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What is Practicing Physician's coverage?
Practicing
physicians who are enrolled in the Expanded Long-Term Disability
Plan automatically will have partial disability coverage.
They have to be disabled from their own occupation. This
means they are unable to practice within the terms of their
University appointment. Income from another position will
be considered for offset or coordination. See the example
below.
If
you are a practicing physician, your period of partial disability
coverage begins when your Expanded Long-Term Disability
Plan benefits begin. This means that you must use your sick
and/or vacation time before your benefits begins.
How
does this special coverage affect my disability benefits?
If you are a practicing physician and meet the definitions
of disability under this Plan, you will be entitled to your
earnings plus 65% of the difference between your earnings
and your predisability salary.
For
example, let's say you are physician who earned $100,000
a year before you become disabled. When you became disabled,
you were not able to perform the clinical portion of your
appointment. Now, while you are on partial disability, you
carry out the teaching portion of your appointment, earning
$25,000 a year. Your Plan benefits would be:
| Predisability
income |
$100,000 |
| Current
earnings |
-25,000 |
| Income
subject to replacement |
75,000 |
| Disability
Plan replacement |
x
.65 |
| Amount
of disability benefit |
$48,750 |
| Plus
earnings |
+25,000 |
| Total
income |
$73,750 |
If
you are a practicing physician and the Plan considers you
to be disabled, you must report promptly any income you
earn to the Benefits Office so that your Expanded Long-Term
Disability Plan benefits can be adjusted accordingly.
Definition
of Physician's Disability
You are determined to be disabled when at their sole discretion
the University's Claims Administrators have determined that
you are completely unable, except during periods of rehabilitative
employment, by reason of any medically determinable physical
or mental impairment, to practice within the terms of your
appointment. The impairment must be expected to result in
death or have lastedor be expected to lastfor
a continuous period of not less than 12 months from the
last day of work.
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