Attachment 3_760741-C_LTD Amend2.pdf

This is a Group Policy Amendment to Long Term and Short Term Disability Insurance and Term Life coverage issued to the Palm Beach County Board of County Commissioners in Florida. Amendment No. 2, effective June 1, 2025, modifies the eligibility requirements for new members under Group Policy No. 760741-C. The amendment establishes an Eligibility Waiting Period provision that makes individuals eligible for insurance coverage on the first day of the calendar month coinciding with or next following 60 consecutive days of membership. This waiting period applies to all persons who become members on or after the June 1, 2025 effective date and is subject to Active Work Provisions outlined in the policy.

The amendment is issued by Standard Insurance Company and represents a modification to the Schedule of Insurance portion of the Coverage Features within the existing group policy. No pricing changes, set-asides, or funding modifications are specified in this amendment document. The amendment serves to clarify and standardize the eligibility timeline for new members enrolling in the disability and life insurance benefits program offered to Palm Beach County employees and beneficiaries.