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Long Term Disability (LTD) Insurance
for School of Medicine Physician Assistants

CONTENTS

UNDERSTAND

The AMA sponsored MedPlus Advantage (MPA) Long Term Disability Plan provides a monthly benefit in the event you become disabled and unable to complete your training. The Plan is designed to meet the particular needs and concerns of individuals who have chosen to dedicate themselves to the health care profession.

Please go to: www.medplusadvantage.com and enter ID number 644228 to view plan benefits:

Eligibility

Full-time student enrolled in the MEDEX Northwest Physician Assistant Program at the University of Washington are eligible for this coverage.

Premiums

The annual premium is $93.08 (for year 1) and $108.59 (for years 2+), and must be paid in full upon application, and paid in full annually thereafter.

ACT

Enroll

Coverage will be effective July 1, 2016 through June 30, 2017.

  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 enrollment form found in the School of Medicine Physician Assistants LTD Brochure.
  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
  3. Questions? Please call Professional Benefits Consultants at 1-866-960-6337 or Parker, Smith, & Feek at 425-709-3600 and ask for the Benefits Department.

*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.


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.