GC 3100.6D SECTION 2 - DEFINITIONS 2005 (Family) SECTION 2 - DEFINITIONS OTHER INCOME BENEFITS means those benefits set out below that a Person, his spouse or Child(ren) are entitled to receive. It includes any benefit for which they are eligible, or that is paid to them or a Third Party on their behalf, including: 1) disability income benefits, including any damages or settlements made in place of such benefits (whether or not liability is admitted) under: a) any Workers’ or Workmen’s Compensation Law; b) The Jones Act; c) Maritime Doctrine of Maintenance, Wages or Cure; d) Longshoremen’s and Harbor Workers’ Act; e) any automobile liability insurance or “no fault” motor vehicle plan, whichever is applicable; f) a Third Party (after subtracting attorney’s fees) by judgment, settlement or otherwise not to exceed 50% of the net settlement; g) state compulsory benefit law, including any state disability income benefit law or similar law; h) disability benefits from the Veteran’s Administration, or any other foreign or domestic governmental agency, that begins after a Person becomes Disabled. This includes the amount of any increase in a benefit that a Person was receiving prior to becoming Disabled if the increase is attributed to the same Disability for which the Person is currently receiving a Monthly Benefit under the Group Policy; and i) any other similar act or law; 2) any disability income benefit for which a Person is eligible under any other employee welfare benefit plan, or arrangement of coverage, whether insured or not, as a result of his employment with the Participating Unit. However, when a Person’s Basic Monthly Earnings exceed his Covered Monthly Earnings, the Monthly Benefit will not be reduced by such income unless when combined with the Other Income Benefits the total exceeds 80% of his Basic Monthly Earnings. If it does, the Monthly Benefit will be reduced by the amount that is in excess of 80% of his Basic Monthly Earnings. 3) retirement and/or disability income benefits paid under an Employer’s Retirement Plan except for amounts attributable to a Person’s contributions; 4) any disability income or retirement benefit that has been received or is eligible to be received under: a) the United States Social Security Act or any similar law, plan or act, including the initial enactment and all amendments, based on the Family Social Security Benefits; b) the Canada Pension Plan; c) the Quebec Pension Plan; d) the Railroad Retirement Act; e) any other state, provincial or local government act or law or any other similar act or law provided in any jurisdiction; and 5) Current Monthly Income.
Certificate of Insurance for Group Long Term Disability Income Insurance Page 11 Page 13