The City provides Core Long Term Disability which will cover you for 24 months (2 years) from the date of your disability. At your own cost, you can purchase additional Long Term Disability which will cover you past the 24 month period covered by the City, up to your normal Social Security Retirement Age.

You are eligible if you are an active part-time or full time employee who works at least 30 hours per week on a regularly scheduled basis.

Your Employer Plan and the Optional Plan provides coverage that pays you a benefit of 60% of your Earnings to a maximum monthly benefit of $5,000 per month. These plans include a minimum benefit of the greater of: 10% of the benefit based on Monthly Income Loss before the deduction of Other Income Benefits or $100 per month.

INFORMATION

FORMS

Summary of Optional Long Term Disability Insurance This summary sheet explains your Long Term Disability with The City of Manchester. Both the Core benefit which the City pays for and the Optional benefit which the employee pays for.   Rate Chart If you choose to purchase Optional Long Term Disability (Buy-up) above the Core benefit provided to you by the City, this rate chart will show you your estimated weekly cost.   Travel Assistance and ID Theft Protection Services Brochure of travel assistance services available to employees covered by The Hartford Group policy. That is part time and full time employees who work at least 30 hours a week.   Ability Assist Counseling Services Brochure of counseling services available from The Hartford for employees covered under The Hartford Disablity policy. That is part time and full time employees who work at least 30 hours a week.

Enrollment Form Complete this form if you are new part-time or full time employee working at least 30 hrs/wk; or if you are a current employee and need to change your Life or Disability insurance due to a qualifying event such as marriage; divorce; new child; etc.   Health Application Form If you are applying for Optional Long Term Disability Insurance above the 2 years that the City provides, this form, along with the Life and Disability Enrollment Form must be completed.   Cancellation Form If you would like to cancel your current Optional Long Term Disability, complete this form.