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Maximum Benefit Period (Benefit Duration)
This is the maximum length of time for which benefits are payable under the plan as long as the employee remains continuously disabled.
Outcome Payment System
The system providing a payments under the Ticket to Work program to an employment network for each month, up to a total of 60 months, during which Social Security disability benefits and Federal SSI cash benefits are not payable to a beneficiary because of the performance of substantial gainful activity (SGA) or by reason of earnings from work.
Substantial Gainful Activity (SGA)
The level of work activity used to establish disability. A finding of disability requires that a person be unable to engage in SGA.
Social Security and Social Security Disability Insurance (SSDI)
Monthly cash benefit administered by the federal Social Security Administration (SSA) to retired or disabled workers and their qualified dependents. Beneficiaries must be 62 years of age or older, or disabled, and have enough work "credits" to be qualified.
Conversion Privilege
If included, this option allows employees who are terminating employment to continue some or all of their LTD coverage at their own expense without submitting evidence of insurability.
SSI State Supplement
A cash benefit authorized by Ch. 49.77 and 49.775, Wis. Stats. This benefit is intended to supplement the federal SSI benefit payment. Eligibility is based on current receipt of federal SSI benefits or special "grandfathered" status as a recipient of the state supplement only.
Ticket to Work program
The Ticket to Work program provides disabled beneficiaries with expanded options for access to employment services, vocational rehabilitation services, or other support services.
Own Occupation (Own Occ)
Under this definition, an insured will be considered disabled only if he or she is unable to perform the duties of his or her occupation.
Auxiliary Aids and Services
Devices or services that accommodate a functional limitation of a person with a communication disability.
IDEA
Individuals with Disabilities Education Act
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