Disability Financial Impact Analysis



Our disability insurance is intended to “fill the gaps” in your leave and disability retirement benefits. To see a detailed financial impact exhibit on how our program enhances your existing benefits, complete the following information and we’ll send it over to you.

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Contact Information
Your Name:
Phone:
 
Email:
 
Personal Information
Date of Birth:
Base Annual Salary:
Are you currently enrolled under the The Standard disability insurance plan?
 
How many 'Years of Service' do you have?
How much leave (hours) do you have saved?
What is your current 'High 3' salary?
Special Group Qualification
Please check if covered.
I am a Law Enforcement Officer, Firefighter, or Air TrafficController covered under the "Special Groups" retirement provisions of FERS
I am a Health Care worker.
I am currently receiving LEAP (Availability Pay)
Submit
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