§ 5.27.420. Exclusions and limitations.  


Latest version.
  • Benefits provided for under this STD Plan shall not be paid for any Disability not supported by prevailing medical evidence and treatment. In addition, benefits shall not be paid for any Disability resulting from or as a consequence of one or more of the following:

    A.

    Intentionally self-inflicted injuries;

    B.

    Participation in the commission of a felony;

    C.

    War or an act of war, declared or undeclared, unless said Disability is a direct consequence and result of injury or disease arising out of and in the course of active military service during a military leave of absence, in which case, the provisions of this subparagraph C shall not apply;

    D.

    Mental or nervous disorders, alcoholism, or chemical dependency, except while the Eligible Participant is under regular care in a planned program of observation and treatment by a Physician as required by applicable medical standards; or

    E.

    Any other cause or circumstance set forth in the Election Information.

(Ord. 2012-0043 § 2, 2012; Ord. 90-0164 § 1 (part), 1990.)