Eligibility Requirement Clause Samples

Eligibility Requirement. Extended Disability Insurance shall be reinstated, subject to the modifications set forth herein, for an employee who: • becomes wholly and continuously disabled by accidental bodily injury or sickness while on a qualifying layoff as defined in the Ford CAW Supplemental Unemployment Benefit Plan (SUB Plan) and while insured for Life Insurance, • has been eligible for a Regular Benefit under the SUB Plan, or ineligible solely because of allocation of vacation pay as earnings, or has been employed by another employer, immediately prior to the employee becoming disabled, • applies for the benefit and furnishes the Insurer with satisfactory proof of disability, and with respect to each week for which a benefit is claimed the employee must: • be unable to perform all duties of his/her occupation, • be under a doctor's care, • have to the employee's credit at least a Credit Unit under the Ford CAW Supplemental Unemployment Benefit Plan. The requirement that an employee be under a doctor's care shall be deemed to have been met if an employee under treatment for alcohol or drug abuse in a residential or outpatient substance abuse treatment facility approved for benefits under the H S M D Program furnishes the insurance company with certification of disability, provided either by the facility's physician director, or by a physician consultant selected by the facility, based on information furnished by and upon the recommendation of, the therapist who is supervising the employee's therapy. For such certification to be acceptable, the physician director or physician consultant providing it must be a licensed doctor of medicine.