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City of Cocoa I Employee Benefit Highlights 12020-2021 Voluntary Short Term Disability The City offers Voluntary Short Term Disability(STD)insurance to all eligible employees through Cigna.The STD benefit pays employee a percentage of the weekly earnings if employee becomes disabled due to an illness or non-work related injury(Workers Compensation will apply to work-related injury or illness). Voluntary Short Term Disability(STD)Benefits STD Insurance Rates • STD provides a benefit of 60%of employee's weekly earnings up to Monthly Rates per$10 of Weekly Benefit are listed below. a benefit maximum of$1,000 per week. Age Bracket (Based On Employee Age) Insurance Rate • Employee must be disabled for seven(7)consecutive days prior to becoming eligible for benefits(known as the elimination period). <45 $0.276 The elimination period is waived for accidents. 45-49 $0322 • Benefits will begin on the 1st day after the employee is disabled due 50-54 $0.368 to non-work related injury or illness. t 55-59 $0.488 • The maximum benefit period is 13 weeks. 60-64 $0598 • Employee deemed unable to return to work after the STD 13 week 65-69 $0.681 maximum period is exhausted,may be transitioned to Long Term r io-7a $0.745 Disability(LTD). L -- >75 50.809 • Benefit may be reduced by other income. - • • Disability benefits are taxable. • STD insurance coordinates with the City's Sick leave benefits and is reduced by any amount payable to employee from other sources of income such as sick leave,sick leave bank,administrative leave, temporary duty elsewhere and social security. Employee may not receive more than 100%total of all combined income.Please check the City's current leave policy. Calculation for Weekly Disability Benefit $ - 52 = X 60% Enter annual Weekly (Max%of income Max Eligible Amount.Round to nearest dollar. earnings earnings covered) This amount cannot exceed$1,000 Calculation for Cost per Paycheck $ - 10 = $ X $ _ $ X 12 = $ =24 = $ Max Eligible Amount Rate Your Monthly Cost Annual Cost Cost Per Paycheck Cigna ICustomer Service:(800)732-1603 I File a Claim:(800)362-4462 I www.mycigna.com 25 17 ©2016,Gehring Group,Inc.,All Rights Reserved