Illinois Mutual Life Insurance Company 300 SW Adams – Peoria, IL 61634 (800) 437-7355
Definition of Total Disability. For the first two years that you are unable to work due to accident or sickness ,you must be unable to perform all substantial and material duties of your regular occupation. (This “your occupation period” is extended to five years for those in occupational classification 5.) After the your occupation period, total disability is defined as the inability to perform all the substantial and material duties of any occupation for wage or profit in which you might reasonably be expected to be engaged, with due regard to education, training, experience and prior earnings at the time of your disability. Benefit Period. This refers to the length of time a policy pays a benefit for each disability. Benefit periods can be selected from 6 months, 1, 2, 5, 10 Year and to age 65. Benefit periods available may be limited by occupation. Elimination Period. This refers to the number of days you must be disabled before benefits begin to accrue and become payable. Guaranteed Renewable (GR) vs Non-Cancellable (NC) contracts. A GR contract is guaranteed to be renewable to age 65 but premiums may be changed but only by policy classes and not by individual policy. A NC contract is also guaranteed to be renewable to age 65 but also guarantees that premiums will not be changed. NC contracts are only available for occupational classes 5, 4 and 3. Policy Premiums. The premiums shown below are for the base policy only. There are many additional benefits that can be added which would add additional cost. Premiums are established by age and occupational classification and are listed by $100 of monthly benefit.	Illustration of Benefits and Cost Of Personal Disability Insurance (Based on $100.00 monthly Benefit)
Applications See "Applications / Forms" Page above for Disability Income Insurance Application Notice of Informed Consent Health Information Authorization How to Apply for Coverage 1. Select amount of monthly benefit desired in units of $100. You are limited to 75% of income for a one year benefit and 70% for a two year benefit. Your agent will advise you of your occupational classification (1-5). To qualify for non-tobacco user rates you must not have used tobacco products within the past 12 months. Use the tabs on the left to obtain rates per $100 for the occupational class and tobacco use status that applies to you and the elimination period desired (30 or 60 days). Select the benefit period desired and your current age to find the rate per $100 of benefit. Multiply the rate by the number of units of coverage desired and add $1.00 to obtain the monthly premium rate. Example – Your monthly income is $2,000 per month. You wish to apply for a $1,000 monthly benefit with a 30 day elimination period and a 2 year benefit period. Your occupational class is 2 and you are a tobacco user. You are 37 years old. You click on the tab for a class 2 tobacco user 30 day elimination period. You find the rate for age 37 with a two year benefit period which is $3.74. You take this rate times 10 because you want 10 units of $100 monthly benefit which is $37.40 (10 X 3.74) and add 1.00 to get a final monthly rate of $38.40. 2. Click on the Application tab and print the application. Complete Sections 1-5 and 8-11. Date and sign on page 4. 3. Complete page 5 to pay monthly by automatic bank draft. 4. Click on Notice of Informed consent and print out. Complete and sign form. 5. Click on Heath Information Authorization and print out. Complete sign form. 6. Return all completed forms with your premium deposit to your agent. Underwriting usually takes approximately 30 days to complete. You may receive a telephone call from Illinois Mutual to confirm and clarify information on the application. If your application has been approved and a policy issued you will have 10 days to review the policy and if you do not desire to keep it you may return the policy and receive a complete refund of premium paid.