Extended Income Protection
Long-Term Disability Insurance (LTD)
Financial security for extended disability—protecting your income when you cannot work for an extended period.
Benefit Overview
Long-term income protection when you need it most
What is LTD Insurance?
If you are unable to work due to long-term disability, the Fund's LTD policy provides ongoing income replacement to help you maintain financial stability during recovery.
Coverage Details
Benefit Amount
- •Monthly Benefit: 60% of your basic monthly earnings
- •Maximum: Up to $3,500 per month
- •Minimum: $100 per month
Waiting Period
- •Elimination Period: 365 days
- •Benefits begin after one full year of continuous disability
How LTD Complements Wage Continuation
Maximum Benefit Periods
How long benefits continue based on age at disability
Coverage Duration by Age
The length of time you receive LTD benefits depends on your age when you become disabled:
| Age at Disability | Maximum Benefit Duration |
|---|---|
| 61 or younger | To age 65 or SSNRA*, whichever is longer |
| 62 | To SSNRA or 3.5 years |
| 63 | To SSNRA or 3 years |
| 64 | To SSNRA or 2.5 years |
| 65 | 2 years |
| 66 | 1 year 9 months |
| 67 | 1 year 6 months |
| 68 | 1 year 3 months |
| 69+ | 1 year |
* SSNRA = Social Security Normal Retirement Age
Younger Employees
Understanding SSNRA
Exclusions & Limitations
What is not covered under LTD insurance
General Exclusions
The following are not covered:
- •Disabilities caused by war
- •Self-inflicted injuries
- •Preexisting conditions (within 90 days before coverage starts)
Exception for Preexisting Conditions: Preexisting condition exclusions do not apply if you have been insured continuously for 12 months.
Limited Conditions (24-Month Maximum)
Disabilities due to the following conditions are covered up to 24 months lifetime, unless you are hospitalized:
- •Mental disorders
- •Substance abuse
- •Other specified limited conditions**
Hospitalization Exception
** Contact the PFT Health & Welfare Fund at (215) 561-2722 for a complete list of limited conditions and detailed exclusion information.
Prescription Benefits While on LTD
Maintaining your prescription coverage
Continued Prescription Coverage
LTD recipients remain eligible for the prescription benefit through the PFT Health and Welfare Fund.
Important
What to Do When Starting LTD
- 1.Contact the PFT Health & Welfare Fund as soon as your LTD claim is approved
- 2.Confirm your prescription benefit eligibility and any required documentation
- 3.Update your contact information and mailing address if needed
- 4.Ask about coordination with other benefits you may be receiving
Questions or Concerns?
- •LTD eligibility and enrollment
- •Filing a disability claim
- •Prescription benefits while on LTD
- •Coordination with other benefits
- •Specific exclusions and limitations