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David Geffen School of Medicine at UCLA Graduate Medical Education
Salaries & Benefits - LTD Plan Booklet
Conversion of Coverage

When your coverage under the Policy ends, you may buy LTD conversion coverage if you meet the following requirements:
  1. coverage ends for a reason other than:
    1. termination or amendment of the Policy;
    2. termination of employment due to gross misconduct;
    3. failure to make required premium contributions; or
    4. retirement;
  2. coverage under the Policy ends after you have been covered under the Employer's long term disability plan for at least 12 consecutive months (including the Policy and any policy it replaced);
  3. you are not Disabled on the date your coverage ends; or
  4. you apply in writing and pay the application fees within 31 days after your coverage ends.
LTD conversion coverage becomes effective on the day after coverage under the Policy ends.

The individual Provident Life and Accident Policy issued to you when conversion coverage becomes effective will contain provisions that differ from the Policy.

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