SUPPLEMENTAL PLAN FOR DOT EMPLOYEES ONLY
Just over 1 in 4 of today’s 20-year-olds will become disabled before they retire (age 67).**
Protection for your paycheck:
- Helps protect your paycheck if you can’t return to work for a long period of time after a serious condition, injury or sickness.
- Choose from 3 Elimination Periods to find a plan that suits your personal needs and your budget.
- Evidence of Insurability waived upon initial eligibility for enrollment; required if enrolling after initial option to enroll is not taken or if making a change to coverage.
- 60% of pre-disability income up to the maximum benefit of $5,000 Monthly (minimum Monthly benefit $100)
** U.S. Social Security Administration Fact Sheet. Web. 30 June 2017 https://www.ssa.gov/news/press/factsheets/basicfact-alt.pdf
HOW TO ENROLL
Enroll during Open Enrollment or as a New Employee (within the first 60 days of employment). Please take a moment to review the Brochure for a full outline of the benefits available to you. Complete the Enrollment Form and return it by mail to Capital Insurance Agency’s Group Benefits Department, P.O. Box 15949 Tallahassee, Florida 32317.
For more information on how to enroll, please contact the Group Benefits Department by phone at 800.780.3100 or email at firstname.lastname@example.org. If you have further questions, please contact your local Capital Representative.