Reso 2001-399 - Laserfiche WebLink

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DEFINITIONS (continued) REGULAR CARE OF A PHYSICIAN or REGULAR ATTENDANCE OF A PHYSICIAN means the Insured Employee: 1. personally visits a Physician, as often as medically required according to standard medical practice to effectively manage and treat his or her disabling condition; and 2. receives medically appropriate treatment, by a Physician whose license and any specialty are consistent with the disabling condition. REGULAR OCCUPATION or OWN OCCUPATION means the occupation, trade or profession: 1. in which the Insured Employee was employed with the Employer prior to Disability; and 2, which was his or her primary source of earned income prior to Disability. It includes any work in the same occupation for payor profIt; whether such work is with the Employer, with some other fIrm or on a self-employed basis, It includes the main duties of that occupation as performed in the national workforce; not as performed for a certain fIrm or at a certain work site. RETIREMENT BENEFIT when used with the term Retirement Plan, means a benefIt which: 1. is payable under a Retirement Plan either in a lump sum or in the form of periodic payments; 2. does not represent contributions made by an Employee (payments which represent Employee contributions are deemed to be received over the Employee's expected remaining life regardless of when such payments are actually received); and 3. is payable upon: (a) early or normal retirement; or (b) disability, if the payment does reduce the benefIt which would have been paid at the normal retirement age under the plan, if disability had not occurred. RETIREMENT PLAN means a defmed benefIt or defmed contribution plan which provides Retirement BenefIts to Employees and which is not funded wholly by Employee contributions. The term shall not include any 401 (k), profIt-sharing or thrift plan; informal salary continuance plan; individual retirement account (IRA); tax sheltered annuity (TSA); stock ownership plan; or a non-qualifIed plan of deferred compensation. An Employer's Retirement Plan is deemed to include any Retirement Plan: 1. which is part of any federal, state, county, municipal or association retirement system; and 2. for which the Employee is eligible as a result of employment with the Employer. SICK LEAVE or ANY SALARY CONTINUANCE PLAN means a plan which: 1. is established and maintained by the Employer for the benefIt of Insured Employees; and 2. continues payment of all or part of an Insured Employee's Predisability Income for a specifIed period after he or she becomes Disabled. It does not include compensation the Employer pays an Insured Employee for work actually performed during a Disability, SICKNESS means illness, pregnancy or disease. For a licensed health care practitioner, Sickness includes testing positive on an HIV (human immunodefIciency virus) test; but only when a state licensing board restricts the Insured Employee's ability to perform his or her profession, as a result of such test. In that case: 1. 2. a Disability will be deemed to commence on the date of the state licensing board's action; and the HIV positive status will be deemed Total Disability, if the state licensing board's action results in a loss of at least 80% of the Insured Employee's predisability income, TOTAL COVERED PAYROLL means the total amount of Basic Monthly Earnings for all Employees insured under this Policy. TOTAL DISABILITY or TOTALLY DISABLED shall be defmed in the Total Disability Monthly BenefIt section. GL3001-L TD-6 98 FL 8 01/01/01