Res No 144-11-13458RESOLUTION.No.:' 144- 41=1 3458
A Resolution approving the proposal of Lincoln Financial Life
Insurance Company to provide group life insurance and long -term
disability insurance for City of South Miami full time employees.
Authorizing premiums to be.charged to the department account
numbers respectively and authorizing the offer of voluntary life
insurance, voluntary long term disability insurance and voluntary
short term disability insurance to full time employees
WHEREAS, the proposed rate increase by the City's current group life and long -term
disability insurance carrier, The Standard, represents an increase of approximately 30% of the
City's current rate; and
WHEREAS, the proposed rate increase exceeds the City's proposed budged amount for
the life and long -term disability benefits provided to its employees; and
WHEREAS, the current policies expire on September 30, 2011 with a proposed renewal
effective October 1, 2011; and
WHEREAS, in an effort to reduce costs and remain within the proposed budgeted
amount, efforts were made to secure identical coverage from reputable carriers at rates lower than
the proposed renewal rates; and
WHEREAS, the proposals presented to the City were from The Standard, at a 30%
increase; Lincoln Financial Life Insurance Company, at the City's current rates; and
WHEREAS, a third proposal was requested from Mutual of Omaha who has declined to
quote; and
WHEREAS, the City Commission reviewed the insurance rates, benefit plan design, and
proposal submitted by Lincoln Financial Life Insurance Company and determined that the
Proposal provides the desired coverage at the City's current rate; and
WHEREAS, the City Commission wishes to accept the Proposal presented by Lincoln
Financial Life Insurance Company to provide group life insurance and long -term disability
insurance for City of South Miami full time employees to be charged to the department account
numbers respectively and authorizing the offer of voluntary life insurance, long term disability
insurance and short term disability insurance to full time employees to be paid at the employees'
expense.
NOW THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA, THAT:
Section l: The City Manager is hereby authorized to negotiate terms and enter into a policy
contract on behalf of the City with Lincoln Financial Life Insurance Company based on the terms
and conditions contained in the proposal that shall have an effective date of October 1, 2011.
Section 2: This contract shall be at will and shall continue until either party terminates the
contract by giving writing notice to the other party.
Pg. 2 of Res. No. 144 -11 -13458
Section 3: This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this 6th day of Septembe�i2011.
A ST: ` %'/Approve
CITY CLEIhC MAYO
READ AND AP OVED AS TO FORM Commission Vote: 5 -0
LANGUAGE CUTION N Mayor Stoddard: Yea
LEGAL Vice Mayor Newman: Yea
Commissioner Palmer: Yea
Commissioner Beasley: Yea
Commissioner Harris: Yea
TTORNEY
South Miami
biftd
AII•Amedcaft
CITY OF SOUTH MIAMI 1 r
OFFICE OF THE CITY MANAGER
2001
INTER - OFFICE MEMORANDUM
To: The Honorable Mayor & Members of the Ciityy Commission
Via: Hector Mirabile, Ph.D., City Manager
From: LaTasha Nickle, Human Resources Director
Date: September b, 2011 Agenda Item No.:
Subject: Life Insurance Resolution
Request:
A Resolution approving the proposal of Lincoln Financial Life
Insurance Company to provide group life insurance and long -term
disability insurance for City of South Miami full time employees.
Authorizing premiums to be charged to the department account
numbers respectively and authorizing the offer of voluntary life
insurance, voluntary long term disability insurance and voluntary
short term disability insurance to full time employees
Reason/Need: The City's current life and long -term disability insurance carrier, The Standard
Life Insurance Company, announced a rate increase of approximately 30% of the
current policy rates. In response to the steep rate increase, request for quotes
were submitted to various competing agencies. Lincoln Financial has proposed
to provide identical coverage and to offer an additional voluntary short term
disability plan afthe same rates provided under the current policy. Staff requests
that the Commission approve and accept the Proposal presented by Lincoln
Financial. Acceptance of this Proposal will not increase the budgeted
expenditure for this line item.
Backup Documentation:
❑ Proposed resolution.
❑ Proposal from Lincoln Financial
WHY CHOOSE THE LINCOLN NATIONAL LIFE INSURANCE COMPANY?
Lincoln Financial Group maintains:
• Strong financial history
• Some of the highest ratings in the industry
• AA- "Very Strong" Standard & Poor Rating
• A+ "Superior" A.M. Best Company Rating
• A+ "Very Strong" Fitch Rating
• "Direct to Home Office Service" through group sales offices located nationwide
• One -stop shopping for comprehensive group benefits.
• True group products Including Life and AD &D, Short -Term Disability, Long -Term Disability(with
optional Critical illness coverage), Dental and Employee Assistance Programs
• WORKSITEI Voluntary products including Life and AD &D, STD, LTD, Dental and Vision
✓ Featuring Voluntary enrollment form customization
• Real Time Online Benefit Administration with Online Services
o Submit claims and check their status online
o _Change member information online
o Enroll and terminate members and coverages online
o Utilize Virtual Billing capabilities to add or terminate members, then recalculate the bill to reflect
the actual amount owed, and pay the bill online
o View and print group forms, administration guidelines, contracts and certificates online
o Apply for group insurance coverage electronically with e -App
o Continuous enhancements are being made to our Online Service capabilities to better serve
both your needs and your clients' needs
Y Interactive Voice Response (IVR) System allows service 24 hours a day, 7 days a week
o Use IVR to check on the status of claims, members and premium payments all hours of the day,
everyday.
• Lincoln DentalConnect Plan
o Our Lincoln DentalConnect Plan brings many distinct advantages including an expanded
nationwide network with access to more than 173,000 provider locations.
WHAT THIS MEANS FOR YOU...
The Lincoln Financial Group companies:
have a long history of strength and stability, offering you superior products — and the service to back
them up.
focus on making life easier for the customer by doing business the way the customer wants to do
business —via the Web, telephone, IVR, e -mail or fax.
are committed to superior service, combined with a guaranteed commitment to technology, which
means less hassle for youi
The Lincoln National Life Insurance Company
2 8/3112011
CTYSOMIAMI
7084818
City of South Miami
SCHEDULE OF INSURANCE
Proposed Effective Date: October 01, 2011
CLASSIFICATION
Class 1 All Active Full -time Employees
Option 1.00
AMOUNT OF BENEFIT
Life . Accidental Death
Insurance and Dismemberment
(24 Hour)
1.00 times annual salary,
rounded to the next higher 1,000,
subject to a maximum of 50,000
The amount of Life Insurance and AD &D for Class 1 will reduce:
-35% upon the Person's attainment of age 65
-an additional 15% of the original amount at age 70
Benefits will terminate upon retirement.
Annual Salary means only the salary or wage an insured Person receives for services rendered to the Group
Policyholder. It does not include bonuses, overtime pay or other extra compensation other than commissions.
Commissions will be averaged over the 12 month period prior to the date disability begins.
Guarantee Issue
- Insurance amounts in excess of $50,000, including any increases more than $25,000 over the GI, over a
12 -month period based on the month of the policy anniversary date will require the submission and the
approval of satisfactory evidence of insurability.
Minimum Hours: 40, unless otherwise agreed upon.
The AD &D coverage includes the Safe Driver Benefit (Seat Belt & Air Bag Benefit) and Common Carrier
Benefit.
The Employer should consult a tax advisor regarding the tax implication of these benefits.
The Lincoln National Life Insurance Company
2 8/31/2011
OTYSOMIAMI
7084819 City of South Miami
SCHEDULE OF RATES AND COSTS
Number of Monthly
Coverage Employees Volume Rate Premium
Life insurance 140 5,875,250 $.130 /per $1,000 of benefit $763.78
AD &D 140 5,875,250 $.020 1per $1,000 of benefit $117.51
Total Premium $881.29
Quoted rates are guaranteed for Two Years from the effective date of the policy.
Quoted rates assume:
• The above rates assume the Life and AD &D coverages is on a non - contributory basis and 100%
participation is required.
• All employees to be covered are Actively at Work on the policy's effective date. If any individual does
not meet the Actively at Work requirement, we will require full disclosure of all necessary information to
evaluate the risk. After reviewing this information, we reserve the right to revise or withdraw this proposal --
ACTIVELY AT WORK means an employee's full -time performance of all customary duties of his or her
occupation at:
(1) the Group Policyholder's place of business; or .
(2) any other business location where the employee is required to travel.
Unless disabled on the prior workday or on the day of absence, an employee will be considered Actively at
Work on the following days;
(1) a Saturday, Sunday or holiday which is not a scheduled workday;
(2) a paid vacation day, or other scheduled or unscheduled non - workday; or
(3) an excused or emergency leave of absence (except a medical leave).
This proposal describes certain insurance coverages available from Lincoln Financial Group and should under
no circumstances be construed as a contract or offer to contract for such coverages. An application must be
completed and submitted to our Service Office, before a group will be considered for coverage.
If the proposed policy qualifies as a replacement plan, then coverage for an otherwise eligible person who is
disabled on the policy effective date will be administered in accord with any applicable state discontinuance
and replacement law.
The proposal is based on preliminary census data received by Lincoln Financial Group. Actual costs will be
based on the final enrollment data of employees insured under the plan on its effective date. Rates quoted for
the proposed benefits shown are effective for 90 days from the date shown on the proposal. A complete listing
of the terms, conditions, and limitations, that will apply to your coverage, if issued, is available upon request.
The Lincoln National Life Insurance Company
3 $1312011
CTYSOMIAMI
7084819 City of South Miami
PROPOSAL CONDITIONS
This proposal has been prepared on the premise:
there are no known uninsurable individuals in the group to be covered;
no employee is absent from work because of sickness or injury.
If any individual to be insured falls into the above categories, we will require full disclosure of all
necessary information to evaluate the risk. After reviewing this information, we reserve the right to
revise or withdraw our quotation.
To become insured, an eligible employee must be an active, full -time employee who:
- is a member of an eligible class of employees;
- has completed the eligibility waiting period established by the employer;
- is not a temporary or seasonal employee;
- is performing all customary duties of his /her occupation at his/her usual place of business on the policy
effective date (or on the effective date of his/her coverage); and
is regularly scheduled to work at least 40 hours per week, unless otherwise agreed upon.
If included, any eligible dependents must satisfy a non - confinement requirement on the policy effective date (or
on the date coverage becomes effective).
This proposal is based on the assumption that the current insurance carrier will continue coverage on any
insured individual who is disabled on the date the existing contract terminates (even if it terminates while a
disabled person is satisfying any applicable waiting period).
The rates quoted in this proposal are a function of the characteristics of the group (i.e.: Policyholder
contributions, occupations, age, gender, etc.) and the benefits requested at the time of proposal submission. If
the plan is non - contributory, 100% of the eligible employees must enroll; and if the plan is contributory, 75% of
the eligible employees must enroll on the effective date. We reserve the right to re- evaluate the risk, and
revise or withdraw our quotation if necessary, based upon the characteristics of the group and the benefits
provided on the effective date of the plan.
This proposal is a description of insurance coverages available from Lincoln Financial Group and is not an
offer to contract. An application must be completed before a group will be considered for coverage.
This proposal outlines in general some of the important features of the proposed Group Insurance Program.
The controlling provisions will be in the Group Insurance Policy, and this proposal is not intended in any way to
modify the provisions or their meanings. This proposal will remain in effect until withdrawn or a new proposal
is issued by Lincoln Financial Group, but in no event will this proposal remain in effect beyond 90 days from
August 31, 2011.
FL The Lincoln National Life Insurance Company
6 8/31=11
CiYSOMIAMI
7084819 City of South Miami
EMPLOYEE GROUP LIFE INSURANCE
BENEFIT:
The Life Insurance Benefit is payable to the Insured Person's beneficiary upon death from any cause; except if
employees contribute towards the premium, a suicide exclusion will apply to any medically underwritten
amount during the first two years of coverage. The beneficiary may be changed at any time by written notice
to Lincoln Financial Group. If no beneficiary survives the Insured Person, the death benefit will be payable to:
the Insured Person's surviving spouse, children, parents or siblings; or
the Insured Person's estate (as specified in the policy).
CONVERSION PRIVILEGE:
Conversion is available when anyone's group life insurance terminates due to:
- the Insured Person's termination of employment or membership in an eligible class; or
- a covered Dependent's ceasing to be an eligible dependent.
That person has the option to convert all or part of the terminated insurance without Evidence of Insurability.
The conversion may be made to any Individual Life Policy then provided by Lincoln Financial Group, (except -
term insurance). To purchase a conversion policy, application and the first premium payment must be made - -
within the time period specified in the policy.
WAIVER OF PREMIUM (EXTENSION OF DEATH BENEFIT):
An Insured Person's Life Insurance (and any Dependent Life Insurance) will be continued without payment of
premium, if the Insured Person:
- becomes Totally Disabled while insured under the policy and before age 70;
- remains Totally Disabled for at least 6 months; and
- submits satisfactory proof within the time period specified in the policy.
Total Disability shall be defined as shown in the policy. The continued life insurance will be subject to the age
reductions shown in the Schedule of Insurance. The continued life insurance will terminate when the Insured
Person:
- ceases to be Totally Disabled;
- Insured Person fails to take a required medical exam or to submit additional proof as requested;
Insured Person becomes insured under an individual conversion policy; or
- attains age 70 (whichever occurs first).
FL The Lincoln National Life Insurance Company
7 8/31/2011
OTYSOMIAMI
7084819 City of South Miami
LIVING BENEFIT:
An Accelerated Death Benefit is available when the Insured Person's life insurance benefit is $2,000 or more:
If the Insured Person is diagnosed terminally ill due to a sickness or injury at least 12 months after life
insurance takes effect or on the date of an Injury which results in Terminal Illness, then part of his or her life
insurance benefit can be paid prior to death (subject to state law).
Terminally ill means the Insured Person's medical condition is expected to result in death in 12 months or less,
despite appropriate medical treatment.
The amount of the Accelerated Death Benefit is subject to:
- a minimum of $1,000 or 10% of the Insured Person's life insurance coverage, whichever is more; and
- a maximum of $250,000 or 75% of the Insured Person's life insurance coverage, whichever is less.
NOTE: This is not a Long Term Care benefit. Before requesting an Accelerated Death Benefit payment,
Insured Persons should seek their own tax or legal counsel concerning the effect upon taxable income or
eligibility for government benefits.
OTHER FEATURES:
Our LINKS PROGRAM provides integrated disability management when an insured is covered under both our
STD and LTD plans. LINKS helps to provide a smooth transition from STD to LTD without claim filing, while
helping the employee return to work in the most efficient and effective manner possible. Furthermore, the
LINKS program identifies those claimants with group life insurance coverage with us to determine whether
they're eligible for Life Waiver.
The Lincoln National Life Insurance Company
8 6131/2011
crrson IAMI
7084819 City of South Miami
GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE
DEATH OR DISMEMBERMENT BENEFIT FOR AN INSURED PERSON: The benefit shown below will be
paid if:
(1) an Insured Person sustains an accidental bodily injury while insured under this provision; and
(2) that injury directly causes one of the following nonfatal losses within 365 days after the date of the
accident.
The loss must result directly from the injury and from no other causes.
BENEFIT FOR COMMON BENEFIT FOR OTHER
LOSS CARRIER ACCIDENT COVERED ACCIDENT
Loss of Life 2 Times Principal Sum Principal Sum
Loss of one Member (Hand, Foot or Eye) Principal Sum %Principal Sum
Loss of Two or More Members 2 Times Principal Sum Principal Sum
The Principal Sum for the Insured Person's class is shown in the Schedule of Insurance.
MAXIMUM PER PERSON: If an Insured Person sustains more than one loss resulting from the same
accident, the benefit:
(1) will be the one largest amount listed;
(2) will not exceed two times the Principal Sum for all of that person's combined losses resulting from a
Common Carrier Accident; and
(3) will not exceed the Principal Sum for all that person's combined losses resulting from any other
covered accident.
DEFINITIONS: "Common Carrier Accident" means a covered accidental bodily injury, which is sustained while
riding as a fare paying passenger (not a pilot, operator or crew member) in or on, boarding or getting off from a
Common Carrier.
"Loss of a Member' includes the following:
(1) "Loss of Hand or Foot," means complete severance through or above the wrist or ankle joint.
(2) "Loss of an Eye," means total and irrevocable loss of sight in that eye.
LIMITATIONS: Benefits are not payable for any loss to which a contributing cause is:
- intentional self - inflicted injury or self- destruction;
- disease, bodily or mental infirmity, or medical or surgical treatment of these;
- the Insured Person's participation In riot;
- duty as a member of any military, naval or air force;
- war or any act of war, declared or undeclared;
- the Insured Person's participation in the commission of a felony;
- voluntary use of drugs except where prescribed by a Physician;
- voluntary inhalation of gas; Including carbon monoxide;
- travel or flight in any aircraft, including balloons and gliders, except as a fare paying passenger on a regularly
scheduled flight; or
- the Insured Person driving while intoxicated (as defined by the jurisdiction where the accident occurred).
The Lincoln National Life Insurance Company
9 81312011
CTYSOMIAMI
7084819 City of South Miami
SAFE DRIVER BENEFIT
(For Insured Employee)
If an Insured Person dies as a direct result of a covered auto accident, for which Accidental Death and
Dismemberment Benefits are payable; then
(1) an additional Seat Bait Benefit will be payable provided the Insured Person was wearing a properly
fastened seat belt at the time of the accident; and
(2) an additional Air Bag Benefit will be payable, if the auto was equipped with airbag(s).
The Seat Belt Benefit equals $10,000 or 10% of the Principal Sum, whichever is less; and the Air Bag Benefit
equals $10,000 or 10% of the Principal Sum, whichever is less. The Seat Belt Benefit and Air Bag Benefit will
not be less than $1,000 per Insured Person. The Principal Sum is the amount payable because of the Insured
Person's accidental death..
A copy of the police report must be submitted with the claim. The position of the seat belt must be certified by:
(1) the official accident report; or
(2) the coroner, traffic officer or other investigating officer.
Upon receipt of satisfactory written proof, the additional benefit will be paid in accord with the Beneficiary
section.
DEFINITIONS. As used in this provision:
"Auto" means a 4 -wheel passenger car, station wagon, jeep, pick -up truck or van -type car. it must be licensed
for use on public highways. It includes a car owned or leased by the Group Policyholder.
"Intoxicated," "Impaired," or "Under the Influence of Drugs" shall be defined as by the jurisdiction where the
accident occurs.
"Seat Belt" means a properly installed:
(1) seat belt or lap and shoulder restraint; or
(2) other restraint approved by the National Highway Traffic Safety Administration.
LIMITATIONS. Safe Driver Benefits will not be paid if:
(1) the Accidental Death and Dismemberment Benefits is not paid under the Policy for the Insured
Person's death; or
(2) at the time of the accident, the Insured Person or any other person who was driving the auto in which
the Insured Person was traveling:
(a) was driving without a valid drivers' license;
(b) was driving in excess of the legal speed limit; or
(c) was driving while intoxicated, impaired, or under the influence of drugs (except for drugs taken as
prescribed by a Physician for the driver's use).
The above limitations will apply, whether or not the driver is convicted.
The Lincoln National Life Insurance Company
Seat Belt 10 8131=11
CTYSOMIAMI
7084819 City of South Miami
Long -Term Disability (LTD) Benefits & Cost Summary
Proposed Effective Date: October 01, 2011 Option 1.00
Class 1: Core Plan
Minimum Hours: 40, unless otherwise agreed upon.
The Premier Plan is our traditional full- featured Long -Term Disability benefit plan. The Premier Plan provides
the most comprehensive LTD plan of benefits, which are outlined below:
SCHEDULE OF BENEFITS PREMIER PLAN
Long Term Disability Benefit
40%
Progressive Income Benefit
10%
(qualification requirements apply)
Any Occupation
Total Available Benefit
50%
Maximum Monthly Benefit
$6,000
Social Security Integration
Primary & Family
Minimum Monthly Benefit
$100 .
Elimination Period
90 Days
- Accumulation of Elimination Period
2X Elimination Period
Maximum Benefit Period
Later of Age 65 or SSNRA --
Pre - existing Condition Exclusion
3112
Specified Illness /Injury Limits
12 Months
- Mental /Nervous & Substance Abuse
24 Months
- Other Limits (Specified Illnesses)
No Limit
Premium Contributions
Non - Contributory
Minimum Participation
100%
DEFINITION OF DISABILITY
$5,000
Own Occupation Coverage Period
24 Months
Following Own Occupation Period
Any Occupation
Zero Day Residual
Included
Return to Work Incentive
SSNRA
Partial Disability Formula
Residual w/ Progressive
- Income Test first 24 Months
99%
- Income Test after 24 Months
85%
ADDITIONAL FEATURES
PIB Maximum
$5,000
Reasonable Accommodation
Included
Vocational Rehabilitation
Voluntary
Survivor Income Benefit
3 Months
Subrogation/Third Party Reimburs.
Not Included
Conversion Option
Included
COLA
Not Included
Retirement Income Protection
Not Included
Medical Premium Benefit
Not Included
- Maximum Period
Not Included
Family Care
$250
- Maximum Period
12 Months
Prior Insurance Credit
Included
The Lincoln National Life Insurance Company
11 08131/11
CTYSOMIAMI
7084819
PLAN ASSUMPTIONS & COST
Number of Employees
Monthly Covered Payroll
Rate, as a Percent of Payroll
MONTHLY PREMIUM
Rate Guarantee
City of South Miami
140
$579,426
.24%
$1,390.62
Two Years
(continued on next page)
The Lincoln National Life Insurance Company
12 08/31/11
OTYSOMIAMI
7084819 City of South Miami
Long -Term Disability (LTD) Benefits & Cost Summary
Proposed Effective Date: October 01, 2011 Option 2.00
Class 1: Buy Up
Minimum Hours: 40, unless otherwise agreed upon.
The Premier Plan is our traditional full- featured Long -Term Disability benefit plan. The Premier Plan provides
the most comprehensive LTD plan of benefits, which are outlined below:
SCHEDULE OF BENEFITS
Long Term Disability Benefit
Progressive Income Benefit
(qualification requirements apply)
Total Available Benefit
Maximum Monthly Benefit
Social Security Integration
Minimum Monthly Benefit
Elimination Period
- Accumulation of Elimination Period
Maximum Benefit Period
Pre - existing Condition Exclusion
Specified Illness /Injury Limits
- Mental/Nervous & Substance Abuse
- Other Limits (Specified Illnesses)
Premium Contributions
Minimum Participation
DEFINITION OF DISABILITY
Own Occupation Coverage Period
Following Own Occupation Period
Zero Day Residual
Return to Work Incentive
Partial Disability Formula
- Income Test first 24 Months
- Income Test after 24 Months
ADDITIONAL FEATURES
PIS Maximum
Reasonable Accommodation
Vocational Rehabilitation
Survivor Income Benefit
Subrogation/Third Party Reimburs.
Conversion Option
COLA
Retirement Income Protection
Medical Premium Benefit
- Maximum Period
Family Care
- Maximum Period
Prior Insurance Credit
PREMIER PLAN
60%
10%
70%
$6,000
Primary & Family
$100
90 Days
2X Elimination Period
Later of Age 65 or SSNRA --
3/12
24 Months
No Limit
Contributory
25%
24 Months
Any Occupation
Included
SSNRA
Residual w/ Progressive
99%
85%
$5,000
Included
Voluntary
3 Months
Not Included
Included
Not included
Not Included
Not Included
Not Included
$250
12 Months
Included
The Lincoln National Life Insurance Company
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CTYSOMIAMI
7084819 City of South Miami
PLAN ASSUMPTIONS & COST
Number of Employees
TBD
Monthly Covered Payroll
TBD
Rate, as a Percent of Payroll
See Below
MONTHLY PREMIUM
TBD
Rate Guarantee Two Years
0 -29:
$0.26
30 -34:
$0.30'
35 -39:
$0.35
40 -44:
$0.48
45-49:
$0.71
50 -54:
$1.02
55 -59:
$1.40
60 -64:
$1.55
65-69:
$1.72
70 -74:
$1.62
75+
$2.52
(continued on next page)
The Lincoln National Life Insurance Company
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LTD Benefits & Cost Summary (continued)
PROPOSAL ASSUMPTIONS & CONDITIONS
This proposal assumes that:
there are no known uninsurable individuals in the group to be covered; and
no employee is absent from work because of sickness or injury.
If any individual to be insured fails into either of these categories, Lincoln Financial Group requires full
disclosure of all information needed to evaluate the risk. After reviewing this information, we reserve the right
to revise or withdraw our proposal.
If the proposed policy qualifies as a replacement plan, then coverage for an otherwise eligible person who is
disabled on the policy effective date will be administered in accord with any applicable state discontinuance
and replacement law.
The proposal also assumes current and continued employer and employee participation in Workers'
Compensation or an equivalent plan, which would be used as a source of integration (offset) for the LTD plan
of benefits.
If the employer's LTD plan is currently insured by another carrier, this proposal assumes that the current carrier
Will continue coverage on any insured employee who is disabled on the date the existing contract terminates -
even if the contract terminates before the disabled employee has satisfied the Elimination Period.
Quoted rates were developed based on the information contained in the Request for Proposal. Final rates will
be calculated based on:
- the agreed -upon plan;
- amount & tax status of employer and employee contributions;
- enrolled census;
- employee location(s);
- correct industry code (SIC); and
- other pertinent underwriting factors,
Lincoln Financial Group reserves the right to re -rate or refuse to issue coverage if there are changes in these
factors.
THIS IS NOT A CONTRACT:
This illustration was prepared based on the information provided in the Request for Proposal. It is a
description of the Long Term Disability Insurance coverage available from us and not an offer to contract.
More detailed information is available upon request concerning the terms, conditions and limitations contained
in the master policy, if issued. If there are discrepancies between the information contained in this proposal
and the master policy, the terms of the master policy will control.
An Application for Group Insurance must be completed by the employer and approved by us before coverage
can become effective.
This proposal is subject to revision if not accepted within 90 days of August 31, 2011.
(continued on next page)
The Lincoln National Life Insurance Company
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7084819 City of South Miami
LTD Benefits & Cost Summary (continued)
OUR PROPOSAL INCLUDES THE FOLLOWING PROVISIONS:
PROGRESSIVE PARTIAL Disability Benefit with RETURN TO WORK INCENTIVE: The plan includes our
BACK ON TRACK partial disability benefit. BACK ON TRACK °encourages employees to try to return to work
by allowing them to receive an overall higher level of income than they would receive from their total disability
benefit.
An employee may qualify for a partial disability benefit if he or she is partially disabled, is earning at least 20%
of his or her pre - disability income, and is under the regular care of a physician.
The partial disability formula remains consistent throughout the duration of the benefit period. The partial
disability benefit will not be reduced by earnings from any employer, until those earnings, plus the policy
benefit and any other income benefits from other sources listed in the policy exceed 100% of pre - disability
earnings. Lincoln Financial Group will pay the lesser of:
(A) LOST INCOME: The insured's predisability income, minus all Other Income Benefits (including earnings
from partial disability employment).
(B) THE TOTAL DISABILITY NET MONTHLY BENEFIT: The Benefit Percentage times the insured's
predisability earnings (limited to the Maximum Monthly Benefit), minus Other Income Benefits (except for
earnings from partial disability employment)
However, this amount will not be less than the Minimum Monthly Benefit.
During the first 24 months of partial disability benefits -- even if the claimant has received total disability
benefits for several years - a partially disabled employee can receive up to 99% of pre - disability earnings from
partial disability employment.
After 24 months of partial disability benefits, the BACK ON TRACK" provision will continue to pay partial
disability benefits until the employee's earnings from partial disability employment exceed 85% of predisability
earnings.
RECOVERY BENEFIT FOR COMMISSIONED EMPLOYEES: The Recovery Benefit allows insureds to
receive an additional benefit for up to six months white they rebuild their earnings. Employees are eligible for
this benefit if they return to Full -time work in their own occupation, previously received earned commissions as
part of the predisability earnings and upon return continue to earn commissions, have received Total or Partial
Disability benefits for at least 1 month and earn less than 100% of Predisability Income.
FAMILY CARE: Caring for dependents during a time of disability can result in additional expenses. The
Family Care Expense benefit provides disabled employees a way to help offset these costs during a period of
disability. The benefit amount will be the lesser of the actual employee contribution toward dependent care, or
the benefit amount shown in the schedule.
ZERO DAY RESIDUAL: The elimination period can be satisfied by either days of total and /or partial disability
and requires no loss of earnings.
VOCATIONAL REHABILITATION: (Refer to the Schedule of Benefits) Lincoln Financial Group offers
vocational rehabilitation programs that focus on job modification, retraining and job placement. With the help
of these services, many disabled employees are able to return to productive employment.
BENEFIT LIMITATIONS: (Refer to the Schedule of Benefits)
The Lincoln National Life Insurance Company
16 08/31111
CTYSOMIAMI
7084819
City of South Miami
The Plan includes maximum benefit duration limits for disabilities caused by mental sickness and/or substance
abuse.
INITIAL ENROLLMENT PERIOD:
On the effective date, the Company will takeover existing participants at their current benefit amounts.
Amounts exceeding the guaranteed acceptance level are subject to underwriting review and approval. .
The Lincoln National Life Insurance Company
17 08/31/11
CTYSOMIAMI
7084819 City of South Miami
Group Long Term Disability Insurance
ELIGIBLE EMPLOYEE is an active, full -time employee who:
is a member of an eligible class of employees;
- has completed the eligibility waiting period established by the employer;
- is not a temporary or seasonal employee;
- is at work on the effective date of his /her coverage;
- is regularly scheduled to work at least 40 hours per week, unless otherwise agreed upon; and
- is a citizen of or legally works in the United States.
ELIMINATION PERIOD is the period of disability during which no benefit is payable. It is shown on the
Benefits. & Cost Summary page of this proposal. The elimination period begins on the first day of disability.
Only days of total or partial disability will count towards the satisfaction of the elimination period.
Accumulation of Elimination Period: With this feature, the elimination period is satisfied when.the required
number of days is accumulated within a period up to two times the length of the elimination period. For
example, a 90 day elimination period must be satisfied within 180 consecutive days.
PREDISABILITY INCOME means the employee's monthly rate of earnings from the employer in effect:
1. just prior to the date the Elimination Period begins; or
2. just prior to the date an approved leave of absence begins, if the Elimination Period begins while the
employee is continuing coverage during a leave of absence.
It includes commissions averaged over the most recent 12 months before the disability begins. Predisability
income does not include overtime pay, bonuses or other forms of compensation. It is also referred to as
'BASIC MONTHLY EARNINGS'.
Other'eamings' definitions may be available upon request.
The Lincoln National Life Insurance Company
18 08/31/11
C rYSOMIAMI
7084819 City of South Miami
TOTAL DISABILITY
Total Disability means that, due to an injury or sickness, an employee is unable:
1. During the ELIMINATION PERIOD and the "OWN OCCUPATION" Period, to perform each of the main
duties of his or her regular occupation; and
2. After the "OWN OCCUPATION" Period, to perform each of the main duties of any occupation which his or
her training, education or experience will reasonably allow.
The loss of a professional license, an occupational license or certification, or a driver's license for any reason
does not, by itself, constitute Total Disability.
OWN OCCUPATION PERIOD: 24 Months (Option 1.00, 2.00)
Under the proposed policy, the "own occupation" period is the period beginning at the end of the elimination
period and ending 24 months later.
MONTHLY TOTAL DISABILITY BENEFIT: After the Elimination Period is satisfied, the LTD policy provides a
monthly benefit for an employee who is totally disabled and under a physician's regular care. This monthly
total disability benefit equals:
the benefit percentage times the insured's predisability income, up to the maximum monthly benefit;
- minus other income benefits.
This benefit amount will not be less than the minimum monthly benefit.
The policy also provides a monthly benefit for an employee who is partially disabled, under a physician's
regular care, and sustaining a specified percentage of lost earnings. See the Partial Disability Benefit section
of this proposal.
RECURRENT DISABILITY means a disability which is related to or due to the same cause or causes of a prior
disability for which a monthly benefit was payable. A recurrent disability:
- will be treated as part of the prior disability if, after receiving policy benefits, the employee returns to his or
her regular occupation full -time for less than 6 months.
- will be treated as a new period of disability if, after receiving policy benefits, an employee returns to his or
her regular occupation full -time for 6 months or more. A new elimination period must be completed before
benefits become payable.
The Lincoln National Life Insurance Company
19 08/31/11
CTYSOMIAMI
7084819 City of South Miami
BACK ON TRACK® PARTIAL DISABILITY BENEFIT - Residual with Progressive Partial (Option 9.00,
2.00)
An employee may qualify for a partial disability benefit if he or she is partially disabled, is earning at least 20%
of his or her predisability income, and is under the regular care of a physician.
Partially Disabled will be defined as follows:
1. During the Elimination Period and Own Occupation Period, it means that due to an Injury or Sickness
the Insured Employee:
a) is unable to perform one or more of the substantial and material duties of his or her occupation, or
is unable to perform such duties full -time; and
b) is engaged in Partial Disability Employment,
2. After the Own Occupation Period, it means that due to an Injury or Sickness the Insured Employee:
a) is unable to perform one or more of the substantial and material duties of any occupation which his
or her training, education or experience will reasonably allow; or is unable to perform such duties
full -time; and
b) is engaged in Partial Disability Employment.
The Partial Disability Monthly Benefit will cease on the earliest of:
t. the date the employee ceases to be Partially Disabled or dies;
2. the date the Maximum Benefit Period ends;
3. the date the employee earns more than 99% of predisability income, until partial disability benefits have
been paid for 24 months;
4. the date the employee earns more than 85% of predisability income, after partial disability benefits have
been paid for 24 months;
5. the date the employee is able, but chooses not to work full -time:
a) in his or her regular occupation, during the Own Occupation Period;
b) in any occupation, after the Own Occupation Period;
6, the date the employee fails to take a required medical exam, without good cause; or
7. the 601h day after the Company mails a request for additional proof, if not given.
The Lincoln National Life Insurance Company
20 08/31/11
CTYSOMIAMI
7084819
City of South Miami
The Partial Disability Monthly Benefit equals the lesser of A or B below:
A) The total disability benefit which would be payable V the employee received no earnings from partial
disability employment: predisability income (times) benefit percentage (limited to the maximum Monthly
Benefit); minus other income benefits excluding earnings from partial disability employment.
B) The employee's predisability income minus other income benefits, as defined in the policy, including
earnings from partial disability employment.
Example: Benefit Percentage:
Maximum Monthly Benefit:
Predisability Income:
Partial Disability Employment Earnings:
Other income Benefits:
The partial disability benefit payable is the lesser of:
A) 60% of Predisability Income (limited to the
Maximum Monthly Benefit) less Other
Income Benefits:
60%
$5,000
$3,000
$1,450
$0
B) Predisability Income less Partial Disability
Employment Earnings and Other Income
Benefits:
$3,000 $3;000
x60% 41,450
$1,800 $1,550
With Back On Track", Income the employee receives from all sources would equal $3,000.
(The LTD Plan's monthly partial disability benefit payment would equal $1,550, the lesser of A and B. Partial
disability employment earnings of $1,450 + partial disability benefit of $1,550 = $3,000.)
The partial disability benefit payable will never be more than the total disability monthly benefit or less than the
minimum monthly benefit payable under the policy.
The Lincoln National Life Insurance Company
FL 21 08131/11
OTYSOMIAMI
7084819 City of South Miami
MAXIMUM BENEFIT PERIOD - Social Security Normal Retirement Age ( SSNRA) (Option 1.00, 2.00)
Benefits for a disabled employee are payable to the employee's Social Security Normal Retirement Age, or the
Maximum Benefit Period shown below (whichever is later):
Age at Disability Maximum Benefit Period
Less than age 60 SSNRA
60 60 months
61 48 months
62 42 months
63 36 months
64 30 months
65 24 months
66 21 months
67 18 months
68 15 months
69 and over 12 months
SOCIAL SECURITY INTEGRATION: Primary and Family Social Security Integration (Option 1.00, 2.00)
The Group Long Term Disability Benefit will be reduced by:
Social Security disability and unreduced retirement benefits which the employee and spouse receives; and
- reduced Social Security benefits which the employee and spouse receive.
BENEFIT REDUCTIONS from OTHER INCOME: LTD benefits will be reduced by disability or retirement
benefits from the following sources.
Social Security benefits, described above
Disability benefits for which the employee receives under:
- State - mandated temporary income plans
- Any compulsory benefit, act or law
- Any employer- sponsored group disability, sick leave or formal salary continuance plans
- Any public retirement system due to employment with policyholder
Disability benefits which the employee receives under Workers' Compensation, occupational disease or
similar law
Disability or retirement benefits received under a retirement plan
LTD Benefits are not reduced by:
Distributions from profit sharing, 401(k), IRA, TSA or stock ownership plans
Non qualified deferred compensation plans
Cost -Of- Living Freeze: After the initial reduction for other income benefits, the monthly LTD benefit will not
be further reduced due to any cost -of- living increases payable under any of these other income benefits.
MINIMUM MONTHLY BENEFIT: A disabled employee will not receive less than the minimum monthly benefit
shown in the Benefits & Cost Summary page, regardless of income received from other sources.
WAIVER OF PREMIUM: Premium payments for a disabled employee are waived during any period for which
total or partial disability benefits are payable.
The Lincoln National Life Insurance Company
22 08/31/11
CTYSOMIAMI
7084819 City of South Miami
PROGRESSIVE INCOME BENEFIT
This optional benefit provides an additional level of income protection to the insured when coupled with the
Long -Term Disability insurance program.
When an employee receives LTD benefits through Lincoln Financial Group, the Progressive Income Benefit
feature may increase the total Benefit Percentage payable if the employee:
is unable to perform two or more "Activities of Daily Living" or
suffers a Cognitive Impairment.
"Activities of Daily Living" include bathing, dressing, toileting, transferring, continence and eating.
Cognitive Impairment is defined as the permanent loss of cognitive or intellectual capacity and requires another
person's hands -on help.
The additional benefit amounts payable under this feature will not be reduced or offset by income from other
sources. The amount of the Progressive Income Benefit will not exceed the Maximum Monthly Benefit for
Long Term Disability Benefits, or the Progressive Income Benefit Maximum (whichever is less).
The coverage added by this benefit will be subject to all of the Definitions, Exclusions, Proof of Claim, Waiver
of Premium and other provisions of the Policy.
SURVIVOR INCOME BENEFIT: 3 Months (Option 1.00, 100)
If an employee dies after having been disabled for a minimum of 180 consecutive days and the employee was
receiving a monthly benefit under the policy, Lincoln Financial Group will pay the eligible survivor a lump sum
benefit equal to three times the employee's last gross monthly LTD Benefit. if there are no eligible survivors,
payment will be made to the employee's estate.
REASONABLE ACCOMMODATION BENEFIT enhances the return to work possibilities for an employee by
assisting the employer in complying with the reasonable accommodation section of the Americans with
Disabilities Act (ADA).
The benefit is designed to reimburse the policyholder for any "reasonable accommodations" made to the
workplace to allow an employee currently receiving disability benefits to return to work. Examples of such
accommodations could be more accessible parking spaces or entrances, removal of barriers or hazards from
the worksite, installation of special seating, furniture or equipment for the employee's workstation, or the
provision of special training materials or other services necessary to help the employee return to work.
The benefit reimburses the employer for 50% of the expense incurred for reasonable accommodation services
(as described above) up to a maximum of $5,000 on any one employee. In order for a policyholder /employer
to be eligible for this benefit, the employer must have an employee:
1. whose disability prevents the performance of his or her regular occupation at the employer's worksite;
2, who has the physical and mental abilities needed to perform his or her own or another occupation at the
employer's worksite; but only with the help of the proposed accommodation; and
3. who is reasonably expected to return to work with the help of the proposed accommodation.
Once an employer is considered eligible, a written proposal is developed with input from the employer,
employee and attending physician, which states the purpose of the proposed accommodation. Upon receipt of
proof that the employer has provided the services for the employee and paid the provider for the services, the
employer will be reimbursed.
OTHER FEATURES:
The Lincoln National Life Insurance Company
23 - 08131/11
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7084819 City of South Miami
Our LINKS PROGRAM provides integrated disability management when an insured is covered under both our
STD and LTD plans. LINKS helps to provide a smooth transition from STD to LTD without claim filing, while
helping the employee return to work in the most efficient and effective manner possible. Furthermore, the
LINKS program identifies those claimants with group life insurance coverage with us to determine whether
they're eligible for Life Waiver.
A FICA MATCH SERVICE is included on all new and existing LTD business at no additional charge. With this
service, Lincoln Financial Group matches the policyholder's share of FICA taxes on payments made to
disabled employees; generates monthly reports summarizing what has been paid and withheld; and prepares
W -2 forms at year -end for LTD benefits paid to each disabled employee.
VOCATIONAL REHABILITATION BENEFIT (Refer to the Schedule of Benefits)
With the assistance of vocational rehabilitation programs that focus on job modifications, job placement and
retraining, many disabled. employees can return to productive employment. Services such as these are
available to employees unable to perform their regular occupation, and who do not currently have the skills to
return to work at another occupation. These employees must have the physical and mental capability for the
successful completion of a rehabilitation program. In addition, there must be reasonable expectation that these
services will assist the employee in returning to work.
If the employee is eligible for rehabilitation services, a written program will be developed with input from the
employee, physician and employer outlining the goals, responsibilities, services, and all applicable costs of the
program. Rehabilitation efforts only take place if the patient's physician endorses the program.
Consideration for participation in such a program can be proposed by the employee, attending physician or
Lincoln Financial Group.
The Lincoln National Life Insurance Company
24 08181/11
CTYSOMIAMI
7084819 City of South Miami
PRE - EXISTING CONDITION EXCLUSION: 3112 (Option 1.00, 2A0)
The policy will not cover any total or partial disability which:
1. is contributed to, caused by or results from a pre - existing condition; and
2. begins in the first 12 months after the employee's effective date of coverage under the employer's long
term disability plan.
A pre- existing condition is a sickness or injury for which the employee received treatment during the 3 months
prior to his or her effective date. "Treatment" means consultation, care or services provided by a physician,
including diagnostic measures and the prescription and /or taking of drugs and medicines.
If the claimant is confined to a hospital or other appropriate treatment facility at the end of the first 24 months of
receiving total and /or partial disability benefits for one of these conditions, the monthly benefit will continue to
be paid until discharge. The monthly benefit will not be payable beyond the policy's Maximum Benefit Period.
PRIOR INSURANCE CREDIT UPON TRANSFER OF INSURANCE CARRIERS: Option 1.00, 2.00
To prevent loss of coverage for an employee because of a transfer of insurance carriers, this policy will provide
prior insurance credit for employees insured under the prior carriers' policy on its termination date as follows:
The Lincoln National Life Insurance Company
25 08/31/11
CTYSOMIAMI
N84B19 City of South Miami
Disability Due To A Pre - Existing Condition:
Benefits may be payable for a disability due to a pre- existing condition for an employee who:
1, was insured by the prior carrier at the time of transfer; and
2. was actively -at -work and insured under this policy on its effective date.
The level of benefits will be the lesser of as follows:
1. If the employee is eligible for benefits under this policy, such employee will be paid according to this
policy's benefit schedule.
2, if the employee is not eligible for benefits under this policy, such employee will be paid according to the
prior carrier's benefit schedule, if eligible for benefits under that plan; or
3. If the employee is not eligible for benefits under this policy or the prior carriers plan, no benefit will be
paid.
Failure To Be Active -At -Work Due To Injury Or Sickness:
Subject to premium payments, the policy will provide coverage to any employee:
1. who was insured by the carriers policy at the time of transfer; and
2. who was not actively -at -work due to injury or sickness on the policy's effective date.
The coverage will be that provided by the prior carrier's policy, had it remained inforce. The Company will pay:
1. the benefit that the prior carrier would have paid; minus
2. any amount for which the prior carrier is liable.
MENTAL & NERVOUS DISORDERS LIMITATION: (Refer to the Schedule of Benefits)
Benefits for disability due to mental illness will be payable for up to the number of months shown in the
Schedule of Benefits. If the claimant is confined to a hospital or other appropriate treatment facility at the end
of the number of months shown in the Schedule of Benefits, the monthly benefit will continue to be paid until
discharge. The monthly benefit will not be payable' beyond the policy's maximum benefit period.
SUBSTANCE ABUSE LIMITATION: (Refer to the Schedule of Benefits)
Benefits for disability due to substance abuse will be payable for up to the number of months shown in the
Schedule of Benefits. If the claimant is confined to a hospital or other appropriate treatment facility at the end
of the number of months shown in the Schedule of Benefits, the monthly benefit will continue to be paid until
discharge. The monthly benefit will not be payable beyond the policy's maximum benefit period.
"Substance Abuse" means alcoholism, drug abuse or chemical dependency of any type.
EXCLUSIONS: Disabilities which arise from intentionally self - inflicted injuries, war, participation in a riot,
committing /attempting to commit a felony, or being incarcerated for the commission of a felony are excluded
from coverage. Disabilities during which the employee is not under the regular care of a Physician or after the
employee has resided outside of the United States or Canada for more than 12 consecutive months for
purposes other than employment are also excluded.
CONVERSION PRIVILEGE: Option 1.00, 2.00
The conversion privilege allows an employee to convert LTD coverage if the employee leaves the employer.
The employee may obtain converted long term disability insurance without medical evidence of insurability.
To be eligible to convert, an employee must have been insured under the employer's group plan for at least 12
months in a row prior to coverage terminating under the policy. The 12 months can be a combination of
coverage under the current policy and under any prior group long term disability plan which this policy
replaced. The employee must make the application to convert within 31 days after insurance under the policy
terminates.
Conversion is available when an employee's insurance under the policy ends because he or she:
The Lincoln National Life Insurance Company
26 08131/11
CTYSOMIAMI
7084819 City of South Miami
1. resigns from employment with the employer;
2. goes on a lay -off or leave of absence and remains on a lay -off or leave absence beyond the continuation
period provided in the policy.
The conversion privilege is not available when insurance terminates because:
1. the policy is terminated by the employer or Lincoln Financial Group;
2, the policy is amended to exclude the class to which the employee belongs;
3. the employee no longer belongs to a class eligible for coverage under the policy;
4. the employee retires or dies;
5. the employee fails to pay the required premium;
6. the employee is disabled under the terms of the policy; or
7. the employee becomes insured for LTD benefits under any other group plan.
The Lincoln National Life Insurance Company
27 08/31/11
WORKSITE I City of South Miami
PORTFOLIO
How WORKSITE I Can Work For You!
Offering a comprehensive and progressive benefit package to employees is vital in today's job market.
Employees appreciate and expect a benefit package that will help them meet their various insurance needs.
The question is...
How do you afford to provide the extra coverage and stay within your budget?
We've got the answer...
WORKSITE 1 P 0 R T F 0 L 10.
WORKSITE I PORTFOLIO consists of a variety of voluntary benefit programs for your employees to
choose from. Each program allows your employees the opportunity to select and customize the benefit
program that's right for their specific needs. Since benefits are paid directly by the employee, your
organization's overall benefit package is enhanced with no cost to you.
Your employees will appreciate having these additional benefit choices available along with the added
convenience of payment through payroll deduction. In addition, you will appreciate our simple, yet thorough
approach to product design, enrollment and administration of the programs.
WORKSITE I P O R T F 0 L 10 of benefits is a win -win situation for everyone! It is our privilege to become
your partner in delivering quality benefit programs to your employees.
WORKSITE I Proarams
- Voluntary Term Life
- Voluntary Short -Term Disability
Voluntary Long -Term Disability
Voluntary Dental
Voluntary Vision
The Lincoln National Life Insurance Company
25 8/31/2011
CTYSOMIAMI
7084819
WOKKSITBI
PORTFOLIO
City of South Miami
Voluntary Term Life
Voluntary Term Life is a group term life insurance program designed to provide benefits to an insured's
beneficiary in the event of an untimely death or accident (if AD &D is chosen).
Voluntary Term Life offers these features and advantages:
- Affordability
- Guaranteed Acceptance, according to underwriting guidelines
- Coverage choices to meet employee needs
- Spouse and Dependent Children coverage
- Accidental Death Insurance
- Waiver of Premium (Extension of Death Benefit)
- ,- Living Benefits (Accelerated Death Benefit Provision)
Fully Portable Coverage
- Flexibility to meet an employee's changing needs
- Payment convenience through payroll deduction
Life insurance protection is essential for all of your employees, regardless of whether they are:
Young or Old
Single or Married
Male or Female
With or without Children
Voluntary Term Life allows your employees, their spouses and their children to purchase the extra financial
security they need. They'll appreciate the fact that City of South Miami realizes this benefit is valuable to
them and their families in protecting their financial future.
The Lincoln National Life Insurance Company
29 8/3112011
CTYSOMIAMI
7084819
WORKSXTE 1 City of South Miami
PORTFOLIO
Voluntary Term Life Schedule
Option 1.00
Proposed Effective Date: October 01, 2011
Voluntary Term Life offers your employees and their spouses the opportunity to choose the life insurance
benefit(s) they want at a price they can afford.
Employee
- Coverage is available in $10,000 increments up to 5.00x annual salary (rounded to the next higher
$10,000)
- Minimum coverage is $10,000
- Maximum coverage is $500,000
- For employees age 70 & over, maximum coverage is $50,000
- Coverage reduces 35% upon the Person's attainment of age 65, an additional 25% of the original amount
at age 70, an additional 15% of the original amount at age 75, an additional 15% of the original amount at
age 80, and will terminate upon retirement.
Voluntary Life Benefit features:
- Portability.
- Employee Life Insurance Premium Waiver.
- Accelerated Death Benefit (Living Benefit) - maximum of $250,000 or 75% of Insured person's Life
insurance coverage, whichever is less.
- Conversion is available when insurance terminates.
All permanent employees regularly scheduled to work at least 40 hours each week are eligible to participate.
An employee must be actively at work on the date coverage takes effect. Employees who work part-time, on-
call or on a seasonal basis are not eligible to participate in the program. Retirees are not eligible.
Spouse
Coverage is available in $5,000 increments up to 2.50x the employee's annual salary (rounded to the next
higher $5,000), not to exceed 50% of the employee's coverage amount
Minimum coverage is $5,000
Maximum coverage is $250,000
Coverage reduces 35% upon the employee's attainment of age 65, and will terminate upon the employee's
attainment of age 70 or retirement, whichever occurs first.
Spouse coverage is only available if the employee is insured for voluntary coverage.
Dependent Children
- Dependent Coverage is only available if the employee is insured for voluntary coverage.
- This benefit provides coverage for all dependent children in the following amounts:
From age 6 months to 19 years old $10,000
(up to 25 years of age, if unmarried, & a full -time student)
Age 14 days to 6 months $250
From birth to age 14 days No benefit
The Employer should consult a tax advisor regarding the tax implication of these benefits.
The Lincoln National Life Insurance Company
30 8731/2011
CTYSOMIAMI
7084818
WORKSITi31 City of South Miami
PORTFOLIO
Rates
The following Voluntary Term Life rates were developed for City of South Miami, using characteristics
specific to your group.
Aue Uni- smoker
with AD &D
<25 0.07
0.100
26-29 0.07
0.100
30-34 0.08
0.110
35-39 0.11
0.140
40-44 0.19
0.220
45-49 0.35
0.380
50-54 0.55
0.580
55-59 0.94
0.970
60-64 1.07
1.100
65-69 2.01
2.040
70-74 3.32
3.350
75-79 11.02
11.050
80-99 11.02
11.050
These rates are:
- Unisex
- Guaranteed for Two Years from the program effective date
- Based on the employee's
current age for both Employee and Spouse
- Shown as a monthly rate per $1,000 of Life Insurance Coverage
- Adjusted once each year on the program anniversary date
- Based on 140 eligible employees
Accidental Death & Dismemberment coverage is $.03 per $1,000 per month as shown above.
Employee Accidental Death & Dismemberment benefit features:
Seatbelt Benefit -- $10,000 or 10% of the principal sum, whichever is less.
Airbag Benefit -- $10,000 or 10% of the principal sum, whichever is less.
Common Carrier -- Two times principal sum otherwise paid for Other Covered Accidents.
Dependent Children coverage is $2.00 per month for $10,000, regardless of the number of children.
The Lincoln National life Insurance Company
31 8/31/2011
CTYSOMIAMI
7084819
WORKSI7E I City of South Miami
PORTFOLIO
This proposal assumes that:
• All employees to be covered are Actively at Work on the policy's effective date. Actively at Work means
an employee's full -time performance of all customary duties of his or her occupation at:
(1) the policyholder's place of business; or
(2) any other business location where the employee is required to travel,
Spouses and dependent children to be covered are not in a'Period of Limited Activity'.
Period of Limited Activity means a period when a spouse or child is confined in a health care facility; or,
whether confined or not, is unable to perform the regular and usual activities of a healthy person of the
same age and sex.
If a spouse or child is in a Period of Limited Activity on the day his or her Dependent Life Insurance would
otherwise take effect, insurance for that dependent will not take effect until the day after:
(1) his or her final discharge from the health care facility; or '
(2) his or her resumption of the normal activities of a healthy person of the same age and sex.
If any individual does not meet these requirements, we will require full disclosure of all necessary
information to evaluate the risk. After reviewing this Information, we reserve the right to revise or
withdraw this proposal.
The Lincoln National Life Insurance Company
32 8/31/2011
CTYSOMIAMI
7084819
WORKSITE 1 City of South Miami
PORTFOLIO
Proposal Conditions
This proposal contains an outline of the coverage, benefits, rates and other additional information regarding the
Voluntary Term Life Program we offer. This proposal is not a contract. The controlling provisions will be in the
Group Insurance Master Policy, and this proposal is not intended in any way to modify the provisions or their
meanings. If there is any conflict between the proposal and the Group Insurance Master Policy, the Group
Insurance Master Policy controls.
The Voluntary Term Life program is subject to the laws and rulings of the State Insurance Department having
jurisdiction. This plan of insurance is not available in every state and in those states where it is available, it
may be withdrawn or revised at any time prior to acceptance.
The rates quoted in this proposal are a function of the characteristics of City of South Miami at the time of
proposal submission. We reserve the right to re- evaluate the risk, and change the rates if necessary, based
upon the characteristics of the group on the anniversary date of the program.
This proposal will remain in effect until withdrawn or a new proposal is issued, but in no event will this proposal
remain in effect beyond 90 days from August 31, 2011.
The Lincoln National Life Insurance Company
33 8/31/2011
CTYSOMIAMI
7084819
WORKSITE I City of South Miami
PORTFOLIO
Underwriting
Guaranteed Acceptance
Your Voluntary Term Life program offers a certain amount of coverage to eligible employees, spouses and
dependent children without having to provide medical evidence as long as applicants sign up within the
defined enrollment period and minimum participation requirements are met.
Newly eligible employees have 31 days to enroll from the day they are first eligible in order to take advantage
of the guaranteed acceptance offer. Employees must be actively at work on the day coverage takes effect.
Employee
- Newly.Eligible Employees: $100,000 of coverage is available on a guaranteed acceptance basis.
- Current Eligible Employees: Up to 2 Increments are available on a guaranteed acceptance basis. See the
Enrollment Perlod(s) below for the availability of this opportunity.
Spouse
Newly eligible spouses have 31 days to enroll in the program to take advantage of the guaranteed acceptance
offer. Spouses must not be in a period of limited activity on the date coverage takes effect.
Newly eligible spouses: $30,000 of coverage is available on a guaranteed acceptance basis.
- Current eligible spouses: Up to 2 Increments are available on a guaranteed acceptance basis. See the
Enrollment Period(s) below for the availability of this opportunity.
Dependent Children
Newborn children are automatically covered when they reach 14 days of age at no additional cost if the
dependent children benefit has been elected. Children must be at least 14 days old and not be In a period of
limited activity on the date coverage takes effect.
- Coverage is available on a guaranteed acceptance basis.
Initial Enrollment Period
On the effective date, the Company will takeover existing participants at their current benefit amounts.
Amounts exceeding the Guaranteed Acceptance Levels are subject to underwriting review and approval
Current eligible employees may elect or increase insurance coverage as defined by the Guaranteed
Acceptance rules above without submission and approval of satisfactory evidence of insurability.
Annual open Enrollment Period
A designated fimeframe that occurs each year for eligible employees to elect coverage who did not enroll
during their initial enrollment period or for employees with existing coverage to elect additional benefit
amounts. Current eligible employees may elect or increase insurance coverage as defined by the Guaranteed
Acceptance rules above without submission and approval of satisfactory evidence of insurability.
The Lincoln National Life Insurance Company
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WORKSIT.E 1 City of South Miami
PORTFOLIO
Underwriting (continued)
Simplified Underwriting:
When simplified underwriting is required, a completed statement of health must be submitted for coverage
approval. Additional medical information may also be requested. Coverage subject to the simplified
underwriting process is either approved or declined, depending on the information received. Simplified
underwriting applies to the following:
Full Underwriting:
When full underwriting is required, a completed statement of health must be submitted for coverage approval.
Additional medical information will be requested. Coverage subject to the full underwriting process is either
approved or declined, depending on the information received. Full underwriting applies to the following:
Any coverage applied for after the established open enrollment period.
- Any coverage adjustments or reinstatements.
Minimum Participation:
Minimum participation rules require enrollment acceptance of at least 10 employee lives or 25% of the
eligible employee group, whichever is greater. Spouse participation of at least 5 spouses or 10% of your
participating employees, whichever is greater, must participate in the program. In addition, premium must
total at least $100 per month.
Actively at Work Definition:
The full -time performance of all customary duties of an employee's occupation at your place of business or
other business location to which you require the employee to travel.
Period of Limited Activity Definition:
Any period of time that a spouse or dependent child is confined in a health care facility or, whether confined or
not, is unable to perform the regular and usual activities of a healthy person of the same age and sex.
The Lincoln National Life Insurance Company
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City of South Miami
Additional Features
Waiver of Premium (Extension of Death Benefit):
Automatically included with Employee Life Insurance.
Life insurance coverage will continue without premium payment while the employee remains totally
disabled up to Social Security Normal Retirement Age (SSNRA).
For the benefit to become effective, total disability must begin prior to age 60 and continue for at least 6
months. The definition of total disability is "the inability, due to sickness or injury, to engage in any
employment or occupation for which you are or become qualified as a result of education, training or
experience."
Accidental Death & Dismemberment
- Optional to both employee and spouse coverage.
The benefits shown below will be paid, if:
(1) an employee or spouse sustains an accidental bodily injury while insured under this provision;
.and
(2) that injury directly causes one of the following losses within 365 days after the date of the
accident.
The loss must result directly from the injury and from no other causes.
LOSS
Loss of Life
Loss of one Member (Hand, Foot or Eye)
Loss of Two or More Members
BENEFIT FOR COMMON
CARRIER ACCIDENT
2 Times Principal Sum
Principal Sum
2 Times Principal Sum
The Principal Sum for the employee or spouse is shown in the Schedule of Insurance.
BENEFIT FOR OTHER
Principal Sum
112 Principal Sum
Principal Sum
If an employee or spouse sustains more than one loss resulting from the same accident, the benefit:
(1) will be the one largest amount listed;
(2) will not exceed two times the Principal Sum for all of that person's combined losses resulting
from a Common Carder Accident; and
(3) will not exceed the Principal Sum for all that person's combined losses resulting from any
other covered accident.
"Common Carrier Accident" means a covered accidental bodily injury, which is sustained while riding as a fare
paying passenger (not a pilot, operator or crew member) in or on, boarding or getting off from a Common
Carrier.
The Lincoln National Life Insurance Company
36 81312011
CTYSOMIAMI
7684819
WORKSITE I City of South Miami
PORTFOLIO
Accidental Death & Dismemberment (continued)
Benefits are not payable for any loss to which a contributing cause is:
- intentional self - inflicted injury or self- destruction;
- disease, bodily or mental Infirmity, or medical or surgical treatment of these;
- the Insured Person's participation in riot;
- duty as a member of any military, naval or air force;
- war or any act of war, declared or undeclared;
- the Insured Person's participation in the commission of a felony;
- voluntary use of drugs except where prescribed by a Physician;
- voluntary inhalation of gas; including carbon monoxide;
- travel or flight in any aircraft, including balloons and gliders, except as a fare paying passenger on a
regularly scheduled flight; or
- the Insured Person driving while intoxicated (as defined by the jurisdiction where the accident occurred).
Safe Driver Benefit - If an employee dies as a direct result of a covered auto accident, for which Accidental
Death and Dismemberment Benefits are payable; then:
(1) an additional Seat Belt Benefit will be payable, provided the Insured Person was wearing
a properly fastened seat belt at the time of the accident; and
(2) an additional Air Bag Benefit will by payable if the auto was equipped with airbag(s). -
The Seat Belt Benefit equals $10,000 or 10% of the Principal Sum, whichever is less; and the Air Bag Benefit
equals $10,000 or 10% of the Principal Sum, whichever is less. The Seat Belt Benefit and Air Bag Benefit will
not be less than $1,000 per Insured Person. The Principal Sum is the amount payable because of the Insured
Person's accidental death.
"Seat Belt" means a properly installed:
(1) seat belt or lap and shoulder restraint; or
(2) other restraint approved by the National Highway Traffic Safety Administration.
Safe Driver Benefits will not be paid if:
(1) the Accidental Death and Dismemberment Benefits is not paid under the Policy for the insured
Person's death; or
(2) at the time of the accident, the Insured Person or any other person who was driving the auto in which
the Insured Person was traveling:
(a) was driving without a valid driver's license;
(b) was driving in excess of the legal speed limit; or
(c) was driving while intoxicated, impaired, or under the influence of drugs (except for drugs taken as
prescribed by a Physician for the driver's use).
The above limitations will apply, whether or not the driver is convicted.
The Lincoln National Life Insurance Company
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WORKSITE 1 City of South Miami
PORTFOLIO
Living Benefit (Accelerated Death Benefit)
- Automatically included with both employee and spouse coverage when the life insurance benefit is $2600
or more.
- If an insured is diagnosed with a terminal illness expected to result in death in 12 months or less, then a
portion of his or her life insurance benefit can be paid prior to death (subject to state regulations). The
amount of the living benefit is subject to:
1) a minimum of $1,000 or 10% of the insured's life insurance coverage, whichever is greater; and
2) a maximum of $250,000 or 75% of the insured's life insurance coverage, whichever is less.
Portability
- Automatically included with both employee and spouse coverage.
- Allows employees and spouses to keep their Life, Accidental Death and Dismemberment and Dependent
Children insurance in force even after employees leave your employment.
- Life insurance coverage must be in -force at least 12 months prior to an employee's termination.
- Rates remain the same as those in effect at the time of termination and will be adjusted in the same way as
your group rates are adjusted.
The employee must not be terminating due to total disability or retirement at the Social Security Normal
Retirement Age (SSNRA).
An insured must apply for the portability option i n
along with the required premium must be made
normally terminate.
Other Features:
order to actually keep the coverage. Written application
no later than 31 days after the date the insurance would
Our LINKS PROGRAM provides integrated disability management when an insured is covered under both our
STD and LTD plans. LINKS helps to provide a smooth transition from STD to LTD without claim filing, while
helping the employee return to work in the most efficient and effective manner possible. Furthermore, the
LINKS program identifies those claimants with group life insurance coverage with us to determine whether
they're eligible for Life Waiver.
The Lincoln National Life Insurance Company
38 8131/2011
WORKSITE I City of South Miami
PORTFOLIO
How WORKSITE 9 Can Work For You!
Offering a comprehensive and progressive benefit package to employees is vital in today's job
market. Employees appreciate and expect a benefit package that will help them meet their various
insurance needs. The question is...
How do you afford to provide the extra coverage and stay within your budget?
We've got the answer...
WORKSITE I P O RT F O L I O.
WORKSITE I P O R T F O L 10 consists of a variety of voluntary benefit programs for your employees
to choose from. Each program allows your employees the opportunity to select and customize the
benefit program that's right for their specific needs. Since benefits are paid directly by the employee,
your organization's overall benefit package is enhanced with no cost to you.
Your employees will appreciate having these additional benefit choices available along with the
added convenience of payment through payroll deduction. in addition, you will appreciate our simple,
yet thorough approach to product design, enrollment and administration of the programs.
WORKSITE I P O RT F O L 10 of benefits is a win -win situation for everyone! it is our priivi!ege to
become your partner in delivering quality benefit programs to your employees.
WORKSITE I Programs
Current
- Voluntary Term Life
- Voluntary Short -Term Disability
- Voluntary Long -Term Disability
- Voluntary Dental
- Voluntary Vision
Under Development:
- Voluntary Prescription Drug
- Voluntary AD &D
The Lincoln National Life Insurance Company
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7084819
WORKSITF X City of South Miami
PORTFOLIO
Voluntary Short Term Disability
Voluntary Short Term Disability is a group short term disability program designed to provide benefits
to an insured who is unable to perform all of the material duties of his /her occupation on a full -time
basis due to a non - work - related sickness or injury.
Voluntary Short Term Disability offers these features and advantages;
- Affordability
- Guaranteed Acceptance, according to underwriting guidelines
- Coverage choices to meet employee needs
- Partial Disability Benefits
- Pregnancy and its complications covered the same as any other sickness
Mental and Nervous Conditions covered the same as any other sickness
Alcoholism and Drug Addiction covered the same as any other sickness
Unisex rates in 5 -year age bands
Claims Paid quickly and accurately
Payment convenience through payroll deduction
Short Term Disability coverage is needed by most employees as a temporary replacement for income
should they become sick or injured due to causes not related to their occupation. A weekly benefit is
paid directly to them to help with ongoing personal expenses. Your employees will appreciate the
fact that City of South Miami realizes the value of this benefit and cares enough to offer it to them.
The Lincoln National Life Insurance Company
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WORKSITE I City of South Miami
PORTFOLIO
Voluntary Short Term Disability Schedule
Option 1.00
Proposed Effective Date: October 01, 2011
Elimination Period:
8 days for injury 8 days for sickness
(Benefits begin on the 8th day for injury or sickness)
The "Elimination Period" is the number of continuous days an employee must be totally disabled before benefit
payments start.
Maximum Benefit Period:
13 weeks
The "Maximum Benefit Period" is the longest period of time that benefits will continue to be paid to an
employee during a period of disability. A new period of disability begins when an insured becomes disabled
after returning to full -time work for two weeks in a row, or due to a sickness or injury not related to the last
period of disability.
At age 70, the 13 week benefit period reduces to 6 112 weeks.
Maximum Weekly Benefit
60% of salary
This proposal is based on 60% of salary up to a maximum of $1000 per week. The "Maximum Weekly Benefit'
Is the highest weekly benefit your disabled employees can receive.
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PORTFOLIO
City of South Miami
Rates
The following Voluntary Short Term Disability rates were developed for City of South Miami, using
characteristics specific to your group.
Plan Type
311W
Age Rate
< 30
0.30
30-34
0.30
35-39
0.30
40-44
030
45-49
0.34
50-54
0.40
55-59
0.53
60-64
0.64
65-69
0.73
70-74
0.80
75-99
0.87
These rates are:
Unisex
- Guaranteed for One Year from the program effective date
- Based on an employee's current age
- Shown as a monthly rate per $10 of weekly benefit
- Adjusted once each year on the program anniversary date
Based on 140 eligible employees
- Based on the Policyholder retaining responsibility for paying the employer's share of Social
Security and Medicare (FICA) tax.
This plan does not replace any state mandated disability program.
The Lincoln National Life insurance Company
43 8/31/2011
CTYSOMIAM1
7084819
WORKSITE 1 City of South Miami
PORTFOLIO
Proposal Conditions
This proposal contains an outline of the coverage, benefits, rates and other additional information
regarding the Voluntary Short Term Disability Program we offer. This proposal is not a contract. The
controlling provisions will be in the Group Insurance Master Policy, and this proposal is not intended
in any way to modify the provisions or their meanings. If there is any conflict between the proposal
and the Group Insurance Master Policy, the Group Insurance Master Policy controls.
The Voluntary Short Term Disability program is subject to the laws and rulings of the State Insurance
Department having jurisdiction. This plan of insurance is not available in every state and in those
states . where it is available, it may be withdrawn or revised at any time prior to acceptance.
The rates quoted in this proposal are a function of the characteristics of City of South Miami at the
time of proposal submission. We reserve the right to re- evaluate the risk, and change the rates if
necessary, based upon the characteristics of the group on the anniversary date of the program.
This proposal will remain in effect until withdrawn or a new proposal is issued, but in no event will this
proposal remain in effect beyond 90 days from August 31, 2011.
The Lincoln National Life Insurance Company
44 8/31/2011
CTYSOMIAMt
7084819
WORKSiTE I City of South Miami
PORTFOLIO
Underwriting
Guaranteed Acceptance:
Your Voluntary Short Term Disability program offers up to:
- $1,000 of coverage on a guaranteed acceptance basis.
This means that eligible employees can enroll without having to provide medical evidence as long
as:
- at least 10. employees or 25% of your eligible group, whichever is greater, participate in the
program;
- they sign up within the initial defined open enrollment period; and
- they are actively at work on the day the coverage takes effect and have also been at work 15 out
of the last 20 working days immediately preceding that date.
- they are regularly scheduled to work at least 40 hours per week, unless otherwise agreed upon.
New employees have 31 days from the date they are first eligible to enroll for coverage on a
guaranteed acceptance basis.
Pre - existing Condition Exclusion:
A 12/12 pre - existing condition limitation applies to all insurance amounts, including those offered on a
Guaranteed Acceptance basis.
"Pre- existing condition" means any sickness or injury for which an employee has received medical
treatment, consultation, care or services (including diagnostic measures or the taking of prescribed
drugs or medicines) during the 12 months prior to the coverage effective date. A disability arising
from any such sickness or injury will be covered only if it begins after an employee has performed
his /her regular occupation on a full -time basis for 12 months following the coverage effective date.
Simplified Underwriting:
When simplified underwriting is required, a completed statement of health must be submitted for
coverage approval. Additional medical information may also be requested. Coverage subject to the
simplified underwriting process is either approved or declined depending on the information received.
Simplified underwriting applies to the following:
- Coverage amounts in excess of the Guaranteed Acceptance amount.
The Lincoln National Life Insurance Company
45 8131/2011
CTYSOMIAMI
7084819
WORKSITE 1 City of South Miami
PORTFOLIO
Underwriting (continued)
Full Underwriting:
When full underwriting is required, a completed statement of health must be submitted for coverage
approval. Additional medical information will be requested. Coverage subject to the full underwriting
process is either approved or declined, depending on the information received. Full underwriting
applies to the following:
- Any coverage applied for after the established open enrollment period.
- Any coverage adjustments or reinstatements.
Minimum Participation:
Minimum participation rules require enrollment acceptance of at least 10 employee lives or 25% of
the eligible employee group, whichever is greater, during the initial defined enrollment period. In
addition, premium must total at least $100 per month.
Actively at Work Definition:
The full -time performance of all customary duties of an employee's occupation at your place of
business or other business location to which you require the employee to travel.
The Lincoln National Life Insurance Company
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WORKSITE r
PORTFOLIO
Partial Disability Benefit:
City of South Miami
Additional Features
Benefits paid for partial disabilities are a special feature of this program. An insured is partially
disabled when unable to perform one or more main duties of his or her regular occupation, or is
unable to perform them full -time, due to a sickness or injury.
To qualify for the benefit, an insured must become partially disabled within 30 days after Total
Disability Benefits cease; the partial disability must be due to a sickness or injury which is the same
as (or related to) the cause of the prior period of Total Disability for which benefits were payable; and
the insured must be earning less than 80% of his /her pre - disability income when partial disability
employment begins.
The benefit will end on the earliest of:
- the date the insured ceases to be partially disabled;
- the date the insured's current earnings exceed 85% of his /her pre - disability income; or
- the date the maximum benefit period ends.
Maternity, Alcoholism, Drug Addiction, Mental /Nervous Conditions:
Disability caused by pregnancy or complications of pregnancy, alcoholism or drug addiction or
resulting from a mental illness or nervous condition will be covered the same as any other sickness.
Succeeding Periods of Disability:
Two or more periods of disability are treated as one period unless the insured returns to active work
on a full -time basis for at least two weeks in a row or the succeeding period of disability is due to a
sickness or injury unrelated to the cause of the prior disability.
The Lincoln National Life Insurance Company
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WORK5ITE I City of South Miami
PORTFOLIO
Exclusions:
Voluntary Short Term Disability payments are not payable if:
- an insured is not under the regular care of a physician;
- disability is due to intentional, self - inflicted injury;
- disability is due to sickness or injury covered by Worker's Compensation;
- disability is due to sickness or injury that results from employment for wage and profit; or
- the insured receives payment under a salary continuance or retirement plan sponsored by the
Employer.
Other Features:
Our LINKS PROGRAM provides integrated disability management when an insured is covered under
bath our STD and LTD plans. LINKS helps to provide a smooth transition from STD to LTD without
claim filing, while helping the employee return to work in the most efficient and effective manner
possible. Furthermore, the LINKS program identifies those claimants with group life insurance
coverage with us to determine whether they're eligible for Life Waiver.
The Lincoln National Life Insurance Company
48 813112011
GTYSOMIAMI
7084819
WORKSITE 1 City of South Miami
PORTFOLIO
Administration
All WORKSITE f Voluntary Benefit Programs offer City of South Miami and your employees flexible
administration and superior customer service.
An experienced and knowledgeable customer service representative is assigned to handle your questions and
concerns -- available to you on our toll -free number. Once your program is set up, a complete administration
kit will be sent to your office; this kit contains a sampling of the necessary forms for additional enrollments,
coverage adjustments, and claims, as well, as billing information.
Em
- Your representative will make sure that a premium statement for your program(s) is in your hands by the
date required.
Billing frequency can be adjusted to meet the special needs of your company (annually, quarterly, monthly
are all standard modes).
Claims
Claim questions from you or your employees are directed to our claims center. Our claims center can walk
your employees through the claim process and provide instruction on how to fill out the necessary claim
forms.
- Once a claim is received, we review it quickly and process it accurately — usually within five business days!
Customer Service
- You can expect your employees to receive the same "personal touch" service that you enjoy. Your
employees are free to direct their questions and concerns to us on a toll -free line-
- A service representative who is knowledgeable about their program(s) awaits their calls, ready to provide
guidance on adjustments, explain administrative forms and procedures, and coordinate the portability
feature (if applicable).
- This service is available Monday through Thursday from 7:30 a.m. to 5:00 p.m. and on Friday from 7:30
a.m. to 4:30 p.m. (Central Standard Time).
The Lincoln National Life Insurance Company
49 8/31/2011
Lancol --
Financial Group%
LINCOLN FINANCIAL GROUP® PRIVACY PRACTICES NOTICE
The Lincoln Financial Group companies" are committed to protecting your privacy. To provide the products and services
you expect from a financial services leader, we must collect personal information about you. We do not sell your
personal information to third parties. We share your personal information with third parties as necessary to provide
you with the products or services you request and to administer your business with us. This Notice describes our current
privacy practices. While your relationship with us continues, we will update and send our Privacy Practices Notice as
required by law. Even after that relationship ends, we will continue to protect your personal information. You do not
need to take any action because of this Notice, but you do have certain rights as described below.
INFORMATION WE MAY COLLECT AND USE
We collect personal information about you to help us identify you as our customer or our former customer; to process your
requests and transactions; to offer investment or insurance services to you; to pay your claim; or to tell you about our
products or services we believe you may want and use. The type of personal information we collect depends on the
products or services you request and may include the following:
• information from you: When you submit your application or other forms, you give us information such as your
name, address, Social Security number; and your financial, health, and employment history.
• Information about your transactions: We keep information about your transactions with us, such as the
products you buy from us; the amount you paid for those products; your account balances; and your payment'
history.
• Information from outside our family of companies: If you are purchasing insurance products, we may collect
information from consumer reporting agencies such as your credit history; credit scores; and driving and
employment records. With your authorization, we may also collect information, such as medical information from
other individuals or businesses.
• Information from your employer: if your employer purchases group products from us, we may obtain
information about you from your employer in order to enroll you in the plan.
HOW WE USE YOUR PERSONAL INFORMATION
We may share your personal information within our companies and with certain service providers. They use this
information to process transactions you have requested; provide customer service; and inform you of products or services
we offer that you may find useful. Our service providers may or may not be affiliated with us. They include financial
service providers (for example, third party administrators; broker - dealers; insurance agents and brokers, registered
representatives; reinsurers and other financial services companies with whom we have joint marketing agreements). Our
service providers also include non- financial companies and individuals (for example, consultants; vendors.; and companies
that perform marketing services on our behalf). Information we obtain from a report prepared by a service provider may
be kept by the service provider and shared with other persons; however, we require our service providers to protect your
personal information and to use or disclose it only for the work they are performing for us, or as permitted by law.
When you apply for one of our products, we may share information about your application with credit bureaus. We also
may provide information to group policy owners, regulatory authorities and law enforcement officials and to others when
we believe in good faith that the law requires disclosure. In the event of a sale of all or part of our businesses, we may
share customer information as part of the sale. We do not sell or share your information with outside marketers who
may want to offer you their own products and services; nor do we share information we receive about you from a
consumer reporting agency. You do not need to take any action for this benefit
Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates.
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G806714 8110
SECURITY OF INFORMATION
We have an important responsibility to keep your information safe. We use safeguards to protect your information from
unauthorized disclosure. Our employees are authorized to access your information only when they need it to provide you
with products, services, or to maintain your accounts. Employees who have access to your personal information are
required to keep it confidential. Employees are trained on the importance of data privacy.
Questions about your personal information should be directed to:
Lincoln Financial Group
Attn: Enterprise Services Compliance- Privacy, 7C -01
1300 S. Clinton St.
Fort Wayne, IN 46802
Please include all polieylcontraeUaccount numbers with your correspondence.
`This information applies to the following Lincoln Financial Group companies:
First Penn- Pacific Life Insurance Company Lincoln Life & Annuity Company of New York
Lincoln Financial Investment Services Corporation Lincoln Variable Insurance Products Trust
Lincoln Investment Advisors Corporation The Lincoln National Life Insurance.Company
ADDITIONAL PRIVACY INFORMATION FOR INSURANCE PRODUCT CUSTOMERS
CONFIDENTIALITY OF MEDICAL INFORMATION
We understand that you may be especially concerned about the privacy of your medical information. We do not sell or
rent your medical information to anyone; nor do we share it with others for marketing purposes. We only use and share
your medical information for the purpose of underwriting insurance, administering your policy or claim and other purposes
permitted by taw, such as disclosure to regulatory authorities or in response to a legal proceeding.
MAKING SURE MEDICAL INFORMATION-IS ACCURATE
We want to make sure We have accurate information about you. Upon written request we will tell you, within 30 business
days, what personal information we have about you. You may see a copy of your personal information in person or
receive a copy by mail, whichever you prefer. We will share with you who provided the information. in some cases we
may provide your medical information to your personal physician. We will not provide you with information we have
collected in connection with, or in anticipation of, a claim or legal proceeding. If you believe that any of our records are
not correct, you may write and tell us of any changes you believe should be made. We will respond to your request within
30 business days. A copy of your request will be kept on file with your personal information so anyone reviewing your
information in the future will be aware of your request. If we make changes to your records as a result of your request, we
will notify you in writing and we will send the updated information, at your request, to any person who may have received
the information within the prior two years. We will also send the updated information to any insurance support
organization that gave us the information, and any service provider that received the information within the prior 7 years.
Questions about your personal medical information should be directed to:
Lincoln Financial Group
Attn: Medical Underwriting
P.O. Box 21008
Greensboro, NC 27420 -1008
The CONFIDENTIALITY OF MEDICAL INFORMATION and MAKING SURE INFORMATION IS ACCURATE sections of
this Notice apply to the following Lincoln Financial Group companies:
First Penn - Pacific Life Insurance Company
Lincoln Life & Annuity Company of New York
The Lincoln National Life Insurance Company
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