David Geffen School of Medicine at UCLA Graduate Medical Education
Salaries & Benefits - LTD Plan Booklet
LTD Monthly Benefit Amount

Benefits Payable When Disabled and Not Working

When you are Disabled and do not have Work Earnings, your LTD Monthly Benefit Amount will be the lesser of:

1. Earnings multiplied by the LTD Benefit Percentage, minus any Benefit Offsets; or
2. the Maximum LTD Monthly Benefit Amount shown in Section II - Schedule of Insurance.

The applicable amount above will then be reduced by Benefit Offsets.

Benefits Payable When Disabled and Working

When you are Disabled and have Work Earnings, your LTD Monthly Benefit will be calculated as follows:
LTD Benefit Amount X (Indexed Earnings - Work Earnings)
Indexed Earnings
Any LTD Monthly Benefit paid for a period of less than a full month will be the amount of the LTD Monthly Benefit Amount multiplied by the number of days Disabled and divided by 30.

The LTD Monthly Benefit Amount, Maximum LTD Monthly Benefit Amount, and Minimum LTD Monthly Benefit Amount are shown in Section II - Schedule of Insurance.

The LTD Monthly Benefit Amount will be determined according to benefit amounts in force under the Policy for you as of the Date of Disability. (See Section II - Schedule of Insurance.)

The LTD Monthly Benefit Amount will not be paid:

1. in excess of the Maximum LTD Monthly Benefit Amount;
2. in an amount less than the Minimum LTD Monthly Benefit Amount;
3. during the Elimination Period;
4. for any period in excess of the Maximum Benefit Period; or
5. when you are Disabled and earning more than the occupation income level(s) shown in Section II - Schedule of Insurance.

If the Policy is a replacement for a Prior Plan, administration of this LTD Monthly Benefit Amount provision may be modified according to Replacement of Prior Plans in Section VI - Coverage Provisions.


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