Disability Insurance

Benefit Highlights

You must be a full or part-time federal employee to apply for Starr Wright USA's Disability Insurance Plan. The program is currently available in AL, AR, AZ, CA, DC, GA, HI, IL, IN, IA, KY, MA, MI, MT, NE, NJ, OK, PA, TN, VA, and WV.

  • Collect up to 65% of your insured income to a maximum of $8,992 per month (less any Other Income Benefits) for any covered disability.
  • Guaranteed Acceptance (benefits are subject to the policy's Pre-Existing Condition Limitation) - for any new federal employee under age 60 enrolling within the first 45 days of their employment.
  • Monthly benefits from this Disability Insurance plan are not taxable in most cases. Please consult your tax adviser for more information.
  • Waiver of Premium Benefit will pay your premiums after 6 months of total disability and ends when the total disability benefit is no longer payable.
  • Receive residual benefits after you return to work - residual benefits are a percentage of your monthly benefit equal to the percentage reduction in monthly earnings produced by your disability. See Certificate of Insurance for additional description.
  • Your loved ones can continue to receive benefits if you should die during any covered total disability period.
  • For more extensive information about policy specifics, please visit the Plan Details and Rates tab.

FAQs

Who is eligible?
Federal employees who: a.) are under age 60 b.) reside in the United States c.) are actively-at-work on a full-time basis (at least 17.5 hours per week) and d.) are not on active duty in any branch of the military or armed forces of any country. Newly hired full-time federal employees within 45 days of their hire date, who work at least 17.5 hours per week, are eligible for Starr Wright USA's Guaranteed Acceptance Disability Insurance Plan (benefits are subject to the policy's Pre-Existing Condition Limitation).

The program is currently available in AL, AR, AZ, CA, DC, GA, HI, IL, IN, IA, KY, MA, MI, MT, NE, NJ, OK, PA, TN, VA, and WV.

How much coverage might I need?
To help you determine how much Disability Insurance coverage you may need please use this Disability Insurance Needs Calculator. Please Note: This calculator is not provided by Starr Wright USA. The calculator provides only a simple estimate. You may have other expenses, liabilities or assets that may not be included in this calculation.

How much coverage can I apply for?
You can collect up to a maximum of 65% of your basic monthly insured salary (up to a maximum salary of $166,000 per year). For example, if your basic monthly insured salary is $10,000, you could apply for coverage of up to $6,500 per month in benefits. Benefits are paid to a maximum of $8,992 per month.

What is the approval process like?
For new federal employees who apply within 45 days of their hire date, he or she is guaranteed acceptance (benefits are subject to the policy's Pre-Existing Condition Limitation). For all other federal employees, there is some medical underwriting.

When does my coverage become effective?
Coverage will begin the first day of the month following receipt and approval of your application provided premium is paid when due. Exception: If you are not at full time work on the date your insurance would have taken effect, your coverage will become effective first of the month on or after the date you are working full time and the premium is paid when due.

When do benefits begin?
There is a 60 day Waiting Period for this coverage; after which benefits can begin.

Are my plan benefits taxable?
Unlike FERS and SSDI benefits which may be taxable in part, Starr Wright USA's Disability Insurance plan benefits are not taxable. Please consult your personal tax advisor for further information.

Is this considered short or long-term disability insurance?
Both. This coverage is available to you on a short-term basis (after the required 60 day Elimination Period) and, after that, on a long-term basis for total disability before age 61, benefits are payable until age 62; for age 61 and over the payment period is 12 months. Further details are provided in the two FAQs immediately below.

What if my disability lasts 60 days or more?
FERS and SSDI may not pay for covered disabilities lasting at least 60 days to 12 months; Starr Wright USA's Disability Insurance plan helps fill the gap by paying benefits for all covered disabilities that occur before age 61 until you reach age 62. If your covered disability occurs after age 61, Wright pays you benefits for 12 months.

What about when I go back to work? Are there any benefits payable as I re-enter the workforce?
Yes, you may be eligible to receive residual benefits after you return to work. Residual benefits are a percentage of your monthly benefit equal to the percentage reduction in monthly earnings produced by your disability. See your Certificate of Insurance for additional description.

What happens if I die while I am totally disabled?
Starr Wright USA's plan provides additional benefits to your beneficiary in the event of your death while you are totally disabled under this plan.

Eligibility

Federal employees who: a.) are under age 60 b.) reside in the United States c.) are actively-at-work on a full-time basis (at least 17.5 hours per week) and d.) are not on active duty in any branch of the military or armed forces of any country are eligible for coverage. Newly hired full-time federal employees within 45 days of their hire date, who work at least 17.5 hours per week, are eligible for Starr Wright USA's Guaranteed Acceptance Disability Insurance plan (benefits are subject to the policy's Pre-Existing Condition Limitation). For all full-time federal employees past 45 days of their hire date, please see the information below.

Acceptance into this plan is subject to medical evidence of insurability as determined by New York Life Insurance Company. Depending on your age, the amount of coverage you request, and your answers on the application, a medical examination, medical test(s), or other evidence of good health may be required. Any exams/tests requested by the company will be conducted at your convenience and at no expense to you.

Rates

Enter your salary below (or the amount of your salary you wish to insure) to calculate your rate.

If you are not sure how much coverage you need, use the Disability Insurance Needs Calculator to find out.

Monthly Premium:

Please Note: This calculator is not provided by Starr Wright USA. The calculator provides only a simple estimate. You may have other expenses, liabilities or assets that may not be included in the calculation. This calculator aims to provide an estimate of the monthly premium you would pay for this insurance. While we strive to make the calculator as accurate as possible, we cannot guarantee its accuracy in all cases and instances. Using it does not guarantee your insurability.

Premiums are based on a flat charge of $6.25 per month per $10,000 of insured salary for federal employees working a minimum of 17.5 hours per week under age 60 and residing in the United States and not on active duty in any branch of the military or armed forces of any country. Rates and/or benefits may be changed on a class basis.

Right to Change Rates - Future benefits are subject to change by agreement between New York Life and the group policyholder. Rates can be changed by New York Life on any premium due date and on any date in which benefits are changed. However, rates may change only if they are changed for any entire class of insureds.

Exclusions

Benefits are not payable during the 60-day waiting period. This policy does not provide benefits for disabilities due or related to routine pregnancy (complications of pregnancy are covered); or declared or undeclared war or any act thereof; or specific conditions for which an impairment restriction has been placed on your coverage or any pre-existing conditions (conditions for which you received medical advice or treatment within 12 months of coverage becoming effective) until 12 treatment-free months have passed or until the coverage has been in effect for 1 year. This policy does not provide benefits for any disability that occurs during or is due or related to intentionally self-inflicted injury while sane or insane; or incarceration or participation in a crime or illegal activity. No benefits are payable for any period during which you are incarcerated. Also, to be considered disabled, the disability must occur while you are insured under the policy and you must be under the regular care of a licensed physician.

For Missouri residents only: The exclusion for intentionally self-inflicted injury is not applicable to injuries caused by an attempted suicide while sane.

Intentionally self-inflicted injury, suicide or attempted suicide, while sane or insane.

Any total disability caused by pregnancy or childbirth, except: pregnancy that had its inception while you were covered under the policy; and the total disability is caused by or contributed to by the results of a complication of pregnancy.

Total disability caused or contributed to by war or any act of war, except with respect to you, in the line of duty ("War" means declared or undeclared war and includes resistance to armed aggression).

Injury sustained while riding on, boarding, or alighting from any aircraft: as pilot, crew member, or student pilot, unless the insured person is flying on his or her employer's business in an aircraft certified as airworthy by the appropriate authority; the commission or attempted commission of a felony by you.

Any period of total disability during which you are not under the direct care and treatment of a licensed physician; or any sickness contracted or injury sustained while on full-time active duty as a member of the armed forces (land, water, air) of any country or international authority.

Limitations

Definition of Total Disability - A disability that completely and continuously prevents you from doing the material and substantial duties of your regular occupation during the Waiting Period and during the next 24 consecutive months. After which, you are considered to be totally disabled if you cannot perform any occupation for which you are or may become qualified by reason of education, training or experience.

Total Disability - If you become totally disabled as the result of an injury or sickness while covered under the policy, we will pay the monthly benefit amount due for the period of total disability. The period of total disability must require the regular care of a physician.

Successive Periods of Disability - Periods of disability due to the same or related medical causes and separated by less than 6 months during which you are actively-at-work will be considered one period of disability.

Period of Disability means a continuous length of time during which you are disabled under this plan.

Pre-existing Condition means an injury or sickness or any condition related to such injury or sickness for which a person consults a doctor, receives medical services or supplies or takes any medication during the 12 month period immediately before the insured member's insurance date. Pre-existing Condition does not include: (a) any such injury or sickness or condition after such person has been continuously insured under the Policy for 12 month; or (b) an injury or sickness or condition classified as an Impairment Restriction.

Maximum Payment Period: For total disability beginning before age 61: to age 62. Age 61 and over: 12 months.

If you are totally disabled due to mental or nervous disorders, alcoholism, or drug abuse, the maximum payment period will be reduced to 2 years during your lifetime unless you are confined in a hospital or other institution licensed to provide care and treatment for that disability.

Actively-at-work means you are performing the regular duties of your normal occupation for wage or profit on a full-time basis (at least 17.5 hours a week).

The plan has an offset provision which means benefits payable as a result of your total disability will be the lesser of the monthly benefit amount or the monthly benefit amount minus any other income benefits. However, if your monthly benefit amount would reduce to less than $200 per month due to other income benefits, then the minimum monthly benefit amount under this benefit will be $200 per month.

Other Income Benefits include, but are not limited to (See Certificate for details) 1. benefits for loss of time from employment which is provided for a disability under: (a) any plan arranged by any employer, union or association; (b) any fund or other arrangement pursuant to any compulsory disability benefit act or law; or (c) an individual disability income policy; 2. benefits in the form of periodic cash payments for a disability, excluding any benefits for a disability starting before the insured member's insurance date, which is provided: (a) under any group life insurance plan; (b) by any federal, state, provincial, municipal or other governmental agency, or pursuant to the Federal Railroad Retirement Act; or (c) under the Federal Social Security Act, Canada Pension Plan or Quebec Pension Plan on the basis of the insured member's record of wages and self-employment income and payable to the insured member or a spouse or child of the insured member, without regard to any deductions from such benefits which can be made: (1) on account of work; (2) because of the insured member's refusal to accept rehabilitation; or (3) because a spouse or child of the insured member has elected to be paid benefits under the Federal Social Security Act, Canada Pension Plan or Quebec Pension Plan on the basis of the spouse's or child's own record of wages and self-employment income. In determining the amount of such benefits, however, there will be excluded the amount of any increase therein which occurs after the waiting period 3. benefits under a Workers' Compensation Act or similar act.

The example in the table directly below is for purposes of illustrating the effect of benefit reductions and is not intended to reflect the situation of a particular claimant under the policy.

Insured's monthly [Basic Monthly Insured Salary]
$3,000
Long term disability benefits percentage
x 65%
Unreduced maximum benefit
$1,950
Less Social Security disability benefit per month
- $900
Less state disability income benefit per month
- $300
Total amount of long term disability benefit per month
$750

Termination

Coverage End Date - Once approved, you can continue your coverage to as long as you pay all premium contributions when due, you remain at Full-Time Work, the group policy remains in force, and you do not enter active duty in the Armed Forces. There is no policy age limit under the plan.

Average Monthly Insured Income means your regular monthly rate of pay including Administratively Uncontrollable Overtime (AUO) or Availability Pay, but not counting commissions, bonuses, other overtime pay or any fringe benefit or extra compensation, in effect on the last day of active employment prior to becoming Disabled, and upon which the required premium has been paid. If your rate of pay changes, your benefit amount will be adjusted on the premium due date you pay the premium applicable to the new rate of pay and benefit amount.

Survivorship Benefit

This plan has a Survivorship Benefit. If you die: a.) After completing the waiting period; or b.) while receiving a monthly benefit; under the total disability benefit we will pay a Benefit. The benefit amount will be based on the covered person's age at the time of death as follows: If the covered person dies prior to attaining age 60, the benefit will be the lesser of: twenty-four times the covered person's monthly benefit amount payable after offsets including assumed benefits; or, $30,000. If the covered person dies on or after attaining age 60, the benefit amount will be the lesser of: a.) twelve times the covered person's monthly benefit amount payable after offsets, including assumed benefits; or b.) $15,000. The Benefit will be paid: a.) to the beneficiary designated by you; or, b.) if no beneficiary has been designated: 1.) to your surviving spouse; 2.) if no surviving spouse, in equal shares to your surviving children; 3.) if no surviving spouse or surviving children, to your estate.

Additional Information

Please Note: This website explains the general purpose of the insurance described, but in no way changes or affects the policy Master Policy G-30305-0 as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by New York Life Insurance Company detail exclusions, limitations, and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.

This is a brief description of the features of the plan. It is not a contract. Complete terms and conditions of coverage are set forth in the Group Policy G-30305-0/FACE issued by New York Life Insurance Company to the Civil Service Employee Benefit Association.

The Association incurs costs in connection with providing oversight and administrative support for the sponsored plan. To provide and maintain this valuable membership benefit, they are reimbursed for these costs. The Association may also receive a fee in connection with the plan.

New York Life Insurance Company is licensed/authorized to transact business in all of the 50 United States, District of Columbia, Puerto Rico and Canada. However, not all group plans it underwrites are available in all jurisdictions. New York Life Insurance Company's state of domicile is New York and NAIC ID# is 66915.

Administered by NBFSA
P.O. Box 24279
Winston-Salem, NC 27114
Phone: 336-608-3200
Insurance License Numbers: CA: 0B75061, AR: 166052

New York Life Insurance Company
51 Madison Avenue
New York, NY 10010
on Policy Form GMR

MIB Notice of Insurance Information Practices

This policy provides disability income insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York Department of Financial Services. Other Plan Features included at no additional cost (See Certificate for full description):

  • Catastrophic Disability Benefit - Pays a benefit 9.75% of your monthly income loss if you cannot perform 2 of the 6 Activities of Daily Living (ADL) or suffer Cognitive Impairment
  • Vocational Rehabilitative Benefit - If you participate in a rehabilitation program approved by New York Life and without any reduction in benefits.

Effective Date - Coverage becomes effective first of the month on or following approval of your application and the required premium is paid when due.

Certificate of Insurance - This information is only a brief description of the principal provisions and features of the plan. The complete terms and conditions are set forth in the group policy issued by New York Life Insurance Company to the Civil Service Employee Benefit Association. When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan.

30 Day Free Look - When you receive your Certificate of Insurance, read it carefully. If you are not completely satisfied with the terms of your new insurance, simply return your Certificate, without claim, within 30 days and your premium will be promptly refunded. Your insurance will then be invalidated.