1) Introduction to CalSTRS
Disability Benefits
2013–14
2) CalSTRS Disability Benefits
We hope all CalSTRS members will lead long, healthy working lives. But since illness and
injury can interrupt careers, CalSTRS provides disability benefits to all qualifying Defined
Benefit Program members.
This brochure provides basic information about CalSTRS disability coverage, eligibility
requirements and the application process. It is not a comprehensive guide or a substitute
for personalized information about your specific situation. If you believe you may be
eligible for a disability benefit, contact CalSTRS for a detailed discussion.
Eligibility Basics
As a CalSTRS Defined Benefit Program member, you may qualify for long-term disability
benefits if you have a medical condition that will prevent you from working for at least a
year. You may also receive benefits for your eligible dependent children.
To qualify for a CalSTRS disability benefit, you must meet the requirements, including:
1. You must have at least five years of service credit for work performed in California.
Exception: If you were the victim of an unlawful act on the job, you may qualify with
one year of service credit. Please contact us for more information.
2. You must have a medically determined impairment that is permanent or expected to
last 12 or more continuous months beyond your last day of work.
3. The impairment must prevent you from performing:
• Your usual duties, with or without reasonable modification from your employer—
for example, a classroom aide or special equipment.
• Duties of a comparable level position.
4. You must apply within certain time frames (see “Timing and Deadlines” under
“Application Process”).
5. Your disability must be substantiated by medical documentation.
Your disability determination will be based on criteria established in the California
Education Code, not those used by other disability benefit providers such as Social
Security. Disability benefits are not available for an impairment that existed before you
became a CalSTRS member unless the impairment has substantially worsened.
To learn more, contact a CalSTRS benefits counselor.
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Introduction to CalSTRS Disability Benefits • 2013–14
2
3) Coverage A or Coverage B
There are two types of disability benefit coverage: Coverage A
and Coverage B. If you became a member of CalSTRS on or after
October 16, 1992, you have Coverage B. If you became a member
before October 16, 1992, and did not elect Coverage B before April
1993, you have Coverage A.
In general, the basic disability benefit available under both types of coverage is 50 percent
of your final compensation. The maximum benefit you can receive, including benefits for
eligible dependent children, is 90 percent of your final compensation.
Coverage A
• You must be under age 60 to receive disability benefits. If you are 60 or older and have
at least five years of service credit, you may apply for a service retirement benefit.
• If you are over age 45 with fewer than 10 years of service credit, your disability benefit
will be 5 percent of your final compensation times your years of service credit, instead
of 50 percent of your final compensation.
For example, with seven years of service credit, your benefit would be 35 percent of
your final compensation (7 years of service credit x 5 percent of final compensation =
35 percent of final compensation).
• When you turn 60, your disability benefit will end (unless you still have dependent
children) and you may apply for service retirement. Your service retirement benefit may
be less than your disability benefit.
Coverage B
• You may apply for disability benefits at any age.
• Your disability benefits can continue for life, as long as you remain disabled.
If you’re not sure which coverage you have, see your Retirement Progress Report, access your
myCalSTRS account or call 800-228-5453 to speak with a CalSTRS customer representative.
CalSTRS can help you.
Introduction to CalSTRS Disability Benefits • 2013–14
3
4) Application Process
Timing and Deadlines
You should apply for a disability benefit
before you exhaust other benefits available
to you. If approved, your disability benefit
will go into effect on whichever of the
following dates occurs later:
You must provide all information requested
to qualify for a CalSTRS disability benefit. If
you do not submit requested information,
we cannot determine your eligibility and
your application will be rejected.
• The first day of the month in which we
receive your application.
• The day after the last day of service for
which you were paid.
We encourage you to apply while you
are working or receiving sick leave or
differential pay from your employer so that
you have income while your application
is pending.
Written Decision
If you are no longer working, contact us for
information on filing timelines.
Service Retirement During
Evaluation of a Disability
Benefits Application
Filing and Review
You must submit a completed Disability
Benefits Application to CalSTRS, not to
your employer. The form is in the Your
Disability Benefits Guide, which is available
at CalSTRS.com, from a benefits counselor
or by calling 800-228-5453.
We understand that each disability case
is unique, so processing times vary.
We will send you written notice of the
final decision.
If your application is not approved, you
may have the right to reapply or appeal.
We will describe your rights in the
written notice.
If you’re eligible for CalSTRS service
retirement, you may want to apply for
service retirement as part of your Disability
Benefits Application, so you can receive a
monthly retirement benefit while your
disability application is being evaluated.
After we receive your application, your case
will be assigned to a CalSTRS disability
analyst who will work with you throughout
the application process.
or
If you are eligible for service retirement, you
may receive a retirement benefit while your
or
disability application is being evaluated.
or
or
Introduction to CalSTRS Disability Benefits • 2013–14
4
5) Benefit Reductions
Health Benefits
Under Coverage A and Coverage B, your
monthly disability benefit will be reduced
by any workers’ compensation benefits
you receive for the same disability. Under
Coverage A, your disability benefit will also
be reduced by payments you receive from
other public systems for the same disability,
such as Social Security disability benefits
or income protection payments. For either
coverage, if you return to any employment
after you are approved for a disability
benefit, your benefit will be reduced if you
exceed specific earnings limits.
Because CalSTRS does not provide health
benefits, your disability benefit will not
include health benefit coverage by CalSTRS.
Please contact your employer if you have
questions regarding the continuation of
your health benefits from your employer.
Future Health Changes
Because medical conditions may improve,
we periodically review the eligibility of all
disability benefit recipients.
If your health or work situation changes,
you are required to inform us.
CalSTRS Counseling Services
Receiving a disability benefit may affect your
service retirement benefit. Before you apply for
a disability benefit, we recommend that you
talk to a CalSTRS benefits counselor about
your specific situation. The counselor can
explain the application process and eligibility
requirements, and evaluate if receiving a
disability benefit will affect your service
retirement benefit.
If you are at least 55 years old, you may also
want to consider if you would be better off
retiring with a service retirement instead of
applying for a disability benefit. A CalSTRS
benefits counselor can provide information to
help you decide.
CalSTRS counselors cannot advise whether
you meet the medical qualifications for a
disability benefit.
CalSTRS is governed by the Teachers’ Retirement Law. If there is a conflict between the law and this booklet, the law prevails.
Introduction to CalSTRS Disability Benefits • 2013–14
5
6) CalSTRS Resources
WEB
CALL
WRITE
VISIT
FAX
CalSTRS.com
Click Contact Us to email
800-228-5453
7 a.m. to 6 p.m.
Monday through Friday
CalSTRS
P.O. Box 15275
Sacramento, CA
95851-0275
Member Services
100 Waterfront Place
West Sacramento, CA 95605
916-414-5040
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888-394-2060
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COM 1518 (rev 5/13)
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