Attachment 3_760741-B_LTD Amend3.pdf

This is a Group Policy Amendment to long-term and short-term disability insurance and term life insurance coverage for the Palm Beach County Board of County Commissioners. Amendment No. 3 to Group Policy 760741-B becomes effective June 1, 2025, and modifies the eligibility requirements for persons becoming Members on or after that date. The amendment establishes an Eligibility Waiting Period of 60 consecutive days, after which individuals become eligible for insurance coverage on the first day of the calendar month coinciding with or next following the completion of that 60-day period.

The amendment applies only to new Members joining on or after June 1, 2025, and is subject to Active Work Provisions outlined in the broader policy. No specific pricing, rates, renewal terms, or other financial details are addressed in this amendment document. The modification represents a standard administrative adjustment to the eligibility structure of the existing group insurance program issued by Standard Insurance Company.