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MetLife — 2024 State of TN Disability Webinar
21 slides from MetLife's conference presentation, Jun 6, 2024
Slide 1: Short-Term and Long-Term Disability, State of Tennessee
Short-Term and Long-Term Disability State of Tennessee Insuring Your Income. Protecting Your Financial Security. 2024
Slide 2: What's new in 2024?
What’s new in 2024? Changes to 2024 Disability Plans: • Long-Term Disability coverage with MetLife will be offered to Higher Ed employees effective January 1, 2024 • Effective January 1, 2024, all State and Higher Ed employees will be enrolled in LTD Plan Option 3 which is 100% employer paid. • Ther
Slide 3: Why is disability income insurance so important?
WHY IS DISABILITY INCOME INSURANCE SO IMPORTANT? Replaces a percentage of income lost due to sickness, pregnancy or accidental injury Helps you to cover your essential living expenses if you are sick or hurt and cannot work. An example of expenses are car payments, mortgage payments, groceries, chil
Slide 4: Is disability insurance right for me?
IS DISABILITY INSURANCE RIGHT FOR ME? How do I apply for coverage? • Apply for Short-Term Disability online in Edison ESS. Be sure to apply during your Annual Enrollment period (October 1 – October 13, 2023). Deadline is October 13 at 4:30 p.m. CT. • You must apply during the 2024 Annual Enrollment
Slide 5: Short-Term Disability Plan Highlights
SHORT-TERM DISABILITY PLAN HIGHLIGHTS Option A Option B All employees working not less than 30 hours/week; seasonal employees hired prior to July 1, 2015, with 24 months of service and certified by their appointing authority to work at least 1,450 hours per fiscal year Eligibility (July-June); or de
Slide 6: Short-Term Disability Plan Rates
SHORT-TERM DISABILITY PLAN RATES STD COST: PER $100 OF MEMBER’S COVERED MONTHLY SALARY Option A: 60%, 14 day elimination period $0.41 Option B: 60%, 30 day elimination period $0.33 CALCULATE YOUR MONTHLY PREMIUM FOR SHORT-TERM DISABILITY For this example, we’re using an employee with a salary of $45
Slide 7: Short-Term Disability - Definitions
SHORT-TERM DISABILITY - Definitions 1. Disability Period - The period of time the member is deemed disabled per the plan definition. The disability period begins on the first day of disability and includes the elimination period and the benefit period. The disability period ends the day before retur
Slide 8: Condition A – requires six weeks to recover
Condition A – requires six weeks to recover Short-Term Disability Timeline – Plan Option A Situation Scenario: Payment details: • Member’s approved Disability Period = 6 weeks • 1 week Accrued Paid Leave from the State of TN • Member’s Accrued Paid Leave = 1 week • 4 weeks STD pay from the STD plan
Slide 9: Condition B – requires 30 weeks to recover
Condition B – requires 30 weeks to recover Short-Term Disability Timeline – Plan Option B Situation Scenario: Payment details: • Member’s approved Disability Period = 30 weeks • 5 week Accrued Paid Leave from the State of TN • Member’s Accrued Paid Leave = 5 weeks • 25 weeks STD pay from the STD pla
Slide 10: Claim Example Information
Claim Example Information NOTE: The Maximum Benefit Period Duration for STD is 26 Weeks. However, each disability is different so not all disabilities will result in the full 26 week benefit period being approved. These examples are for illustrative purposes only. Every disability may be different.
Slide 11: Frequently Asked Questions about disability benefits due to pregnancy
Frequently Asked Questions about disability benefits due to pregnancy Is there a difference in the amount of disability time allowed for a cesarean delivery versus a normal delivery? Generally: •Normal vaginal delivery disability period is six weeks from date of delivery, and •Cesarean delivery disa
Slide 12: Long-Term Disability Plan Highlights
LONG-TERM DISABILITY PLAN HIGHLIGHTS Option 1 Option 2 Option 3 Option 4 (Premiums Paid by (Premiums Paid by (Premiums Paid by (Premiums Paid by Employee) Employee) State) Employee) All employees working not less than 30 hours/week; seasonal employees hired prior to July 1, 2015, with 24 months of s
Slide 13: Long-Term Disability Plan Rates
LONG-TERM DISABILITY PLAN RATES LTD: EMPLOYEE’S AGE (PER $100 OF COVERED MONTHLY SALARY) AS OF SEPTEMBER 1 OF CURRENT YEAR Under 30 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+ Option 1, 60%, $0.06 $0.06 $0.12 $0.17 $0.22 $0.27 $0.32 $0.42 $0.28 $0.28 90 day elimination period Option 2, 60%,
Slide 14: It's easy to take the first step
IT’S EASY TO TAKE THE FIRST STEP Enroll online in Edison ESS, during your enrollment period, October 1 – October 13, 2023 1 • Remember, there is no SOH application for LTD with the State enrolling all members into the employer paid LTD Plan Option 3 Once enrolled in Edison ESS, the following changes
Slide 15: It's easy to take the first step
IT’S EASY TO TAKE THE FIRST STEP MetLife will send an SOH decision letter to employee; Disability enrollment 3 confirmation will be provided by the State Effective Date – January 1, 2024. If additional medical review is required, your 4 effective date could be later than January 1, 2024. For questio
Slide 16: Employee Communications
Employee Communications Sample Enrollment Information Packet 16 16 16
Slide 17: Statement of Health Form
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Slide 18: Resources
Resources Online tools and educational materials can be found on the state of Tennessee microsite https://metlife.com/StateofTN. A link to the splash page can be found on the disability page on the ParTNers For Health website, too. July Aug Sept Oct The microsite acts as a repository for employees t
Slide 19: How to file a claim
HOW TO FILE A CLAIM How to file a claim… • Call the MetLife Claims Center at the dedicated number: 1-855-700-8001 • The Claims Center is available 7 a.m. – 10 p.m. CT, Monday – Friday • You can also file on claim online at https://mybenefits.metlife.com/MyBenefits ▪ You can file a Paper Claim by dow
Slide 20: Information Needed When Filing a Claim
Information Needed When Filing a Claim Information we may need from the member... • Personal Information - name, address, telephone number, Social Security number, employee identification number and job title. • Job Information - workplace location and address, work schedule, supervisor’s name and t
Slide 21: L0819517097[exp1023][All States][DC,GU,MP,PR,VI]
L0819517097[exp1023][All States][DC,GU,MP,PR,VI] © 2023 MetLife Services and Solutions, LLC Metropolitan Life Insurance Company, 200 Park Avenue, New York, NY 10166