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Jefferson Pilot Life Ins.#1
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RFP No. 01-10-01 Employee Dental, Life, Insurance
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Jefferson Pilot Life Ins.#1
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Last modified
6/18/2012 10:02:26 PM
Creation date
12/28/2010 3:46:06 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Employee Insurance
Bid No. (xx-xx-xx)
01-10-01
Project Type (Bid, RFP, RFQ)
RFP
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SUNNYISLES <br />1703779 <br />City of Sunny Isles Beach <br />VOCATIONAL REHABILITATION BENEFIT <br />• Premier Plan - VOLUNTARY <br />Value Plan - MANDATORY <br />With the assistance of vocational rehabilitation programs that focus on job modifications, job placement and <br />retraining, many disabled employees can return to productive employment. Services such as these are <br />available to employees unable to perform their regular occupation, and who do not currently have the skills to <br />return to work at another occupation. These employees must have the physical and mental capability for the <br />successful completion of a rehabilitation program. In addition, there must be reasonable expectation that these <br />services will assist the employee in returning to work. <br />If the employee is eligible for rehabilitation services, a written program will be developed with input from the <br />employee, physician and employer outlining the goals, responsibilities, services, and all applicable costs of the <br />program. Rehabilitation efforts only take place if the patient's physician endorses the program. <br />Consideration for participation in such a program can be proposed by the employee, attending physician or <br />Jefferson Pilot Financial. In the Premier Plan contract, participation in a vocational rehabilitation program is <br />recommended, but not required. If a claimant elects to participate, LTD benefits will be reduced if the claimant, <br />without good cause, fails to complete or follow the program. <br />In the Value Plan contract, participation in a vocational rehabilitation program is required for claimants who <br />qualify. If a qualified claimant refuses to participate without good cause, LTD benefits will be reduced. <br />"Good Cause" means that an employee will not be required to participate if physical or mental impairments <br />Would prevent rehabilitation, or if the rehabilitation program would interfere with any medical program in which <br />he or she is currently participating. <br />PRE - EXISTING CONDITION EXCLUSION: 3/12 (Option 1.00) <br />The policy will not cover any total or partial disability which: <br />1. is contributed to, caused by or results from a pre- existing condition; and <br />2. begins in the first 12 months after the employee's effective date of coverage under the employer's long <br />term disability plan. <br />A pre- existing condition is a sickness or injury: <br />- for which medical advice, diagnosis, care or treatment was recommended or received during the 3 <br />months prior to his or her effective date. <br />It also means a pregnancy existing on the effective date. "Treatment" means consultation, care or services <br />provided by a physician, including diagnostic measures and the prescription and /or taking of drugs and <br />medicines. <br />Jefferson Pilot Financial Insurance Company <br />22 11/02/01 <br />
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