ABP Long Term Disability
Eligibility
A member is eligible for employer-paid
long-term disability insurance coverage after completing 12 months
of continuous full-time employment in an ABP
eligible position.
ABP Long Term Disability Benefits
If the member is deemed to be totally
disabled due to an occupational or non-occupational condition,
the ABP long term disability benefit payable, if approved, may
be up to 60% of base salary, and will be calculated using the
applicant's base salary earned during the twelve months prior
to the month in which the disabling event occurred.
A member's ABP long term disability
benefit will be offset dollar for dollar by any periodic benefit
the member is already receiving, such as Workers' Compensation,
short-term disability, or Social Security.
ABP Long Term Disability
Administration
All ABP long term disability claims
and payments are administered by the Prudential Insurance Company
of America, through the New Jersey Division of Pensions and Benefits.
Prudential Contact Information
Prudential contact information is
provided below, allowing the employer to get in touch with Prudential
at any time regarding a member's long term disability (to obtain
additional copies of the Prudential Long Term Disability Application
or to check on the status of a long term disability for an employee,
etc.). The employer may also provide this contact information
to an employee with questions or problems regarding a pending
long term disability application.
To contact the Prudential Insurance
Company of America, please call: 1-800-842-1718. When calling
Prudential regarding an ABP Long Term Disability, please provide
the following Plan Control Number: 14800.
To print a Long Term Disability Application and Carrier Election and Allocation form, please click here: ABP Long-Term Disability form.
Division of Pensions and Benefits
Alternate Benefit Program Contact Information
To contact the Alternate Benefit
Program at the New Jersey Division of Pensions and Benefits, an
employer may call (609) 777-0887, or write to:
The Division of Pensions and Benefits
Alternate Benefit Program
PO Box 295
Trenton, NJ 08625-0295
The ABP Long Term
Disability Application Process
- A member of the Alternate
Benefit Program (ABP) wishing to apply for a long term disability
begins the process by obtaining a Long Term Disability Application and Carrier Election and Allocation form from his or her employer, or by downloading and printing
it: ABP Long-Term Disability form
- The member completes the application and election form,
providing all requested information accurately, and submits
the completed application to his or her employer.
- The employer then sends the completed
Long Term Disability Application and Carrier Election and Allocation form to the New Jersey Division
of Pensions and Benefits, providing the employee's salary information
for the final 12 months prior to the month in which the disabling
event occurred.
- At that time, the Division of
Pensions and Benefits informs the New Jersey State Health Benefits
Program that an ABP long term disability is pending.
- The Division of Pensions and Benefits
then sends the employee's application, with a cover letter,
to Prudential, and processing begins.
- If employee information is missing
from the application, Prudential contacts the employee to obtain
it.
- When all information has been
obtained, Prudential makes a determination as to whether the
disability is approved. ABP long term disability processing
times vary.
When an ABP Long Term Disability
Is Approved
If the long term disability benefit
is approved, Prudential informs the employee, the employer, and
the Division of Pensions and Benefits by letter.
The Division of Pensions and Benefits
then informs the State Health Benefits Program (SHBP) that the
member's long term disability has been approved. The SHBP now
regards the member on an ABP long term disability as a retiree,
and the member will be offered SHBP retiree coverage, if eligible,
through an offering letter.
The employer and employee contributions are remitted to the investment provider indicated on the Carrier Election and Allocation form. Failure to elect an investment provider will result in the funds being remitted to the current default investment provider, despite any contract established with a provider through active employment.
The ABP long term disability benefit,
which is a monthly income benefit, will be offset dollar for dollar
by any other periodic benefit the member may be receiving, such
as Workers' Compensation, short-term disability, or Social Security.
The long term disability benefit
will continue be paid until either the member is 70 years of age,
the member chooses to take a distribution*, or the member is no
longer considered disabled (see "Periodic
Medical Evaluations" below).
When an ABP member on long term
disability reaches age 70, or chooses to take a distribution*,
his status reverts to "retired" for pension purposes.
The member should contact his or her authorized carrier at this
time to arrange for distribution of retirement
benefits.
*Note: Should the member
begin receiving payments under the retirement annuity at any time
before age 70, long term disability benefits terminate, since
the member is regarded as retired upon taking a distribution.
ABP Disability Approvals Requiring
Periodic Medical Evaluations
Some ABP long term disability approvals
require the member to receive periodic medical evaluations of
the long term disability.
If it is determined though the periodic
medical evaluation that the member is no longer considered disabled,
the long term disability coverage ends. The member can either
retire or return to work.
When an ABP Long Term Disability
Is Denied
If the ABP long term disability is
denied, Prudential mails the member a denial letter and informs
them in the letter of their right to appeal the decision.
The member must appeal within 45
days of the date of receipt of the Prudential denial letter.
If the long term disability is once
again denied, the member can appeal the decision through the Director's
Office, Division of Pensions and Benefits.
Payment of Member and Employer Contributions while a Member Is on a Long Term Disability
Prudential makes a 5% contribution on behalf of the member and (acting as the employer) the Division of Pensions and Benefits contributes 8% for the period during which the member is receiving ABP long term disability payments. Both the member’s and the employer’s mandatory contributions are automatically credited to the member’s retirement account while the member is considered disabled. The member continues to accrue service credit for as long as the ABP long term disability is in effect.
ABP Group Life Insurance Coverage
during a Long Term Disability
An ABP member with an approved long
term disability is treated as an active member in regard to group
life insurance. That means that the ABP member's group life insurance
benefit will remain at 3.5 times the member's salary until either
the member is 70 years of age, the member chooses to take a distribution,
or the member is no longer considered disabled* and chooses to
retire. At that time, the life insurance reduces to one-half of
the annual base salary, as long as the member is eligible for
retired group life insurance coverage.
* If it is determined though a required
periodic medical evaluation that a member receiving ABP long term
disability benefits is no longer considered disabled, and the
member is not yet 70 and chooses to return to ABP employment rather
than retire, the member will retain ABP active group life insurance
coverage.