Attachment 3_760741-B_LTD Amend1.pdf

This document is a Group Policy Amendment No. 1 to Group Policy 760741-B issued by Standard Insurance Company to the Palm Beach County Board of County Commissioners for long-term and short-term disability insurance and term life coverage in Florida. The amendment became effective January 1, 2022, and modifies the Deductible Income section of the policy.

The amendment specifically revises item 1 of the Deductible Income section to clarify that sick pay, annual or personal leave pay, severance pay, and other salary continuation payments made by the employer to the employee are considered deductible income. The amendment explicitly excludes vacation pay and donated amounts from this deductible income category. This modification ensures precise definition of which employee compensation types are applicable when calculating deductible income under the disability insurance policy.