Bookmark & ShareGeneral Information and Requirements
Updated: 12/17/2008
All employees eligible to enroll in PEBB benefits are eligible to enroll in Basic LTD. Most employees eligible to enroll in PEBB benefits are also eligible to enroll in Optional LTD. Subscribers have 31 days from their initial date of eligibility to enroll in optional long-term disability insurance
For an explanation of Long-Term Disability benefits reference the materials below:
Long-Term Disability Chart (36.7 KB)- Long-Term Disability Decision Tree (25.3 KB)
- Long-Term Disability Plan booklet (333.6 KB)
Long-Term Disability Claim Procedures
See the System Keying PAY1 section below for instructions on keying Final Action Notices (FANs), Premium Waivers, Reinstate Coverage after Waiver, etc.
Forms
- Long-Term Disability Enrollment/Change form (109.3 KB)
- Long-Term Disability Evidence of Insurability form (101 KB)
- Long-Term Disability Employee’s Statement (199 KB)
- Long-Term Disability Employer’s Statement (136.5 KB)
Rates
System Keying PAY1: LTD Insurance Processes
- Enroll a Newly Eligible Employee (57.4 KB)
- Final Action Notices (FANs) (153.2 KB)
- Claims (Premium Waiver) (271.9 KB)
- Reinstatement of LTD after Waiver (18.8 KB)
- Increase Wait Period (18.2 KB)
- Terminate LTD (19.1 KB)
Common Questions and Issues
- What if the agency does not have the employee’s original LTD Enrollment/Change form?
- Do I reinstate LTD coverage for an employee who has returned to work, part-time, modified duty after a claim?
- Is a new enrollment form required when an employee returns to pre-disability work schedule after a claim?
