Retain this for your records as proof your request was timely received. If you do not receive a confirmation within 3 weeks, contact ABE promptly to obtain another copy. (Special instructions for new applicants are contained in the application and apply to experience credits, if any, during the first policy year only.)
Dividend checks and/or contribution notices for your tax return are mailed by late January. If you receive a contribution notice and you did not intend to make a contribution, you may request a one-time waiver of the December 15 deadline by asking for a refund, if you have not previously requested such a waiver.
Please note: Members who do not want to contribute experience credits to ABE must make a written request for refund each year, using the procedures above. When members sign the application, they are agreeing to make an annual decision whether to contribute. Do not sign the application if you do not agree with these procedures.
THIS IS A SUMMARY of the principal provisions of the group insurance program offered through the American Bar Endowment for its members. IT IS NOT TO BE CONSIDERED A CONTRACT OF INSURANCE. The complete terms of the program are set forth in the Group Policy G-29902-0 on policy form GMR-FACE/G-29902-0 issued by New York Life Insurance Company to the American Bar Endowment.
Bonnie Czarny is licensed in AR, Ins. Lic. #404091 and in CA, Ins. Lic. #0H99426
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