SSC - HR - Expanded LTD with Health Statement

Use the Expanded Long-Term Disability Application with Health Statement in the following circumstances:
More than 30 days have passed since your hire date or date of eligibility and you wish to enroll, you have two or more years of service and wish to increase your coverage over the $66,600 of your base salary paid for by the university. Premiums will be based on your full annual base salary for the first two years. At two years of service, the university pays for coverage on your annual base salary up to $66,600. Coverage on salary over $66,600 is elective and paid for by the faculty or staff member. You may complete an Expanded LTD Plan Notice of Withdrawal form at any time to cancel elective employee-paid

 
Request Expanded Long-Term Disability with Health Statement

Details

Service ID: 2548
Created
Fri 4/1/22 3:01 PM
Modified
Thu 6/9/22 11:47 AM