Group Disability Income Insurance Plan

Disability Income Insurance is designed to help provide financial stability if your income is disrupted because of a disabling accident or illness (such as cancer, heart disease, diabetes, blood disorders, and neurological disorders), which prevents you from working.

It can serve as a primary income replacement plan or act as a supplement to your Social Security benefits, government benefits, employer benefits, and benefits from other group policies*.

* Disability benefits under the ACS plan are reduced by any benefit amount received from these sources. However, a minimum payment of $100 will be made.

Eligibility	All ACS members and Society Affiliates in good standing and their spouses under age 60, who are not in the military service, and who live in the United States* or Puerto Rico, and are actively at work (at least 30 hours per week) are eligible to apply. A previously insured member may reinstate coverage after military service without new evidence of insurability. You may also purchase coverage for your spouse without obtaining coverage for yourself. * Certain state restrictions apply.
How The Plan Works	Disability Income Insurance is designed to help replace income lost due to a disabling injury or illness. In determining how much disability income insurance you need remember: Disability benefits are generally income tax-free, it is not necessary to try to insure your “before-tax” income. Social Security Disability Benefits are not available until the disability has continued for more than 5 months, and then only for extended, serious disabilities. You may want to consider a higher monthly benefits for a short period, or you can select slightly lower benefits or a longer waiting period to obtain long-term coverage for the same premium. Providing you pay for the policy. Please contact your tax advisor for information about your specific situation.
Plan Coverage Options	Choose from the following two Disability Income Plans: Option A Benefits payable on the 31st day after the onset of the disability. Benefits paid for up to 2 years while you remain totally disabled. For a disability starting on or after your 65^th birthday, benefits will reduce 50% and are payable for 24 months or to your 70^th birthday, whichever occurs first. Option B You select your waiting period for benefits to begin after 30, 60, 90, 180, or 365 days. For a disability starting before your 65^th birthday, benefits are payable to your 65 birthday or 24 months whichever occurs later. For a disability starting on or after your 65^th birthday, benefits will reduce 50% and are payable for the lesser of 24 months or to age 70. With either option, you may apply for up to $10,000 per month in benefits, as long as the amount combined with any other disability benefits you may have does not exceed 60% of your basic monthly earnings (exclusive of overtime, bonuses or additional compensation), and adheres to New York Life’s underwriting requirements. Note: Call the administrator for provisions on self-employed first-year business applicants.
Defining Total Disability	Total Disability means an insured is completely and continuously prevented from doing the material and substantial duties of his or her regular occupation during the Waiting Period and during the next 60 consecutive months; and thereafter the incapacity to do the material and substantial duties of any occupation for which they are or may become qualified by reason of education, training or experience.
Exclusions and Limitations	Benefits are not payable for disabilities resulting from: Intentionally self-inflicted injuries, while sane or insane* Full-time service in the Armed Forces or war or acts of war other than as a victim Accidents while boarding, traveling or alighting from an aircraft used for training, test, practice or experimental purposes Serving as a crew member on any aircraft Normal pregnancy, and resulting childbirth or miscarriage (Complications of pregnancy are covered.) Any impairment or disease specifically excluded from your coverage A maximum of 24 monthly benefit payments will be made for disabilities caused by or resulting from mental illness, alcoholism or drug abuse. Under Benefit Period Option B, this limitation does not apply to any period during which the insured is institutionalized for 14 consecutive days or more. * MO Residents: the exclusion for intentionally self-inflicted injuries is not applicable to injury caused by an attempted suicide while insane.
Cost of Living Feature	Your ACS Disability Income Insurance Plan allows you to choose a valuable feature, which permits your benefits to keep pace with the general rise in the cost of living. Under this option, your monthly benefit for the coming year will increase by the same percentage, up to a maximum of 3%, as long as you: You have been receiving benefits for at least 12 months The official Consumer Price Index from the US Department of Labor, Bureau of Labor Statistics shows an increase of at least 1% over the previous year The total amount of additional benefits accumulated through this valuable option can not exceed 25% of your original monthly benefit, and is not subject to the overall maximum monthly benefit.
Coverage Effective Date	Your coverage will become effective on the day of approval of your application by New York Life Insurance Company, provided you pay your premium when due and are actively at work or capable of working on that day. If you are temporarily disabled at the time your application is approved, coverage will be effective on the first day you return to work.
Continuation of Coverage	Your coverage will automatically be renewed until the plan anniversary date coinciding with or next following the date you become 70. To ensure your continued coverage, the Group Policy must remain in force, premium must be paid when due, you must remain a member of the American Chemical Society in good standing and continue to be actively engaged in the duties of your occupation. If you are laid off, or take a leave of absence, your coverage will continue for up to 90 days after your last day at work Spousal or domestic partner coverage will be automatically renewed until the plan anniversary date coinciding with the next following date the spouse or domestic partner attains age 70. The spouse or domestic partner of a deceased member may continue his or her coverage in force by continuing to pay the appropriate premium when due.
Premium Credit	The Board of Trustees, Group Insurance Plans for ACS Members regularly approves the distribution of premium credits on new and renewed policies. The premium credit for the year 2009 is 25%. These premium credits are paid to the insurance carrier by the Disability Income Plan Trust Fund. Premium credits are not guaranteed and vary from year-to year depending on claim experience.
Portable Protection	Coverage under the ACS Group Disability Income Insurance Plan is completely portable, staying with you even if you change jobs. Your coverage continues as long as the group policy remains in effect, you maintain your ACS membership and pay your premiums when due.
30- Day Free Look	If you are not completely satisfied with the terms of your Certificate of Insurance, you may return it without claim, within 30 days. Your coverage will be invalidated and you will receive a full refund – no questions asked!
Rates	Rates
Important Notice	How New York Life Underwrites Your Request for Group Disability Income Insurance Information regarding insurability will be treated as confidential. In considering your request for insurance, we will rely on the medical information you provide, and on the information you authorize us to obtain from your doctor, other medical practitioners and facilities, other insurance companies to which you have applied for insurance and MIB (Medical Information Bureau). New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. We may make a brief report to MIB; however, we will not disclose our underwriting decision. Information in our files may be seen by New York Life and Plan Administrator employees, but only on a “need to know” basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for insurance can be approved. MIB is a nonprofit organization of life insurance companies which operates an information exchange on behalf of its members. When you apply for insurance or submit a claim for benefits to a MIB member company, medical or non-medical information may be give to the Bureau, which may then be furnished to member companies. If we cannot provide the coverage you requested, we will tell you why. If you feel our information is inaccurate, you will be given a change to correct or complete the information in our files. Upon written request to New York Life or MIB, you will be provided with non-medical information. Generally, medical information will be given either directly to the proposed insured or to a medical professional designated by the proposed insured. Your request is handled in accordance with the Fair Credit Reporting Act procedures. If you question the accuracy of the information provided by MIB, you may contact MIB and seek a correction. MIB’s information office is a P.O. Box 105, Essex Station, Boston MA 02112. For Canadian residents, the address is 330 University Avenue, Suite 403, Toronto, Canada M5G 1R7. You may call MIB at 866-692-6901. TTY: 866-346-3642. For NM Residents: Protected Persons have a right of access to certain Confidential Abuse Information we maintain in our files and they may choose to receive such information directly. You have the right to register as a Protected Person by sending a signed request to the Administrator at the address listed on the application. Please include your full name, date of birth, employer and address. Protected Person means a victim of domestic abuse: who has notified us that he/she is or has been a victim of domestic abuse; and who is an insured person or prospective insured person. Confidential Abuse Information means information about: acts of domestic abuse or abuse status; the work or home address or telephone number of a victim of domestic abuse; or the status of an applicant or insured as family member, employer or associate of a victim of domestic abuse or a person with whom an applicant or insured is known to have a direct, close personal, family or abuse related relationship. If we can provide the coverage you requested, we will inform you as to when such coverage will be effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean that there is any insurance in force before the effective date as determined by New York Life. New York Life Insurance Company 9/05 ed.
Disclaimers	This page is intended to describe only principle features of the ACS Group Disability Income Plan and is not a contract. A complete description is contained in the Certificate of Insurance issued to each plan participant. Benefits are provided under the Group Policy GMR- G-29201/FACE. The complete terms, limitations, exclusions and conditions will be set forth in the Group Policy issued by New York Life to the ACS Insurance Trust. The ACS Member Insurance Program is self-supporting. ACS member dues are not used in any way to maintain or promote ACS Insurance Plans. New York Life Insurance Company’s state of domicile is New York, and NAIC ID# is 66915. ACS Group Disability Income Plan is underwritten by New York Life Insurance Company, 51 Madison Avenue, New York, NY 10010, under Group Policy Form GMR, Group Policy G-29201/FACEand is brokered and administered by Pearl Insurance, Ltd. 1200 East Glen Avenue, Peoria Heights, IL 61614 . California license #0549883.