Where can I obtain the enrollment forms and plan information?
Enrollment forms and plan information are available through your department’s personnel office. • Where do I submit the enrollment form? Once you have completed Sections A, B, and C, submit the enrollment form to your department’s personnel office for further processing. • Will I need to re-enroll every year? No, your deduction will automatically continue unless you cancel coverage. • Will my monthly premiums remain the same? Your premium will increase over time. When you move from one age category to the next higher age category (i.e. from 39 to 40, or from 49 to 50) or when you receive a change in salary, your premium will change. An annual premium update is conducted on January 1 of each year to implement any premium changes warranted. • What is the benefit coverage? The LTD program offers a monthly benefit of either 55 percent of the first $10,910 or 65 percent of the first $9,231 of the employee’s pre-disability earnings (monthly base salary), reduced by other deductible income be
