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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
 

Policy for Faculty, Managers, SCUPA, and Coaches

Policy for Physicians, Nurses, Security, Police and Fire Professions

Policy for 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