For Judges

If you enroll during your initial enrollment period, or during a specified re-enrollment period, coverage is available to you without answering any medical questions or providing evidence of insurability.

If you enroll after your initial enrollment period and not during a specified re-enrollment period, your coverage will be medically underwritten, and you will be required to qualify based on information you provide regarding your health history. Re-enrollments are conducted biennially.

The Elimination Period is the length of time of continuous disability which must be satisfied before you are eligible to receive benefits.

LTD benefits would begin after 90 consecutive days of total disability, as described in the definition below. If you attempt to return to work within the 90 day elimination period for a period of 30 days or less and go back out on disability, for the same disability, your elimination period will be cumulative.

Monthly LTD Benefit:

• choice of 25, 40, or 50% of your basic monthly earnings

• to a maximum of $5,000

“Basic monthly earnings” means the insured’s monthly rate of earnings from the employer in effect just prior to the date disability begins. It does not include commissions, bonuses, overtime pay and other extra compensation.

Your LTD benefit will not be reduced by other income replacement benefits you receive for the same disability.

Your duration of benefits is based on your age when the disability occurs. Your LTD benefits are payable for the period during which you continue to meet the definition of disability up to age 65. If disability occurs from age 60 – 64 benefits are payable for 5 years, ages 65-69 until age 70 (but not less than one year), age 70 and over, for 1 year.

Monthly premium is based on age and salary. At the beginning of each plan year (Jan. 1) the premium is adjusted for salary increases (as your salary increases so does your monthly benefit). Every 5 years, on ages ending in 0 or 5, premium is adjusted for age (click on “Rate Calculation” link to see rate chart). This adjustment is also made at the beginning of the plan year. Premiums are paid through payroll deduction each month and continue as long as your coverage remains in force.

Once enrolled, coverage continues from year to year with no further action on your part until terminated (see section on “Termination of Coverage” below).

You would be considered disabled and eligible for LTD benefits if, because of covered injury or sickness:

• you cannot perform each of the material duties of your regular occupation, and

• after benefits have been paid for 24 months, you cannot perform each of the material duties of any gainful occupation for which you are reasonably fitted by education, training or experience.

Gainful occupation means an occupation that is, or can be expected to provide you with an income of, at least 60% of your indexed monthly earnings within 12 months of your return to work.

Under current tax laws your LTD benefit will not be taxed because you are paying for the coverage with post-tax dollars.

Benefits will not be paid for disabilities caused by, contributed to by, or resulting from:

• intentionally self-inflicted injuries;

• active participation in a riot;

• war, declared or undeclared, or any act of war;

• pre-existing conditions (see definition below).

UnumProvident will not pay benefits for any period of disability during which you are incarcerated.

A pre-existing condition is a sickness or injury for which you received medical treatment, consultation, care or services including diagnostic measures, or took prescribed drugs or medicines in the 6 months prior to your effective date of coverage.

If you suffer a disability caused by, contributed to by, or resulting from a pre-existing condition and it begins in the first 12 months after your effective date, that disability would not be covered by this policy.

LTD benefits would be paid for 24 months per lifetime for disabilities caused by mental illness that meet the definition of disability. Mental and nervous benefits would continue beyond 24 months only if you are institutionalized or hospitalized as a result of the disability.

This summary of benefits does not cover any disability due to:

1. war, declared or undeclared, or any act of war;

2. intentionally self-inflicted injuries;

3. active participation in a riot.

This insurance coverage will be delayed if you are not in active employment because of injury, sickness, temporary layoff, or leave of absence on the date that this insurance would otherwise become effective.

Your coverage under the policy ends on the earliest of the following:

• the date the policy or plan is canceled;

• the date you no longer are in an eligible class;

• the date your eligible class is no longer covered;

• the last day of the period for which you made any required contributions;

• the last day you are in active employment except as provided under the covered layoff or leave of absence provision.

If you or your family travel more than 100 miles from home or in a foreign country, for business or pleasure, assist america’s global network of professionals will provide a full range of emergency services, 24 hours-a-day, 365 days-a-year. Some of these include: medical consultation and evaluation by Western-trained, English-speaking physicians, hospital admission guarantee, emergency prescription services, legal services and lost luggage assistance. (Note that spouses traveling on business are not eligible.)