Attachment 3_760741-C_LTD Amend2.pdf

This is a Group Policy Amendment document issued to the Palm Beach County Board of County Commissioners for long-term and short-term disability insurance and term life coverage. Amendment No. 2 to Group Policy 760741-C establishes updated eligibility requirements for new members effective June 1, 2025. The amendment modifies the Schedule of Insurance portion of the Coverage Features to implement a 60-day consecutive membership waiting period, after which eligible members become insured on the first day of the calendar month coinciding with or next following the completion of that period.

The amendment does not specify pricing terms, renewal options, contract duration, or other financial details beyond establishing the eligibility waiting period requirement. The policy is underwritten by Standard Insurance Company and applies to all persons who become members on or after the June 1, 2025 effective date, subject to the Active Work Provisions contained in the underlying group policy document.