The purpose of this Group Insurance Plan is to give you options to supplement your income in the event that you cannot work due to injuries, illnesses, or death. This group plan offers Disability Insurance and Life Insurance with Accidental Death & Dismemberment coverage.

All of the available coverages are offered separately and a Member’s participation in one or all of those coverages, and the level to which he or she elects to participate, is voluntary and strictly the individual’s choice.

All insurance under this Union Group Policy will cover you for as long as you continue to remain actively employed, pay monthly costs, and be in good standing with the union.

Attention participating Members: No action is required to maintain your current coverages.

The BLET does not make any endorsement or recommendations regarding these benefits. This program is completely voluntary and benefits can be elected on an à la carte basis. It is solely the Members decision to enroll and learn about the benefits being offered.

Eligibility Notice

You must be an actively working, full dues paying Member of the BLET union, working a minimum of 20 hours per work, in order to be eligible to enroll in and maintain coverage. If you are suspended, dismissed, retire from the railroad, or leave the BLET for any reason, you are no longer eligible for disability coverage and it is your responsibility to contact our office immediately at (847) 387-3555 so that we may stop your monthly payments. Failure to properly notify Union One within 90 days of employment and/or union status changes will result in loss of monthly payments paid.

Disabilities that occur after being removed from service are not covered. You may have the ability to suspend your disability coverage if you are not actively working. Please contact the Union One office at (847) 387-3555 for more information. Note: this also applies to any Member who has not had a formal hearing.

Actively At Work Notice

To be covered by the Group Policy you must be actively at work performing the duties of your own occupation when the policy goes into effect or when returning to work from a disability claim. Days spent not working to include, but not limited to; PLD, vacation, light duty, FMLA days, rules classes, and re-certification tests/classes do not count as actively working days. If you are not actively at work when the policy goes into effect, your coverage effective date will be deferred until your first full day of active work.

It is your responsibility to notify Union One if your employment, union status, contact information, or salary changes. Failure to properly notify Union One will result in loss of monthly payments and/or insurance coverage. Notification to Union One must be made by phone at (847) 387-3555 and/or by email at info@unionone.com.

Income Verification Notice

In the event a claim is filed, you will be required to verify your income by providing your prior year’s W-2 and/or three full months of paystubs. Benefit payments are subject to change based on the income you can verify at time of claim.

Benefits Offsets, Reductions and Overpayments

Benefits may be reduced where offsets apply. Benefit amounts illustrated on the Summary of Benefits & Rates guide do not reflect any applicable offsets. It is your responsibility as the claimant to notify Union One and the Insurance Company of any other income sources you are receiving; failure to do so may result in an overpayment that you will be required to repay. Please review the Group Policy for further information. If you have any questions regarding offsets, please call Union One at (847) 387-3555.

Railroad Retirement Board Benefits: Your Union Group Policy requires you to apply for a disability annuity through the Railroad Retirement Board if you meet the eligibility requirements. Due to the delayed Railroad Retirement Board Disability Annuity approval process and the fact that benefits are backdated once approved, an overpayment of disability benefits may occur. Union One strongly encourages you to call the Railroad Retirement Board to obtain an estimate of your monthly annuity amount and then call our office to discuss your best Long-Term Disability option.

As an individual Member of the Union, if you have voluntarily elected to participate and make monthly payments for coverage, it is your responsibility to understand the group policy and its provisions. To view/download the group policy/booklet, please look under the Policy Documents section.

Disability Pre-Existing Condition Limitation

For the first 12 months of your Short-Term Disability (STD) coverage  or for any increases/enhancements to your STD coverage, and for the first 24 months of your Long-Term Disability (LTD) coverage or for any increases/enhancements to your LTD coverage, no benefits will be paid if your disability results from a pre-existing condition. A pre-existing condition is defined as any illness or injury for which you:

• Received medical treatment, consultation, or diagnostic testing
• Were prescribed medications or followed any treatment recommendations

This also includes conditions for which you did not see a doctor, but a reasonable person would have sought medical care. Please note that exclusions may vary by state.

Short-Term Disability – Pre-Existing Condition Guidelines

Short-Term Disability coverage includes a 12-month pre-existing condition limitation. To qualify for benefits related to a pre-existing condition:

• You must be an eligible Member of the group and have paid Short-Term Disability premiums for a minimum of 12 consecutive months following your effective date of coverage (or the effective date of any increases/enhancements to your coverage) and prior to your disability, or
• You must be treatment-free for the 12 months prior to your coverage effective date (Look Back Period) for the disabling condition.

Long-Term Disability – Pre-Existing Condition Guidelines

Long-Term Disability coverage also includes a 24-month pre-existing condition limitation. To qualify for benefits related to a pre-existing condition:

• You must be an eligible Member of the group and have paid Long-Term Disability premiums for a minimum of 24 consecutive months following your effective date of coverage (or the effective date of any increases/enhancements to your coverage) and prior to your disability, or
• You must be treatment-free for the 12 months prior to your coverage effective date (Look Back Period) for the disabling condition.

Look Back Period Definition

The Look Back Period is the timeframe during which your medical history is reviewed to determine if a disabling condition existed prior to your coverage effective date (or the effective date of any increases/enhancements to your coverage). To meet the criteria for being “treatment-free” during the Look Back Period, the following must apply:

• Resolution of the condition: The pre-existing condition must be resolved, meaning it no longer requires ongoing medical treatment, prescription medications, consultations, or diagnostic testing during the Look Back Period.
• No ongoing management or treatment: Simply discontinuing or avoiding treatment does not qualify as “treatment-free.” The condition must not require further management or intervention by a healthcare provider during this period.

Additional Information About Pre-Existing Condition Limitations

• These limitations apply to any increase in your disability benefits.
• The insurance carrier will review pre-existing conditions at the time of claim. This review requires disclosure of all relevant medical records, doctors’ notes, and prescription drug history.
• Failing to receive treatment does not exempt you from the Look Back Period for pre-existing conditions.

The information contained here does not override the policy contract. Only the policy contract will be utilized to determine coverage eligibility at the time of claim. It is each participating Member’s responsibility to obtain and review the policy contract. For the most up-to-date information, always refer to the Group Policy booklet. Policy terms, conditions, and limitations may change. If you have questions, call (224) 770-5307.

This information is intended to help you understand the transition process from own-occupation to any-occupation.

Your Union’s Long-Term Disability policy, insured with Prudential Financial, includes a provision which defines disability during the Own Occupation (Own Occ) period as a disability which prevents you from performing the “material and substantial duties” of YOUR railroad occupation or results in a loss of at least 20% of your pre-disability earnings. After receiving Long-Term Disability benefits for the duration of the Own Occ period (defined in your certificate of coverage), your claim transitions to an any occupation (Any Occ) period, which defines disability as the inability to perform any “gainful occupation”. At this transition Prudential will review the following:

1. Occupations that exist in the national economy that you may be expected to follow based on your education, training, experience, age and physical and mental capacity, that you could perform with your disability/functionality restrictions; or
2. If you are able to work, you are earning less than 60% of your pre-disability earnings.

The transition from the Own Occ definition to the any Occ definition does not automatically eliminate your ability to receive benefits. This transition is a change in the criteria used to adjudicate your disability and may or may not cause benefits to terminate (depending on each unique situation and the criteria above). Job openings/availability are not guaranteed nor does the policy protect against whether you successfully secure employment.

This provision of the policy is intended to help both those claiming disability benefits and those who are not claiming disability benefits. The policy provision incentivizes individuals who are on disability to either rehabilitate and get back to work at their current occupation or utilize their training/education to find gainful employment in another field. For those Members who are not on disability, this provision helps to ensure that disability coverage remains affordable and in-force. It is important for long-term sustainability of the policy that individuals on disability try to return to the workforce when the ability exists to find gainful employment as outlined in the above criteria.

To assist with this, additional Return-to-Work services are provided by Prudential at no cost. Prudential offers programs and services to assist disabled Members and help them return to full productivity. The Vocational Rehabilitation Benefit provides customized programs to assist Members on LTD with successful recovery and re-entry to the workforce. Additionally, vocational rehabilitation professionals review each claim independently and work with the Member to determine the most appropriate course of action. Everyone wins when disabled Members are working toward re-entry into the workforce!

As Members increase time working on the railroad, their service credits with the Railroad Retirement Board also increase. Once a Member gets to 240 credit months (20 years of service), they become eligible for the Railroad Retirement Board Occupational Annuity. This benefit is calculated by service time and the Member’s earnings. The monthly benefit Members may receive from the RRB Occupational Annuity can be substantial. Because of this, the Union One BLET GCA Disability and Life plan Option A is best suited for Members who have over 240 credit service months (20 years).

Option A

• Pays flat monthly benefit of $2,000 a month for 2 years.
• Members can receive up to 70% of their pre-disability earnings when both the Prudential and RRB Occupational Disability Annutity benefits are combined.

RRB: You may or may not be eligible for Railroad Retirement Board (RRB) Occupational Annuity. More information is available by calling an RRB office toll-free at (877) 772-5772.

This is a Voluntary Group Term Life Insurance plan offered through your Union. As such, this plan should not serve as your primary source of Life Insurance as the Union or insurance company may terminate, cancel or change this policy at renewal. This Life Insurance Plan is designed to give you and your family a guaranteed approved option for additional Supplemental Life Insurance while working as an active Member of your Union. Please review all the provisions of this Life Insurance Policy. It is highly recommended that this policy not be used to replace any existing Life Insurance coverage you may have.

When Life Insurance Coverage Ends

If suspended or disabled you may keep your Life Insurance coverage for up to 12 months provided monthly costs continue to be paid during that period. Beyond 12 months, your coverage will terminate unless you convert or port your Life Insurance coverage.

If you leave the Union or retire, you may convert your Group Term Life Insurance to a Permanent Individual Life Insurance Policy or you may port your coverage. You must elect to convert or port your coverage within 31 days from the date of you are no longer eligible to be covered on the group plan (i.e. date of retirement or termination). Please contact the Union One office at (847) 387-3564 for questions about rates associated with converting or porting your Life Insurance coverage.

If you are enrolled in Dependent Life coverage and your dependent is disabled, you can retain your dependent’s coverage beyond age 26 by completing an application. You will have only 31 days from your dependent’s 26th birthday to submit this application.

Note: Typically converting your Group Term Life Insurance to an Individual Permanent Life Insurance Policy is very expensive and only recommended for people who cannot qualify for Life Insurance elsewhere.

Renewal Notice

This is a Group Insurance Plan offered through your Union. As such, your rates and benefits may change at renewal or non-renew based on the overall claims experience of the group and/or if participation requirements are not being met. Further, any substantial change to the makeup of the group, such as a change in the Member demographics, that impacts the underwriting risk of the plan may immediately result in a change to the plan.

At renewal, if you do not call Union One to make changes to or discontinue coverage, you hereby authorize and give permission to Union One to auto-enroll you in the renewal plan benefits that most resemble your currently elected benefits. Auto-enrollment could result in a potential increase in your monthly or bimonthly payment drafts. Please understand, this is intended to ensure no Member loses coverage for failing or forgetting to take the time to renew or re-enroll. Given that all benefits are “Voluntary,” you can cancel or lower your coverage at any time.

Refund Policy

At BLET VIP, it is the Member’s obligation to promptly notify us of any changes in status that affect your membership or employment associated with the union. This includes, but is not limited to, resignation, dismissal or termination of employment, layoff, retirement, disability, FMLA leave, leave of absence, military leave, leaving the union, cessation of full union dues payment, improper enrollment, or any other form of separation that prevents active membership in the union or active employment with your employer connected with the union.

Members must provide this notification within 90 days of the qualifying event to be eligible for a refund of insurance premiums. Notifications received within this 90-day period will result in a refund of the insurance premiums paid, minus all technology and transaction fees, which are non-refundable.

Members who improperly enroll are subject to the same refund policy rules. Improper enrollment includes, but is not limited to, providing inaccurate information, failing to meet membership requirements, failing to meet work requirements, failing to meet employment requirements, or violating union membership policies.

Any notification submitted after the 90-day window will result in the forfeiture of any refund. However, refund requests received after 90 days may be reviewed on a case-by-case basis if unforeseen circumstances prevented timely notification.

It is the sole responsibility of the Member to ensure that notifications are submitted within the allotted 90-day period following any qualifying event. Failure to do so will result in the loss of eligibility for a refund of insurance premiums.

To submit a notification or for any questions regarding this policy, please contact Union One at (224) 770-5307 or email info@unionone.com.

Loss of Monthly Cost Notice

If you do not contact our office within 90 days of your date of dismissal (the date in which the railroad removes you from service), date of retirement, date in which you left the BLET or furloughed, there will be no refund for any monthly cost paid. It is the sole responsibility of the Member to contact Union One at (847) 387-3555 or by email at info@unionone.com within the 90 day allotted time.

Failure to Make a Payment

Participating Members for whatever reason may miss a monthly payment from time to time. The current plan allows for a 90 day grace period to make up any missed monthly payments.

Administrative & Transaction Costs

All administrative and transaction fees are included in your monthly payment. These fees cover the costs associated with, but not limited to, monthly cost processing, monthly cost returns, postage, policy correspondence, claims advocacy and other ancillary expenses associated with the administration of your elections. These monthly fees are applied to all coverages shown on the Summary of Benefits & Rates. Below is the structure of all applicable fees:

Included in monthly costs shown on Summary of Rates: Short-Term Disability $3.00, Long-Term Disability $3.00, Member Life/AD&D Coverage $2.00, Spouse Life/AD&D Coverage $2.00, Dependent Coverage $0.00.

Included when monthly total is collected: Payment Transaction Fee $1.00 per transaction.