When premium is effective and due: The initial premium for each plan is based on the initial rate(s) shown in the policy effective on the employer’s original plan effective date. Premium due dates are based on the premium due dates shown in the policy effective on the employer’s original plan effective date.
The policyholder must send all premiums to Unum on or before their respective due date. The premium must be paid in U.S. dollars.
When coverage begins for employees: When you the employer pay 100% of the cost of coverage under a plan, your employee(s) will be covered at 12:01 a.m. on the date they are eligible for coverage.
How Unum defines disability: An employee is disabled when Unum determines that: Your employee is limited from performing the material and substantial duties of his or her regular occupation due to sickness or injury; and your employee has a 20% or more loss in indexed monthly earnings due to the same sickness or injury.
After 24 months of payments your employee is disabled when Unum determines that due to the same sickness or injury, he or she is unable to perform the duties of any gainful occupation for which he or she is reasonably fitted by education, training or experience.
The loss of a professional or occupational license or certification does not, in itself, constitute disability.
Limitations: Disabilities, due to sickness or injury, which are primarily based on self-reported symptoms, and disabilities due to mental illness have a limited pay period up to 24 months.
Exclusions: This plan will not cover any disabilities caused by, contributed to by, or resulting from an employees’ intentionally self-inflicted injuries; active participation in a riot; loss of a professional license, occupational license or certification; commission of a crime for which you have been convicted under state or federal law; war, declared or undeclared, or any act of war; or a pre-existing condition. A Pre-existing Condition is a condition for which an employee receives treatment for 3 months or less before coverage begins. This condition will not be covered for 12 months after the effective date.
This information is not intended to be a complete description of the insurance coverage available. The policy or its provisions may vary or be unavailable in some states. For complete details of coverage, please refer to the actual policy for specific provisions and details of availability.
For questions or more plan details, please call toll-free 1-866-768-1075.
The AIA Trust incurs certain administrative expenses in connection with this sponsored plan. To provide and maintain this valuable AIA membership benefit, the Trust is reimbursed for these expenses.
Endorsed by:
Underwritten by Unum Life Insurance Company of America, 2211 Congress Street, Portland, Maine 04122.
In New York, underwritten by First Unum Life Insurance Company, 99 Park Ave. 6th Floor, New York, NY 10016.