BLET SEPTA Disability & Life Insurance
DISABILITY & LIFE INSURANCE
Your income is one of your most valuable assets. In fact, most railroad workers are the primary income earner for their family. Take advantage of this enrollment opportunity that allows you to supplement your other railroad benefits. This helps ensure you and your loved ones are protected from any unexpected loss of income due to injury, illness or death.
Take advantage of the following coverage opportunities to protect your income:
- Short-Term Disability
- Life and AD&D Insurance
Benefits are available to all full dues paying Members of the BLET who are actively working.
SHORT-TERM DISABILITY (STD)
Includes 24/7 coverage
- Pays a flat weekly benefit of either $200, $400 or $600 Benefit pays for up to 48 weeks.
- Pays after a 30 day waiting period for injury or illness.
- Pre-existing conditions are covered after 12 months.
- Coverage is not offset (reduced) by other benefits until 80% of pre-disability earnings are attained.
- Benefits paid are tax-free.
- Covers on and off the job disabilities resulting from injury or illness.
STD Benefits & Premiums
|STD OPTIONS||MONTHLY PREMIUMS|
|WEEKLY BENEFIT||AGE <40||AGE 40-49||AGE 50+|
with Accidental Death & Dismemberment (AD&D)
- You can elect coverage up to $200,000 in $10,000 increments with no medical questions asked.
- Coverage includes an equal amount of Accidental Death and Dismemberment.
- Life coverage is convertible and portable.
- Spouse and child Life coverage available when Member Life is elected (up to 50% of Member election).
– Spouses can be covered up to $50,000 in $5,000 increments.
– Children eligible for a flat $15,000 of coverage. One fee covers all dependents.
Life/AD&D Benefits & Premiums
|COVERAGE||AGE <40||AGE 40-49||AGE 50+|
|COVERAGE||AGE <40||AGE 40-49||AGE 50+|
Spouse premiums are based on Member’s age.
|COVERAGE||UNDER 26 YEARS OLD|
Covers all children under 26 years old.
LONG-TERM DISABILITY – PAID FOR BY CARRIER
Automatically provided to each Member at no cost
- Pays a flat $2,500 monthly benefit for up to 2 years.
- Pays after 180 day waiting period (starts when STD ends).
- Benefit is stackable with other benefits up to 70% of pre-disability earnings.
- Pre-existing conditions are covered after 24 months.
- Covers on and off the job disabilities resulting from injury or illness.
Long-Term Disability (LTD) Benefit
|$2,500 Max||Paid for by SEPTA|
RRB: You may or may not be eligible for Railroad Retirement Board (RRB) sickness or disability benefits after 26 weeks. RRB benefit amount is for illustrative purposes only; actual amounts may vary. More information is available by calling an RRB office toll-free at (877) 772−5772.
Administrative and transaction fees are applied to all coverages. These fees are included in the rates shown on the Benefits & Premiums sections. For more information about Premium Payments please review the Premium Payments. Calculations and Adjustments section.
About Open Enrollment
The purpose of this Group Insurance Plan is to give you options to supplement your income in the event that you cannot work due to an injury, illness or death. This group plan offers Disability Insurance and Life Insurance with Accidental Death & Dismemberment coverage.
All of the available coverages are offered separately and a Member’s participation in one or all of those coverages, and the level to which he or she elects to participate, is voluntary and strictly the individual’s choice.
All insurance under this Union Group Policy will cover you for as long as you continue to remain actively employed, pay premium, and be in good standing with the union.
Attention participating Members: No action is required to maintain your current coverages. You do have the opportunity during this time to enroll in or increase Life coverage and make changes to your benefits. Please call Cornerstone for more information at (224) 770−5307.
Official Notice To Participants – Please Read
The BLET does not make any endorsement or recommendations regarding these benefits. This program is completely voluntary and benefits can be elected on an à la carte basis. It is solely the Members decision to enroll and learn about the benefits being offered.
You must be an actively working, full dues paying Member of the BLET union, working a minimum of 20 hours per work, in order to be eligible to enroll in and maintain coverage. If you are suspended, dismissed, retire from the railroad, or leave the BLET for any reason, you are no longer eligible for disability coverage and it is your responsibility to contact our office immediately at (847) 387−3555 so that we may stop your premium payments. Failure to properly notify Cornerstone within 90 days of employment and/or union status changes will result in loss of premiums.
Disabilities that occur after being removed from service are not covered. You may have the ability to suspend your disability coverage if you are not actively working. Please contact the Cornerstone office at (847) 387−3555 for more information. Note: this also applies to any Member who has not had a formal hearing.
Actively At Work Notice
To be covered by the Group Policy you must be actively at work performing the duties of your own occupation when the policy goes into effect or when returning to work from a disability claim. Days spent not working to include, but not limited to; PLD, vacation, light duty, FMLA days, rules classes, and re-certification tests/classes do not count as actively working days. If you are not actively at work when the policy goes into effect, your coverage effective date will be deferred until your first full day of active work.
Participant and Claimant Responsibilities
It is your responsibility to notify Cornerstone Benefits Management if your employment, union status, contact information, or salary changes. Failure to properly notify Cornerstone will result in loss of premiums and/or insurance coverage. Notification to Cornerstone must be made by phone at (847) 387−3555 and/or by email at email@example.com.
Income Verification Notice
In the event a claim is filed, you will be required to verify your income by providing your prior year’s W-2 and/or three full months of paystubs. Benefit payments are subject to change based on the income you can verify at time of claim.
Benefits Offsets, Reductions and Overpayments
Benefits may be reduced where offsets apply. Benefit amounts illustrated on the Summary of Benefits & Rates guide do not reflect any applicable offsets. It is your responsibility as the claimant to notify Cornerstone and the Insurance Company of any other income sources you are receiving; failure to do so may result in an overpayment that you will be required to repay. Please review the Group Policy for further information. If you have any questions regarding offsets, please call Cornerstone at (847) 387−3555.
Railroad Retirement Board Benefits: Your Union Group Policy requires you to apply for a disability annuity through the Railroad Retirement Board if you meet the eligibility requirements. Due to the delayed Railroad Retirement Board Disability Annuity approval process and the fact that benefits are backdated once approved, an overpayment of disability benefits may occur. Cornerstone strongly encourages you to call the Railroad Retirement Board to obtain an estimate of your monthly annuity amount and then call our office to discuss your best option.
As an individual member of the Union, if you have voluntarily elected to participate and pay premium for coverage, it is your responsibility to understand the group policy and its provisions. To view/download the group policy/booklet, please look under the Policy Documents section.
Pre-Existing Condition Limitations
Short-Term Disability – Pre-Existing Guidelines
Short-Term Disability has a Pre-Existing Condition limitation of 12 months. In order for a pre-existing condition to be covered, you must be an eligible Member of the group and have paid the Short-Term Disability premium for 12 consecutive months prior to your date of disability, or you must be treatment free for the 12 months prior to your date of disability (Look Back Period) for the disabling condition.
More Pre-Existing Limitation Information
- Pre-Existing Conditions are reviewed by the insurance carrier at time of claim, which will require disclosure of all medical records, doctors’ notes and prescription drug history.
- Failing to receive treatment does not preclude you from the Pre-Existing Condition Look Back Period.
Please review the Group Policy for further information. If you have any questions regarding Pre-Existing Condition limitations, please call (847) 387−3555.
Group Life Insurance Notice
This is a Voluntary Group Term Life Insurance plan offered through your Union. As such, this plan should not serve as your primary source of Life Insurance as the Union or insurance company may terminate, cancel or change this policy at renewal. This Life Insurance Plan is designed to give you and your family a guaranteed approved option for additional Supplemental Life Insurance while working as an active Member of your Union. Please review all the provisions of this Life Insurance Policy. It is highly recommended that this policy not be used to replace any existing Life Insurance coverage you may have.
When Life Insurance Coverage Ends
If suspended or disabled you may keep your Life Insurance coverage for up to 12 months provided premiums continue to be paid during that period. Beyond 12 months, your coverage will terminate unless you convert or port your Life Insurance coverage.
If you leave the Union or retire, you may convert your Group Term Life Insurance to a Permanent Individual Life Insurance Policy or you may port your coverage. You must elect to convert or port your coverage within 31 days from the date of you are no longer eligible to be covered on the group plan (i.e. date of retirement or termination). Please contact the Cornerstone office at (847) 387−3564 for questions about rates associated with converting or porting your Life Insurance coverage.
If you are enrolled in Child Life coverage and your child is disabled, you can retain your child’s coverage beyond age 26 by completing an application. You will have only 31 days from your child’s 26th birthday to submit this application.
Note: Typically converting your Group Term Life Insurance to an Individual Permanent Life Insurance Policy is very expensive and only recommended for people who cannot qualify for Life Insurance elsewhere.
Premium Payments, Calculations and Adjustments
This is a Group Insurance Plan offered through your Union. As such, your rates and benefits may change at renewal or non-renew based on the overall claims experience of the group and/or if participation requirements are not being met. Further, any substantial change to the makeup of the group, such as a change in the Member demographics, that impacts the underwriting risk of the plan may immediately result in a change to the plan.
At renewal, if you do not call Cornerstone to make changes to or discontinue coverage, you herby authorize and give permission to Cornerstone to auto-enroll you in the renewal plan benefits that most resemble your currently elected benefits. Auto-enrollment could result in a potential increase in your monthly or bimonthly premium drafts. Please understand, this is intended to ensure no Member loses coverage for failing or forgetting to take the time to renew or re-enroll. Given that all benefits are “Voluntary,” you can cancel or lower your coverage at any time.
Loss of Premiums Notice
If you do not contact our office within 90 days of your date of dismissal (the date in which the railroad removes you from service), date of retirement, date in which you left the BLET or furloughed, there will be no refund for any premiums paid. It is the sole responsibility of the Member to contact Cornerstone Benefits Management at (847) 387−3555 or by email at firstname.lastname@example.org within the 90 day allotted time.
Failure to Make a Payment
Participating Members for whatever reason may miss a premium payment from time to time. The current plan allows for a 60 day grace period to make up any missed premium payments.
Administrative & Transaction Costs
All administrative and transaction fees (fees) are included in your monthly premium. These fees cover the costs associated with, but not limited to, premium processing, premium returns, postage, policy correspondence, claims advocacy and other ancillary expenses associated with the administration of your elections. These monthly fees are applied to all coverages shown on the Summary of Benefits & Rates. Below is the structure of all applicable fees:
Included in premiums shown on Summary of Rates: Short-Term Disability 2.00, Member Life/AD&D Coverage 1.00, Spouse Life/AD&D Coverage 0.50, Child Coverage 0.00
Included when premium is collected: Payment Transaction Fee 1.00 per transaction.
This is a summary of benefits; other limitations may apply.
If you leave the union or retire it is your responsibility to contact our office immediately at (847) 387-3555. Failure to do so within 30 days will forfeit your ability to keep coverage and receive any premium refunds. Premium is determined by your age on the coverage effective date, and will increase on the next policy anniversary date after you enter the next age band. Benefit effective dates are subject to change. Your Union does not make any endorsement or recommendations regarding these benefits. This program is voluntary and is solely the Members’ decision to enroll. This is a basic summary of benefits and makes no guarantee or warranty on the processing of claims. Other limitations may apply. It is the responsibility of each enrolled Member to obtain a copy and read the entire policy booklet. All non-banking administrative and transaction fees are included in the enclosed premiums.