Laserfiche WebLink
DEFINITIONS <br />(continued) <br />WAIN DUTIES or MATERIAL AND SUBSTANTIAL DUTIES means those job duties which: <br />1. are normally required to perform the Insured Person's regular occupation; and <br />2. cannot reasonably be modified or omitted. <br />It includes those main duties as performed in the national workforce; not as performed for a certain firm or at a certain work site. <br />MEDICALLY APPROPRIATE TREATMENT means diagnostic services, consultation, care or services which are consistent with <br />the symptoms or diagnosis causing the Insured Employee's Disability. Such treatment must be rendered: <br />1. by a Physician whose license and any specialty are consistent with the disabling condition; and <br />2. according to generally accepted, professionally recognized standards of medical practice. <br />MONTHLY BENEFIT means the amount payable monthly by the Company to the Insured Employee who is Totally or Partially <br />Disabled. <br />OWN OCCUPATION PERIOD means a period as shown in the Schedule of Benefits. <br />PARTIALLY DISABLED or PARTIAL DISABILITY shall be as defined in the Partial Disability Monthly Benefit sections. <br />PARTIAL DISABILITY EMPLOYMENT means the Insured Employee is working at his or her own or any other occupation; but <br />because of a Partial Disability: <br />1. the Insured Employee's hours or production is reduced; <br />2. one or more main duties of the job are reassigned; or <br />3. the Insured Employee is working in a lower -paid occupation. <br />His or her current earnings must be at least 20% of Predisability Income, and may not exceed the percentage specified in the Partial <br />Disability Benefit section. <br />�HYSICIAN means: <br />1. a legally qualified medical doctor who is licensed to practice medicine, to prescribe and administer drugs, or to <br />perform surgery; or <br />2. any other duly licensed medical practitioner who is deemed by state law to be the same as a legally qualified <br />medical doctor. <br />The medical doctor or other medical practitioner must be acting within the scope of his or her license; and must be qualified to <br />provide medically appropriate treatment for the Insured Employee's disabling condition. <br />Physician does not include the Insured Employee or a relative of the Insured Employee receiving treatment. (Relatives include the <br />Insured Employee's spouse, siblings, parents, children and grandparents; and his or her spouse's relatives of like degree.) <br />POLICY means this Group Long Term Disability Insurance Policy issued by the Company to the Policyholder. <br />POLICYHOLDER means the person, individual, firm, trust or other organization as shown on the Face Page of this Policy. <br />PREDISABILITY INCOME - See Basic Monthly Earnings. <br />• <br />GL3001 -LTD -5 98 <br />7 01 /01 /01 <br />