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Jefferson Pilot Life Ins.#1
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RFP No. 01-10-01 Employee Dental, Life, Insurance
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Jefferson Pilot Life Ins.#1
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Last modified
6/18/2012 10:02:26 PM
Creation date
12/28/2010 3:46:06 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Employee Insurance
Bid No. (xx-xx-xx)
01-10-01
Project Type (Bid, RFP, RFQ)
RFP
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VOLUNTARY VOCATIONAL REHABILITATION BENEFIT PROVISION <br />•BENEFIT. If an Insured Employee is Disabled and is receiving Policy benefits; then he or she may be eligible <br />Rehabilitation Benefit. This Benefit consists of services which may include: <br />1 • vocational evaluation, counseling training or job placement; y for a Vocational <br />2. job modification or special equipment; and <br />3. other services which the Company deems reasonably necessary to help the Insured Employee return to wo rk. <br />The Company will determine the Insured Employee's eligibility and the amount of any Benefit payable. <br />ELIGIBILITY. An Insured Employee may be eligible for this Benefit, if the Company finds that he or she: <br />1 • has a Disability that prevents the performance of his or her regular occupation; and, after the Own Occupation <br />Period, also lacks the skills, training or experience needed to perform any other gainful occupation; <br />2. has the physical and mental abilities needed to complete a Program; and <br />3. is reasonably expected to return to work after completing the Program; in view of his or her - degree of mot <br />and the labor force demand for workers in the proposed occupation. <br />The Company must also find that the cost of the proposed services is less than its expected claim liability. motivation <br />AMOUNT. The amount of any Vocational Rehabilitation Benefit will not exceed the Company's expected claims <br />benefit will not be payable for services covered under the Insured Employee's health care plan or any other vocational rehabilitation <br />Program. Payment may be made to the provider of the services, at the Company's option liability. This <br />CONDITIONS. Either the Company, the Insured Employee, or his or her Physician may first propose vocational <br />When a Program is approved by the Company, this Policy's definition of "Disability" will be waived during he re <br />but it will be reapplied after the Program ends. The Company will determine the amount and duration of an rehabilitation. <br />benefits payable after the Program ends, <br />g habilitation period; <br />y Long Term Disability <br />LIMITATION. This Policy will not cover any period of Disability for an Insured Employee who has receiv ed a Vocational <br />Rehabilitation Benefit and has failed to complete the Program, without Good Cause. <br />W-FINITIONS <br />"Good Cause ", as used in this provision, means the Insured Employee's: <br />1 • documented physical or mental impairments, which render the Insured Employee unable to take p art in or <br />complete a Program; with the Insured Employee's taking 2, involvement in a medical program, which prevents or interferes win <br />completing a Program; or g p art in or <br />3. participating in good faith in some other vocational rehabilitation program, which: <br />(a) conflicts with taking part in or completing a Program developed by the Company; and <br />(b) is reasonably expected to return the Insured Employee to work. <br />"Program" means a written vocational rehabilitation program: <br />1 • which the Company develops with input from the Insured Employee; his or her Physician; and an current <br />prospective employer, when appropriate; and <br />2• which describes the Program's y t or <br />g goals; each party's responsibilities; and the times, dates and costs of the <br />rehabilitation services. <br />GL3001- LTD -17.3 98 <br />26 Voluntary Rehab. <br />01/01/01 <br />
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