This plan was created for chiropractors like you. That’s why any Elective Chiropractic Preventative/Maintenance Care you receive does not subject your application to expanded underwriting, nor is it considered a pre-existing condition.

Elective Chiropractic Preventative/Maintenance Care: Elective health care that is patient initiated and provided at regular intervals to prevent disease, prolong life, promote health and enhance the quality of life. Care that may be initiated without symptoms in order to promote health and to prevent future problems.

Who is Eligible

As an active member of the National Business Association for Chiropractors (NBAC) and citizen or legal resident of the U.S., you are eligible to apply for the D.C. Long Term Disability Plan, as long as you are age 65 or under and Actively at Work (for 30 hours or more per week).

Policy highlights include:

Low Group Rates

Thanks to the mass buying power of NBAC, you can take advantage of low, group rates. They are generally less expensive than you would pay for individual coverage.

Up to $7,500 in Monthly Benefits

If an illness or injury means you can’t earn an income, you can count on your D.C. Disability Plan to pay you the monthly benefits you’ll need to help pay your expenses. Monthly benefits of up to $7,500 are available to help make sure you get up to 60% of your Pre-disability Monthly Earnings.

For D.C.s who are an owner, partner or shareholder, Pre-disability Monthly Earnings means income after deducting business expenses from gross receipts.(Find your monthly average by using the last 2 years of income that is distributed by the corporation to you and claimed as annual income on your individual income tax return.)

For D.C.s receiving a W-2, this means your average monthly base salary over the last 2 years, not counting commissions, bonuses, overtime pay, tokens, fringe benefits or extra compensation.

Works with Other Income Sources to Replace up to 60% of your Income

Like most disability insurance plans, your D.C. Disability Plan will coordinate with your other sources of income such as Social Security, workers’ compensation and individual disability programs to replace up to 60% of your Pre-disability Monthly Earnings, up to $7,500 per month (less deductible sources of income).

Effective Date

Your coverage will become effective the first of the month after your application has been approved and your first premium received.

If you are not Actively at Work on the date your coverage is to be effective, your coverage will begin the first of the month after you have been Actively at Work for one month.

Renewability

Your D.C. Long Term Disability Plan will continue as long as: 1) The Master Policy is active; 2) NBAC sponsors the plan; 3) you continue your NBAC membership; 4) you are Actively at Work except due to disability; and 5) you pay your premiums.

30-Day No-Risk Guarantee

The Hartford wants you to be absolutely satisfied with the D.C. Long Term Disability Insurance Plan. That’s why you have 30 days from your effective date to review your certificate to make sure it meets your needs. If not, return your certificate for a full premium refund – guaranteed.

Pre-existing Condition Limitation

During the first two years of coverage, losses incurred for pre-existing conditions are not covered. A pre-existing condition means any injury or sickness for which medical or chiropractic advice or treatment (not to include Elective Chiropractic Preventative/Maintenance Care) was received within the 12-month period immediately prior to the effective date of your insurance or an increase of insurance benefits.

Exclusions and Limitations

Your D.C. Long Term Disability Insurance Plan does not cover any Disability or loss caused by: intentionally self-inflicted injury, suicide or attempted suicide, while sane or insane; or war or act of war, whether declared or not; or any injury sustained while riding on, boarding or alighting from, any aircraft; as a pilot, crew member or student pilot; operated by any military authority (land, sea or air) unless it is a Military Transport Aircraft used for Transport and operated by the United States Military Air Mobility Command (AMC) or an AMC type service of a national government recognized by the United States; or being used for tests, experimental purposes, stunt flying, racing or endurance tests, or your commission or attempted commission of a felony; or sickness contracted or Injury sustained while on full-time active duty as a member of the Armed Forces (land, water, air) of any country or international authority.

Mental Illness, Alcoholism, Substance Abuse Limitation

If you are Totally Disabled due to Mental Illness, alcoholism or Substance Abuse, the Maximum Payment Period will be reduced to 2 years during your lifetime unless you are confined in a hospital or other institution licensed to provide care and treatment for that disability.

MIB NOTICE
Notice of Insurance Information Practices

Your application is our major source of information. However, The Hartford may also collect or verify information by contacting individuals or organizations that have information or records about you or others to be insured.

Information regarding your insurability will be treated as confidential. The Hartford or its reinsurer(s) may, however, make a brief report thereon to the MIB, Inc., formerly known as Medical Information Bureau, a non-profit membership organization of insurance companies, which operates an information exchange on behalf of its members. If you apply to another MIB member company for life or health insurance coverage, or a claim for benefits is submitted to such a company, MIB, upon request, will supply such company with the information in its file.

Upon receipt from you, MIB will arrange disclosure of any information in your file. Please contact MIB at 866-692-6901 (TTY 866 346-3642). If you question the accuracy of information in MIB’s file, you may contact MIB and seek a correction in accordance with the procedures set forth in the Federal Fair Credit Reporting Act. The address of MIB’s information office is 50 Braintree Hill Park, Suite 400, Braintree, Massachusetts 02184-8734.

The Hartford or its reinsurer(s) may also release information from its file to other insurance companies to whom you may apply for life or health insurance, or to whom a claim for benefits may be submitted. Information for consumers about MIB may be obtained on its website at www.mib.com.

Upon written request, The Hartford will provide you with information in your file. Medical information will be disclosed only through a physician you designate. Details regarding your right to correct or amend information in your file will be furnished upon written request. If you would like further details, contact The Hartford, P.O. Box 2999, Hartford, CT 06104-2999, Attn: Group Benefits Department.

STATE NOTICE

Any person who includes any false or misleading information on an application or filing a claim for an insurance policy is subject to criminal and civil penalties. It is unlawful to knowingly provide false, incomplete or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. In certain states, penalties may include imprisonment, fines, denial of insurance, and civil damages.

Any insurance company or agent of an insurance company who knowingly provides false, incomplete or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the State Insurance Regulatory Agency and/or Division of Insurance. If while in the state of Florida, a person knowingly and with intent to injure, defraud, or deceive any insurer, files a statement of claim or an application containing any false, incomplete or misleading information, the person is guilty of a felony in the third degree. Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false, misleading or deceptive information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and shall be subject to substantial civil and/or criminal penalty where and to the extent allowed by state law.

Acceptance into this plan is subject to medical evidence of insurability as determined by The Hartford. Depending on your age, the amount of coverage you request, and your answers on the application, a medical examination, medical test(s) or other evidence of good health may be required. Any exams/tests requested by the company will be conducted at no expense to you.

This website explains the general purpose of the insurance described, but in no way changes or affects the policy AGP-5673 as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life and Accident Insurance Company detail exclusions, limitations, reductions of benefits and terms under which policies may be continued in force or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.