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2-9 Employer Group Benefit Plans
Short-term Disability (Non-Occupational Coverage)
- Pays a benefit for Total and/or Partial Disabilities (in states where Partial Disability is approved) as a result of Non-Occupational Accident or Sickness
- Benefit Maximums up to $750/week
- Plans can be 50%, 60%, or 66 2/3% of basic weekly earnings
- Benefit periods of 11, 13, 24, 26, or 52 weeks (depending upon selected plan design)
- Elimination Periods of 0-7 and 14-14 days available for accident and sickness (depending on the selected benefit period)
- Maternity—Coverage as any other illness (optional except in WI or MA)
- 3-6 months Pre-Existing Conditions Limitation
Not available in states with statutory disability including CA, HI, NJ, NY, RI
Not available in FL
Commercial Travelers Mutual Insurance Company · 70 Genesee Street · Utica · New York 13502—Policy Form Series Number 50028
Guaranteed Issue Table
| No. of Participating Employees | Short-term Disability |
| 2-5 | $250/week |
| 6-9 | $500/week |
Participation Requirements
If the employer pays the entire premium, all eligible employees must be enrolled in the plan.
If the employees pay any part of the premium, the following participation requirements apply:
| Number of Eligible Employees: | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Participation Required: | 2 | 3 | 4 | 5 | 5 | 6 | 6 | 7 |