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Long-Term Disability (LTD) Insurance
for School of Medicine/Health Sciences Students

CONTENTS

UNDERSTAND

Long-Term Disability (LTD) insurance provides you with income if you meet the following criteria:

Eligibility

Full-time students enrolled in the School of Medicine and the School of Health Sciences at the University of Washington are eligible for this coverage.

Monthly Benefit

Premiums

The premium is $65.00 for the 2015-2016 year, and must be paid in full upon application, and paid in full annually thereafter.

ACT

Enroll

Coverage will be effective October 1, 2015 through September 30, 2016.

  1. You must apply within the first 31 days* of starting school to obtain coverage without having to provide evidence of good health. Enroll by completing the School of Medicine/Health Sciences Medical Student LTD Enrollment Form.
  2. Mail completed enrollment form to:
    Professional Benefit Consultant, Inc.
    7525 SE 24th Street, Suite 350
    Mercer Island, WA 98040
    Checks should be made payable to: Standard Insurance MPA Program

*If you miss your application date and wish to apply for coverage after the first 31 days of starting school, you will be required to complete a Medical History Statement authorizing Standard Insurance Company to obtain information about your health, and may also be required to undergo a physical examination in order to determine evidence of good health. Please print a copy of your Medical History Statement. Mail your enrollment form, medical history form and annual premium payment to the address above. If approved, your coverage becomes effective on the date the insurance is approved.

For assistance with enrolling in the LTD program, please contact Parker, Smith & Feek at 425-709-3600 and ask for the Benefits Department.

File a Claim

Standard Insurance must receive written notice of a claim before the end of the 90-day elimination period. For assistance in filing a claim, contact Parker, Smith & Feek at 425-709-3600 and ask for the Benefits Department.

EXPLORE

Long-Term Disability Documents

To view the Certificate of Coverage, go to www.medplusadvantage.com and enter ID number 644228.

Other documents:

LTD Plan Brochure

LTD Plan Summary & Comparison Chart

Assist America Global Emergency Services Brochure


The information provided above is only a summary of benefits and coverage. The master policy supersedes any discrepancies in summary and determines actual coverage. Upon registration confirmation, please read your policy for a complete description of benefits and coverage.

Topics for SOM/Health Sciences Students