Disability benefits for any disability resulting from or caused by mental illness or substance abuse, or that is a self-reported or subjective-symptom condition, will be limited to a maximum period of 104 weeks during a person’s lifetime (if the condition is the primary disabling condition). The lifetime maximum will not apply in cases of mental illness caused by stroke or cerebral vascular accident, viral infection, Alzheimer’s disease, senility and/or dementia, organic brain syndrome, or closed head injury. A “self-reported or subjective-symptom condition” is one that cannot be independently verified and measured using generally accepted standard medical testing, procedures, and practices (e.g., headaches, fatigue, pain, etc.). If the person is confined in a hospital or institution at the end of the 104-week maximum benefit period, disability benefits will continue during the confinement and, if still disabled when discharged, a recovery period of up to 90 days. The member’s waiver of contributions for the Concordia Plans will also end when benefits end.
Workers are subject to a pre-existing condition limitation. No disability benefits will be paid for any disability commencing during the first 12 months of plan membership that is caused by or resulting from a medical condition that, during the three months prior to CDSP enrollment, the worker received medical treatment, consultation, care, or services, or had symptoms that would cause a reasonable person to seek diagnosis, care, or treatment. No waiver of contributions for the Concordia Plans will be applicable either.
The pre-existing limitation will NOT apply, however, for new graduates of LCMS seminaries, universities, and colleges when they are enrolled at their first assignment after graduation. Nor will it apply to ordained or commissioned ministers who are re-enrolled in the CDSP within one year of a termination of their Plan membership.