Attachment 3_760741-B_LTD Amend2.pdf

This is a Group Policy Amendment No. 2 to a group insurance policy issued by Standard Insurance Company to the Palm Beach County Board of County Commissioners, effective January 1, 2023. The amendment modifies the definition of "Member" under the existing Group Policy 760741-B to establish eligibility criteria for insurance coverage. Members must be regular full-time employees of the Employer who participate in the Employer's HMO or CHOICE medical plan, excluding employees classified as collective bargaining union non-high risk Fire and Rescue employees. Additionally, Members must work a minimum of 30 hours per week, with Actively At Work status including regularly scheduled days off, holidays, and vacation days, provided the person is capable of performing active work on those days. Members must also be citizens or residents of the United States or Canada.

The amendment explicitly excludes temporary or seasonal employees, full-time members of the armed forces of any country, leased employees, and independent contractors from Member status. This amendment represents a modification to the existing coverage terms and member eligibility requirements under the group policy, clarifying definitions that apply to the Palm Beach County Board of County Commissioners' employee population and their participation in the HMO and CHOICE medical plan options.