Long Term Disability

Employees are encouraged to apply for Long Term Disability (LTD) if they feel their situation may meet the criteria for LTD. Keep in mind, benefits are not paid until you've been out of work for ninety days or more.
 

You can apply by completing the below forms and having your provider complete the Physician's Statement. The forms can be faxed to the carrier; the number is included with the claim form

There are three main sections to the LTD Claim forms:

• Employee’s Statement & authorizations to release of information to be completed by you
• Employer’s Statement to be completed by Human Resources
• Physician’s Statement to be completed by your physician

The Standard Claim Form

The Standard TUMG Claim Form

 

Health & Welfare Benefits

• If you are on a leave with pay your benefits and premiums remain the same.
• If you are placed on a leave without pay; your benefits and premium amounts remain the same but you will have to remit the premiums to the Direct Bill Administrator, WageWorks. You will receive information regarding the amounts, i.e. when and where to mail your premiums once placed on a leave without pay.
• When an employee is approved for LTD the department will transition them off the payroll (terminate the position).
• Upon termination, your active benefits will end and you will be offered the opportunity to continue your benefits under COBRA.
• At this point you will pay the full cost of the health insurance.

Life Insurance

• If you are under age 60 and approved for LTD you the carrier may allow you to continue your life insurance and waive the premiums.
• If you are over age 60 and approved for LTD you can contact the carrier to convert your policy and they will provide you with the new premium.

Retirement

• If you are approved for LTD and in the retirement plan, the carrier will continue to make retirement contributions to your account on the university's behalf.