Voluntary Long-Term Disability Insurance

Underwritten by Metropolitan Life Insurance Company New York, NY

Coverage Highlights:

You are eligible to enroll for Voluntary Long-Term Disability coverage if you are a current IBO under the age of 60, a member of the Independent Business Owners Benefits Association, working a minimum of 30 hours per week and a citizen or legally able to work in the United States.

Elimination Period: 90 days
Monthly Benefit Amount: 60%
Maximum Benefit Period: 2 Years
Maximum Monthly Benefit: $10,000*
Minimum Monthly Benefit: $100
Guarantee Issue Amount: $4,000*

*IBOs in Non-Preferred Industries Maximum Monthly Benefit is $2,000 and Guaranteed Issue Amount is $500

Elimination Period

This is the amount of time before benefits begin, if you become disabled. This plan has a 90-day elimination period.

Monthly Benefit Amount

You may elect a monthly benefit amount from $500 to $10,000, in increments of $100. The maximum monthly benefit is $10,000, not to exceed 60 percent of your before-tax monthly earnings.

For Non-Preferred Industries you may elect a monthly benefit from $500 to $2,000, in increments of $100, not to exceed 60 percent of your monthly income.

Maximum Benefit Period

If you become disabled, benefits are payable up to the Maximum Benefit Period of two years, subject to any limitations described in the Certificate.

Minimum Monthly Benefit

If you become disabled, $100 is the Minimum Monthly Benefit amount that is payable to you.

Guaranteed Issue Limits

Guaranteed Issue means the amount of insurance applied for which does not require evidence of insurability (health questions). Guaranteed issue is available during open enrollment periods at select, pre-determined times.

Definition of Disability

Disability means that because of an injury or sickness, a significant change in your mental or physical functional capacity has occurred in which you are unable to perform all of the material duties of your own occupation or any gainful occupation. Disability is determined relative to your ability or inability to work.

Definition of Monthly Earnings

Due to a Sickness, or as a direct result of accidental injury:
You are receiving Appropriate Care and Treatment and complying with the requirements of such treatment, and is unable to earn more than 80% of your predisability earnings at your Own Occupation for any employer in their Local economy; and is unable to perform one or more of the material duties of your Own Occupation.

Partial Disability Benefits

If you become disabled and can work part-time (but not full-time), you may be eligible for partial disability benefits, which will help supplement your income until you are able to return to work full-time.

Vocational Rehabilitation Benefit

If you become disabled and participate in the vocational rehabilitation program, which offers services that help you return to work, you will be eligible for a monthly benefit increase of five percent.

Additional Features

Recurrent Disability

If you return to work full-time following a disability and the disability recurs within six months, you do not have to satisfy a new elimination period.

Waiver of Premium

The premium for your Voluntary Long-Term disability coverage is waived while you are receiving benefits.

Survivor Benefit

If you pass away while receiving Voluntary Long-Term disability benefits, your benefits will be provided to your beneficiaries for a period of time after your death.

Effective Date

An eligible IBO member will become insured, subject to payment of required premiums, on the first day of the month that follows the latest of the day:

• The IBO member begins Active Eligibility.
• The IBO member submits a written request to enroll for insurance.
• Following the approval of Evidence of Insurability, if required.

Your Monthly Benefit Will be Reduced by Other Income Sources

Income you earn from other sources accounts in determining the amount of your monthly benefit. This includes:

• Disability benefits under Workers’ Compensation Law, occupational disease law or similar law.
• Disability benefits under the United States Social Security Act, the Canada Pension Plan, the Quebec Pension Plan or similar plan or act that the insured person or the insured person’s spouse and children are entitled to receive because of the insured person’s disability.
• No-fault automobile insurance plan.
• Retirement benefits under the United States Social Security Act, the Canada Pension Plan, the Quebec Pension Plan or similar plan or act that the covered person receives because of his or her retirement, unless the insured person was receiving them prior to becoming disabled.

Additional information regarding guaranteed issue or circumstances under which other income sources apply are described in the Certificate. To obtain a complete copy of the Certificate, contact USI Affinity at 1-800-254-2327.

Disability insurance underwritten by Metropolitan Life Insurance Company New York, NY. Group Policy Form: 162250-1-G

Like most insurance policies, MetLife policies contain certain exclusions, waiting periods, reductions, limitations and terms for keeping them inforce. All policies and riders may not be available in all states, at all issue ages and to all occupational classes. Coverage may be subject to underwriting approval. Please contact the plan administrator at 1-800-254-2327 for details.

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