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HOME > PASSHE Executive Offices > Human Resources and Labor Relations > System Human Resources > Benefits > Life, Accident & Disability Insurance

Basic Group Life Insurance

Group Life Insurance (Prudential) Beneficiary
 

Faculty, Managers, SCUPA, and Coaches

Physicians, Nurses, Security, Police and Fire Professions

AFSCME and PSSU

 


Voluntary Group Life & Personal Accident Insurance


Summary

Available to all full-time permanent employees including temporary faculty employed for a one-academic year contract, and permanent part-time employees including temporary faculty employed for a one-academic year contract who works 50% time

100% employee paid

Employee term life and personal accident insurance in increments of $10,000; maximum coverage $500,000

Spouse term life and personal accident insurance in increments of $10,000; maximum coverage $100,000

Children term life and personal accident insurance in amounts of $5,000 or $10,000

VGLIP Forms

Enrollment Form - Bloomsburg
133.2 Kb
Enrollment Form - California
133.1 Kb
Enrollment Form - Cheyney
137.7 Kb
Enrollment Form - Clarion
138.2 Kb
Enrollment Form - East Stroudsburg
137.7 Kb
Enrollment Form - Edinboro
133.2 Kb
Enrollment Form - IUP
133.3 Kb
Enrollment Form - Kutztown
133.3 Kb
Enrollment Form - Lock Haven
133.3 Kb
Enrollment Form - Mansfield
133.2 Kb
Enrollment Form - Millersville
133.3 Kb
Enrollment Form - Office of the Chancellor
133.1 Kb
Enrollment Form - Shippensburg
133.2 Kb
Enrollment Form - Slippery Rock
133.3 Kb
Enrollment Form - West Chester
133.2 Kb

Long-Term Disability Insurance


Summary

Available to all full-time permanent employees including temporary faculty employed for a one-academic year contract, and permanent part-time employees including temporary faculty employed for a one-academic year contract who works 50% time

100% employee paid; $.31 per $100 of monthly covered earnings

Income protection equal up to 60% of gross annual base salary

Amount offset by retirement benefits, workers’ compensation, social security, and paid leave with a guarantee of 10% of long-term disability benefit amount of $100/month, whichever is greater

Choice of:

180-day elimination period

90-day elimination period

Cost of living adjustments

234.4 Kb
Evidence of Insurability Form - California
234.5 Kb
Evidence of Insurability Form - Cheyney
234.5 Kb
Evidence of Insurability Form - Clarion
234.5 Kb
Evidence of Insurability Form - East Stroudsburg
234.5 Kb
Evidence of Insurability Form - Edinboro
234.5 Kb
Evidence of Insurability Form - IUP
234.5 Kb
Evidence of Insurability Form - Kutztown
234.5 Kb
Evidence of Insurability Form - Lock Haven
234.5 Kb
Evidence of Insurability Form - Mansfield
234.5 Kb
Evidence of Insurability Form - Millersville
234.5 Kb
Evidence of Insurability Form - Shippensburg
234.5 Kb
Evidence of Insurability Form - Slippery Rock
234.5 Kb
Evidence of Insurability Form - West Chester
234.5 Kb
Evidence of Insurability Form - Office of the Chancellor
234.4 Kb