IndexAbout DisabilityEligibility and EnrollmentShort-Term Disability BenefitsLong-Term Disability Benefits- Eligibility for Benefits - Benefit Amount - Continuation of LTD Benefits - Transition Benefits Short and Long-Term Disability Benefits DisqualificationPregnancy / ChildbirthRehabilitation ProgramAdministrative and ERISA InformationKey Terms |
You are eligible for long-term disability benefits only if you meet all of the following requirements:
The Plan pays a benefit, if necessary, to bring the total payments you receive to at least 50% of your monthly benefit pay. This total includes other benefits such as:
Social Security disability benefit means the monthly Social Security benefit you actually begin to receive or could receive if you applied for the benefit. This benefit is based on Social Security rules and formulas in effect when your long-term disability benefit starts. When you become eligible to receive a long-term disability benefit, you are assumed to be not entitled to a Social Security disability benefit for the first six months of eligibility. This means that even if you are receiving a Social Security disability benefit, it is not taken into account in determining the amount of the first six monthly payments of your long-term disability benefit. After that period, entitlement to a Social Security disability benefit is assumed and an estimated Social Security benefit amount is deducted from your benefits under this Plan unless you present a Social Security denial of your claim. You are required to complete the process for obtaining a Social Security disability award. The Claims Administrator provides assistance from Social Security specialists to help you apply for Social Security disability benefits. If Social Security denies your claim, the Plan will also help you through the process of appealing the denial. You may lose long-term disability benefits if you do not complete this process. If you are receiving long-term disability benefits, you are not entitled to Social Security disability benefits, and you are age 62 or older, the Plan will offset the Social Security retirement benefit that is payable beginning at age 62. Example:
This chart illustrates a monthly payment of $2,000. Each month you receive:
You receive $1,700 from other sources. The Disability Plan pays the remaining $300 a month in order for you to reach your $2,000 LTD target. Increases in government benefits which occur after these benefits are originally taken into account under this plan will not reduce future plan payments. The Plan's Claims Administrator (LINA) conducts a review called the benefits continuation test near the end of the Initial Period of Disability. The initial period of disability is the two-year period measured from the last day you were actively at work for the company. This period includes short-term disability time. Long-term disability benefits continue only if the test determines that you are incapacitated. This means that your physical or mental health impairment at the time the test is done prevents you from performing any work for compensation or profit for which you are or may become reasonably fitted by education, training or experience and such inability is expected to continue for six months. If it is determined that there are jobs which you can perform for any employer, the Claims Administrator determines if compensation for any such job would replace at least 60% of your Monthly Benefit Pay. This is called "productive employment". The definition of incapacitated is not the same definition as that used under Social Security disability. This means that you could qualify for benefits under the Plan even though you do not qualify for Social Security benefits or vice versa. After the initial benefits continuation test, CIGNA periodically reviews your situation to determine if your benefits continue. If the test determines that you are able to engage in productive employment, whether for ExxonMobil or any other employer, your LTD benefits end. ExxonMobil has no obligation to rehire you; you must reapply for employment. If you had more than 15 years of service when long-term disability benefits began:
If you fail the benefits continuation test and you have reached age 55, you receive a monthly transition benefit equal to your LTD benefits for six months. Transition benefits may be denied to any person who engages in employment other than rehabilitative employment without notifying the LTD Claims Administrator of such employment. |