Frequently Asked Questions Will my disability income payment be reduced if I have other insurance?
When do disability benefits end? The Total Disability Benefit will end on the policy anniversary date on or next following your 70th birthday, or when you are no longer considered disabled as defined in the policy, whichever comes first.
Benefits are payable regardless of workers’ compensation or any other insurance you may have with other insurance companies. Benefits are payable directly to you (unless you specify otherwise). When am I considered totally disabled?
The Hospital Confinement benefit increases when the Total Disability Benefit ends.
Totally disabled means you are:
Can I keep my coverage if I change jobs?
• Unable to perform the material and substantial duties of your occupation;
If you change jobs or retire, you can take your coverage with you at no additional cost. Your coverage is guaranteed renewable for life as long as you pay your premiums when they are due or within the grace period.
• Not, in fact, working at any occupation; and • Under the regular and appropriate care of a doctor.
How do I file a claim?
What if I want to return to work part time after I am totally disabled?
Visit ColonialLife.com or call our Policyholder Service Center at 1-800-325-4368 for additional information.
You may be able to return to work part time and still receive benefits. We call this “Partial Disability.” This means you may be eligible for coverage if:
What is a pre-existing condition? A pre-existing condition means a sickness or physical condition for which any covered person was treated, received medical advice, or had taken medication within twelve months before the effective date of the policy. If you are age 65 or older when the policy is issued, pre-existing conditions include only conditions specifically excluded from coverage by the rider.
• You are unable to perform the material and substantial duties of your job for more than half of your normally weekly scheduled hours; • You are able to work at your job or your place of employment for less than half of your normally weekly scheduled hours; • Your employer will allow you to return to your job or place of employment for less than half of your normally weekly scheduled hours; and
If you become disabled due to a pre-existing condition, we will not pay for any disability period if it begins during the first twelve months the policy is in force.
• You are under the regular and appropriate care of a doctor.
What is the Mental or Nervous Disorder benefit? This benefit provides coverage for a disability due to a mental or nervous condition. Coverage provides a benefit up to three months per occurrence, with a cumulative lifetime maximum benefit of 24 months.
The total disability benefit must have been paid for at least fourteen days immediately prior to your being partially disabled.
For more information, talk with your Colonial Life benefits counselor.
1. Educator Disability Advantage is the marketing name of the insurance product filed as “Disability Income Insurance Policy.” 2. U.S. Social Security Administration, The Faces and Facts of Disability. https://www.ssa.gov/disabilityfacts/facts.html. Accessed April 2021. EXCLUSIONS AND LIMITATIONS We will not pay benefits for losses that are caused by or are the result of: Cosmetic Surgery, Felonies and Illegal Occupations, Flying, Hazardous Avocations, Intoxicants and Narcotics, Racing, Semiprofessional or Professional Sports, Substance Abuse, Suicide or Self-Inflicted Injuries, and War or Armed Conflict. 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. The policy has exclusions and limitations which may affect any benefits payable. Applicable to policy form NCK1100. For cost and complete details of coverage, call or write your Colonial Life benefits counselor or the company. Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC. ColonialLife.com
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