SALARYGAP®
This is a brief summary of the SALARYGAP re-employment coverage provided under policy rider forms WP SG EE 001 1223 and WP SG IC 001 1223. See Policy for complete details. Some states vary.
WHAT’S COVERED?
When the Insured experiences a qualifying Salary Gap, benefits as shown on the Schedule Page will be payable as follows:
- The Insured must:
- be Involuntarily Unemployed, and
- find Replacement Employment within the SALARYGAP Eligibility Months, and
- experience a Salary Gap while this rider is in force.
- Commencement of SALARYGAP benefits starts once the definitions of Salary Gap and Replacement Employment been satisfied. Benefits are either retroactive or non-retroactive to the date the Salary Gap began .
- Benefits for a Salary Gap will stop when the Monthly Insurance Benefit amount has been paid for the entire Maximum Benefit Period or Lifetime Aggregate Maximum Benefit as shown on the Schedule Page or, if earlier, on the date the Insured no longer experiences a Salary Gap.
- For an Employee: SALARYGAP benefits will be reduced as necessary so that SALARYGAP benefits plus all salary, wages or employment income from Replacement Employment, plus any residual government sponsored unemployment benefits do not exceed the salary, wages or employment income from employment held before Involuntary Unemployment started.
- For an Independent Contractor or Self-Employed individual: SALARYGAP benefits will be reduced as necessary so that SALARYGAP benefits plus all salary, wages or contracting income from Replacement Employment, plus any residual government sponsored unemployment benefits do not exceed the Average Monthly Income immediately before Involuntary Unemployment started.
If the Insured incurs a qualifying Disability event and a qualifying Salary Gap event simultaneously, only one benefit will be paid, and it will be the larger of the two benefits amounts.
WHAT’S NOT COVERED?
SALARYGAP® benefits are not payable in these circumstances:
- For a seasonal worker, meaning a person whose occupation can be carried on only during certain seasons or defined portions of the year and where the customary period of employment is less than one thousand (1,000) hours during the calendar year;
- Occurring in the SALARYGAP Insurance Vesting Period as shown on the Schedule Page. During the Vesting Period, at the option of the Insured following the denial of a claim, SALARYGAP coverage can be cancelled for a full refund of premium;
- Due to termination as a result of cause or willful misconduct (a transgression of some established and definite rule of action, a forbidden act or omission, or an act or omission involving dishonesty, or a dereliction of duty, active or passive, which is willful in character and beyond simple negligence), excessive absenteeism or tardiness, or criminal misconduct (unlawful behavior as determined by Local, State or Federal law); resulting directly or indirectly from any dishonest, fraudulent or criminal act; due to a circumstance known by the Insured prior to the Policy Effective Date;
- Due to war or any act of war (declared or undeclared);
- For an Employee: due to a voluntary forfeiture of salary, wages or employment income;
- For an Employee: voluntary resignation or retirement;
- For an Employee: as an Independent Contractor or a Self-Employed individual;
- For a Self-Employed individual: voluntary resignation or divestiture of business interest;
- For an Independent Contractor or Self-Employed individual: due to a voluntary forfeiture of salary, wages or employment income or independent contracting income;
- For an Independent Contractor or Self-Employed individual: due to the contractual expiration of an employment or engagement contract;
- For an Independent Contractor: voluntary resignation or retirement.