Mail application to Standard Insurance within 60-days of your employment termination date. Does not require evidence of insurability; rates are set by Standard Insurance.
“Roll” optional life premiums to spouse/partner payroll deductions
Spouse/Partner must be a PEBB employee
Complete PEBB form within 30-days and return to Spouse’s HR Department
Long-term Care Insurance:
Can convert employee and spouse/partner to an individual policy
Participation terminates the last day of the month in which a contribution is deducted from your paycheck.
Employees who meet the hours requirement for benefits in the month of termination (80-hour for classified or 1/2 of the available hours for unclassified) will have a contribution taken from their final paycheck.
Reimbursement of eligible expenses may occur only for the period of coverage in which your participation was active, provided the claim is filed within the eligible plan year.
Contact ASIFlex at 800.659.3035 or 573.442.3035 for additional information.