Attachment 3_760741-B_LTD Amend1.pdf

This is a Group Policy Amendment to insurance coverage issued to Palm Beach County Board of County Commissioners. The amendment, effective January 1, 2022, modifies the Deductible Income section of Group Policy 760741-B issued by Standard Insurance Company. The amendment specifically revises item 1 of the Deductible Income section to clarify that eligible income includes sick pay, annual or personal leave pay, severance pay, and other salary continuation benefits paid by the employer, while explicitly excluding vacation pay and donated amounts.

The amendment represents a modification to the existing group insurance policy terms and conditions for the county's employees. This change to the deductible income definition affects how benefits are calculated and what types of employer-paid compensation are considered when determining eligibility and benefit amounts under the group policy.