Frequently Asked Questions For Death & Disability

This section provides you with answers to the most frequently asked questions about the Death and Disability Benefit Plan provided by Utmost Corporate Solutions. To learn more about the plan benefits, you can review the IARC Death & Disability Benefit Plan Explanatory Booklet.

What is the Death & Disability Plan?

The purpose of the Death & Disability Plan is to provide eligible employees, consultants, other staff, and their families with adequate protection in the event of death, dismemberment, or disability.

The standard Life, Accidental Death and Dismemberment, and Long-Term Disability insurances are provided through Utmost in Guernsey, Channel Islands. The Plan currency is U.S. dollars (USD), and all benefits are paid in US dollars.

Who is eligible?

Eligibility for benefits and respective coverage amounts are based on your designated Employment Classification, If you are uncertain as to which benefits you are eligible for, contact your Center’s Human Resource department for your designated Employment Classification.

What events are covered under the Plan?

The following events are covered under the Plan:

• For employees:
  • Death in service benefit (Life);
  • Accidental death and dismemberment benefit (AD&D); and
  • Long-term disability benefit (LTD).
• For dependents of full- and part-time employees:
  • Accidental death and dismemberment under the AD&D policy.

What is the amount of the life benefit?

If you are in the Employment Classification of a full- or part-time employee, the death benefit offered is equal to 3 or 5 times your annual base salary, rounded to next higher $1,000; or if you are in the Employment Classifications of short-term employee or long-term consultant,, the death benefit offered is a fixed amount of $50,000 or $100,000. The Center will provide you with your Employment Classification prior to enrollment into the Death & Disability Plan, and the benefit amount for which you are eligible. Please review the IARC Death & Disability Benefit Plan Explanatory Booklet  for any benefit reductions based on age 70 and older. Please note that the salary of part-time employees shall be deemed as the prorated salary (the amount actually paid to them).

What is the AD&D benefit?

The accidental death and dismemberment benefit is provided in case of death or dismemberment occurring within 180 days of an accident. In the unfortunate event of your death due to an accident, your beneficiaries will receive a lump sum Accidental Death payment based on your Employment Classification either equal to your annual base salary multiplied by 3 or 5 depending on your Center’s policy and rounded to next higher $1,000, or a fixed amount of $50,000 or $100,000. The Accidental Death payment is in addition to the Life benefit payment discussed previously.

If death results from an accident for which dismemberment has already been paid, the amount of the dismemberment benefit is then deducted from the accidental death benefit payable.

In the event, you suffer an injury or disabling loss (dismemberment) due to an accident, you will receive a lump sum accidental dismemberment benefit determined as a percentage of the full accidental death benefit. Please refer to the IARC Death & Disability Benefit Plan Explanatory Booklet, for a wide range of medical injuries and losses covered by the Plan for disabling events.

What is the Long-Term Disability (LTD) benefit?

LTD is a monthly benefit payable in the event that, due to either sickness or accident, you are totally unable to perform your usual occupation and after 30 months any suitable occupation.

You will receive 70% of your monthly salary earned prior to disability less other income as noted in the IARC Death & Disability Benefit Plan Explanatory Booklet, plus 100% employer retirement contributions for those Centers participating in the IARC Retirement Benefit Option.

The only Employment Classifications eligible for the LTD benefit are full- or part-time employees younger than age 65. If you have questions about your Employment Classification, contact your Center’s Human Resource department.

When am I eligible for these plan benefits?

Coverage starts from the day you are accepted into the IARC Plan by the insurance underwriter.

Am I required to provide medical information?

The Death & Disability Plan offers a level of free coverage to which you are entitled without the need to provide the insurer with any evidence of health. This means that:

• If your benefit does not exceed the maximum Free Cover Limit, you are immediately accepted under the Plan for full benefits.
• If your benefit exceeds the maximum Free Cover Limit, you will need to follow the underwriting process as described in the Explanatory Booklet.
• The maximum Free Cover Limit available under the Plan is as follows:
  • for Life Insurance: $1.5 million of benefit
  • for LTD Benefit: $300,000 per annum of base salary

If I exceed the Free Cover Limit, what additional forms/information will I need to complete/provide?

To be considered for the full benefit amount above the Free Cover Limit, you will need to provide medical information to Utmost, who will review your case and confirm the terms that may be offered.

Your Center will provide you with a Personal History Questionnaire (PHQ) that you will need to complete and return to Utmost.

After review of your PHQ, Utmost may need additional evidence to assess your case and may request the completion of a Personal Medical Attendant’s Report (PMAR). This report is completed by your regular medical practitioner based on your medical history. It is often used to clarify an issue declared on the PHQ or to confirm past medical history.

A Medical Examiner’s Report (MER) and/or specific laboratory tests may be required by Utmost.

• based on the details in your PHQ during the initial case review; or
• if the underwriter requires more information following a PMAR.

The examination, which might include laboratory tests, will be arranged with an Utmost-approved doctor.

If required, who pays for the additional medical examinations?

Bills for required medical examinations will normally be paid to the medical facility directly by Utmost, subject to the clinic being recommended by Utmost and within its network of clinics.

Can I be denied coverage above the Free Cover Limit?

If your benefit is within the Free Cover Limit, then you are immediately accepted under the Plan for the full benefit amount. If your full benefit exceeds the Free Cover Limit, Utmost will confirm with you the acceptance terms of your coverage as identified in the IARC Death & Disability Benefit Plan Explanatory Booklet.

Will I ever have to go through the underwriting process again?

Once this process has been completed and acceptance terms have been confirmed, you will not need to be underwritten again unless you have a salary increase of over 20% in any 12-month period or if this increase brings your benefit above the Free Cover Limit.

What are the procedures for claims?

You or your beneficiaries should contact your Center and/or AIARC to assist in processing any claims. Detailed procedures for claims can be found in the IARC Death & Disability Benefit Plan Explanatory Booklet.