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Disability
Short- and Long-Term Disability
If you become disabled and are unable to work due to a non-work-related illness or injury, Disability Insurance provides income protection. This includes Short-Disability (STD) and Long-Term Disability (LTD).
The administrator is Lincoln Financial Group.
STD Coverage
Boston Children’s pays the full cost of your STD insurance. You’re automatically enrolled in STD after completing 90 days of continuous service.
How STD Works:
If you become disabled and are unable to work due to a non-work-related illness or injury for seven or more calendar days, you may be eligible to receive up to 60% of your weekly base pay, up to a maximum of $2,000 per week, for up to 26 weeks. This amount is in coordination with your state’s disability program.
If you become disabled, you must file a claim with both the Massachusetts Department of Family and Medical Leave (DFML) and Lincoln Financial. Note – this process may differ if you work and live in a different state.
Note that benefits begin after the 7-day elimination period (no payments during this time).
Payments are taxable income; FICA is automatically withheld. You may request federal and state tax withholding during the application process.
For full details, refer to the Leave of Absence page and HR Policy Manual and contact HR Absence Management team on The Hub 2.0
Massachusetts Paid Family Leave (MAPFML)
If you are a resident of Massachusetts, you are eligible for Massachusetts Paid Family Leave (MAPFML). STD and MAPFML work together to ensure that you have income during your leave. Here’s how they work together:
If you go out on STD, if eligible, you’ll also receive a payment through the Massachusetts Paid Family and Medical Leave (MAPFML) program.
Your STD payment from Lincoln Financial will be reduced by the amount you receive from MAPFML.
Your STD coverage doesn’t change, but benefits will be paid separately by the state and Lincoln Financial.
In some cases, your MAPFML payment may equal or exceed your STD benefit — in those situations, you won’t receive an additional payment from Lincoln Financial.
If your MAPFML claim is denied you may still be eligible for an STD benefit.
LTD Coverage
If you are on a medical leave that extends beyond the 26 weeks, Long-Term Disability (LTD) would then provide coverage. LTD provides monthly income if you’re unable to work due to a covered illness or injury. Benefits may continue up to age 65 — or longer if your disability begins after age 60.
How LTD Works:
Enrollment is required
You can choose from:
40% of monthly base pay (up to $25,000/month)
60% of monthly base pay (up to $25,000/month)
Benefits are offset by other income (e.g., Social Security, Workers’ Compensation)
You’re considered totally disabled if unable to perform your own job for 36 months; after that, any job you’re reasonably qualified for
Mental health/substance use coverage limited to 24 months per occurrence
Your Disability Insurance coverage will reduce to 65% of the original amount at ages 70–74 and to 50% at age 75 and older. The reduction is based on the covered employee’s age.
LTD Bi-weekly Rates
You pay 100% of the cost of LTD on an after-tax basis:
2027 Rates:
These are based on 26 pay periods.
LTD Plan option
Rate per $100 of Monthly Pay*
40% Plan
$0.13
60% Plan
$0.27
*Rounding will occur
2026 Rates:
These are your 2026 rates. Your 2027 rates will go into effect on January 1, 2027. These are based on 27 pay periods.
LTD Plan option
Rate per $100 of Monthly Pay*
40% Plan
$0.12666
60% Plan
$0.25644
*Rounding will occur
For example, if your annual salary is $75,000, divide by 12 to get your monthly salary = $6,250:
Divide monthly salary by 100 = $62.50
For 40% LTD, $62.50 x 0.13 = $8.13 per paycheck
For 60% LTD, $62.50 x 0.27 = $16.86 per paycheck
Evidence of Insurability (EOI)
If you enroll in LTD coverage when first eligible, Evidence of Insurability (EOI) will not be required. However, if you enroll at a later time, EOI will be required for new elections or increasing your election from 40% to 60%. Coverage begins once approved by the carrier.
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