ESBD_398114_1740251802189_F022710 ALL LINES Claims Status Report 10.1.2019-12.30.2024.xlsx
XLSX spreadsheet 139 KB Posted
- Attached to
- Life and Disability Plans
- Solicitation number
- RFP2025-015
- Issued by
- Henderson County, Texas
About this file
This is a claims status report for the City of Waco covering all insurance lines from October 1, 2019 through December 30, 2024. The report documents various insurance claims including life insurance, voluntary life insurance, short-term disability (STD), long-term disability (LTD), AD&D, and waiver of premium claims for both active employees and retirees. The claims data includes details such as claim numbers, status (closed, pending, denied), benefit amounts, payment dates, and claimant information.
The report shows payments ranging from small disability claims of a few hundred dollars to life insurance claims of up to $200,000. Most claims are marked as closed with completed benefit payments, while some are listed as denied for reasons including pre-existing conditions, failure to provide required information, or not meeting disability definitions. The insurance coverage is provided through Dearborn Life Insurance Company, operating as Blue Cross Blue Shield of Texas, with different product lines having varying eligibility classes including "All Active Full Time Employees," "All Eligible Retirees," and "Disabled Retirees."
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Claim Status Report_Excel
Claim Status Report for CITY OF WACO
| Group Number: | F022710 | ||||||||||||||||||||||||
| Line of Coverage: | ALL | ||||||||||||||||||||||||
| From Date: | 10/01/2019 | ||||||||||||||||||||||||
| To Date: | 12/30/2024 | ||||||||||||||||||||||||
| Data as of Date: | 12/28/2024 | ||||||||||||||||||||||||
| Employee | Eligibility | Claim | Benefit | Claim | Latest | Age | Last Date | Max | Claimant | Employer | Physician | Required | |||||||||||||
| Account | Account Name | Location | Product Type | Coverage | Product | Employee | Eligibility | Class | Claim | Status | Status Reason | Received | Begin | Approved | Benefit | Total Paid | Payment | at | of | Event Date | Duration | Statement | Statement | Statement | Information |
| Number | Description | Type | ID | Class | Description | Number | Date | Date | Through | Amount | Date | Event | Work | Date | Rec'd | Rec'd | Rec'd | Completed | |||||||
| Number | Date | Date | |||||||||||||||||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202418005 | Closed | Benefit Process Completed | 09/12/2024 | 03/27/2024 | $20,000.00 | $20,025.25 | 09/19/2024 | 14 | 03/27/2024 | 09/13/2024 | ||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | D202403814 | Closed | Benefit Process Completed | 04/26/2024 | 04/08/2024 | $2,500.00 | $1,253.78 | 05/15/2024 | 87 | 08/31/1988 | 04/08/2024 | 05/07/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | C202302485 | Closed | Benefit Process Completed | 03/09/2023 | 02/11/2023 | $2,500.00 | $2,506.54 | 03/28/2023 | 74 | 12/31/2006 | 02/11/2023 | 03/27/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | C202302485 | Closed | Benefit Process Completed | 03/09/2023 | 02/11/2023 | $5,000.00 | $5,013.09 | 03/28/2023 | 74 | 12/31/2006 | 02/11/2023 | 03/27/2023 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-181590 | Closed | Advance Pay & Close | 05/10/2023 | 04/08/2023 | 05/19/2023 | $500.00 | $3,000.00 | 05/18/2023 | 32 | 03/24/2023 | 03/25/2023 | 10/06/2023 | 05/10/2023 | 05/10/2023 | 05/10/2023 | 05/10/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-268626 | Closed | Advance Pay & Close | 06/25/2024 | 06/07/2024 | 07/05/2024 | $545.72 | $2,260.84 | 07/17/2024 | 33 | 05/23/2024 | 05/24/2024 | 12/05/2024 | 06/25/2024 | 06/25/2024 | 06/25/2024 | 06/25/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-60039 | Closed | Return to Work | 09/15/2020 | 09/17/2020 | 10/18/2020 | $499.05 | $2,281.37 | 10/19/2020 | 37 | 08/24/2020 | 08/28/2020 | 03/17/2021 | 09/15/2020 | 09/22/2020 | 09/15/2020 | 09/22/2020 | ||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-49772 | Closed | Other | 05/13/2020 | 11/01/2020 | 10/31/2022 | $2,625.76 | $61,862.68 | 09/09/2022 | 40 | 05/04/2020 | 05/05/2020 | 05/17/2046 | 05/13/2020 | 05/13/2020 | 05/14/2020 | 05/14/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-49772 | Closed | Maximum Duration of Benefits | 05/13/2020 | 05/19/2020 | 11/16/2020 | $500.00 | $13,000.00 | 12/21/2020 | 40 | 05/04/2020 | 05/05/2020 | 11/16/2020 | 05/13/2020 | 05/13/2020 | 05/14/2020 | 05/14/2020 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G202216682 | Closed | Advance Benefit Complete | 08/02/2022 | 06/15/2022 | $2,500.00 | $2,505.60 | 08/09/2022 | 69 | 06/25/2010 | 06/15/2022 | 08/02/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | G202216682 | Closed | Advance Benefit Complete | 08/02/2022 | 06/15/2022 | $5,000.00 | $5,011.20 | 08/09/2022 | 69 | 06/25/2010 | 06/15/2022 | 08/02/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | H202217898 | Closed | Benefit Process Completed | 08/10/2022 | 02/11/2022 | $2,500.00 | $2,501.87 | 04/18/2023 | 91 | 03/29/1996 | 02/11/2022 | 09/08/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | H202217898 | Closed | Benefit Process Completed | 08/10/2022 | 02/11/2022 | $5,000.00 | $5,040.78 | 04/18/2023 | 91 | 03/29/1996 | 02/11/2022 | 09/08/2022 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | A202100206 | Denied | $ Not Paid During the Elimination Period | 01/07/2021 | 12/01/2020 | $50,000.00 | $0.00 | 40 | 05/04/2020 | 05/04/2020 | 05/18/2049 | 03/03/2021 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | A202100206 | Denied | $ Not Paid During the Elimination Period | 01/07/2021 | 12/01/2020 | $106,000.00 | $0.00 | 40 | 05/04/2020 | 05/04/2020 | 05/18/2049 | 03/03/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202028102 | Closed | Benefit Process Completed | 09/15/2020 | 09/06/2020 | $38,000.00 | $38,003.37 | 10/01/2020 | 49 | 09/05/2020 | 09/06/2020 | 09/30/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202028102 | Closed | Benefit Process Completed | 09/15/2020 | 09/06/2020 | $76,000.00 | $76,006.75 | 10/01/2020 | 49 | 09/05/2020 | 09/06/2020 | 09/30/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G202415848 | Closed | Benefit Process Completed | 07/10/2024 | 06/15/2024 | $2,500.00 | $2,504.56 | 07/16/2024 | 85 | 06/14/2024 | 06/15/2024 | 07/10/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | G202415848 | Closed | Benefit Process Completed | 07/10/2024 | 06/15/2024 | $5,000.00 | $5,017.53 | 07/26/2024 | 85 | 06/14/2024 | 06/15/2024 | 07/25/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J202309448 | Closed | Advance Benefit Complete | 10/30/2023 | 09/21/2023 | $2,500.01 | $2,501.53 | 11/02/2023 | 88 | 01/31/2005 | 09/21/2023 | 10/30/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | J202309448 | Closed | Benefit Process Completed | 10/30/2023 | 09/21/2023 | $5,000.01 | $5,002.44 | 11/02/2023 | 88 | 01/31/2005 | 09/21/2023 | 10/31/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | A202000903 | Closed | Advance Benefit Complete | 01/30/2020 | 12/28/2019 | $2,500.00 | $2,500.66 | 02/03/2020 | 97 | 05/16/1973 | 12/28/2019 | 01/30/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | E202115243 | Closed | Benefit Process Completed | 05/19/2021 | 02/26/2021 | $2,500.00 | $2,500.08 | 05/25/2021 | 81 | 07/31/1990 | 02/26/2021 | 05/20/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | E202115243 | Closed | Benefit Process Completed | 05/19/2021 | 02/26/2021 | $5,000.00 | $5,000.16 | 05/25/2021 | 81 | 07/31/1990 | 02/26/2021 | 05/20/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-221820 | Denied | Pre-existing Condition | 12/26/2023 | 01/06/2024 | $705.60 | $0.00 | 58 | 12/10/2023 | 12/11/2023 | 07/05/2024 | 12/26/2023 | 01/11/2024 | 12/26/2023 | 01/11/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 3 | AAFT ELECTING $500 | GDC-270377 | Denied | Pre-existing Condition | 07/16/2024 | 07/06/2024 | $500.00 | $0.00 | 58 | 05/17/2024 | 05/18/2024 | 01/03/2025 | 09/26/2024 | 07/16/2024 | 07/16/2024 | 09/03/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-264129 | Denied | Pre-existing Condition | 05/03/2024 | 05/23/2024 | $467.32 | $0.00 | 66 | 05/05/2024 | 05/09/2024 | 11/20/2024 | 05/03/2024 | 05/03/2024 | 05/03/2024 | 05/21/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-89066 | Denied | Not Disabled Own Occupation | 08/31/2021 | 08/30/2021 | $0.00 | $0.00 | 60 | 08/16/2021 | 08/16/2021 | 02/27/2022 | 09/02/2021 | 09/02/2021 | 08/31/2021 | 09/02/2021 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 2 | AAFT ELECTING $750 | GDC-273449 | Denied | Pre-existing Condition | 08/19/2024 | 08/15/2024 | $711.20 | $0.00 | 48 | 07/19/2024 | 07/22/2024 | 02/12/2025 | 08/19/2024 | 09/10/2024 | 08/23/2024 | 09/10/2024 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202418004 | Closed | Benefit Process Completed | 09/12/2024 | 08/23/2024 | $50,000.00 | $50,063.12 | 09/19/2024 | 32 | 08/23/2024 | 08/23/2024 | 09/17/2024 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | G202117074 | Denied | $ Not Paid During the Elimination Period | 07/16/2021 | 08/01/2021 | $0.00 | $0.00 | 40 | 01/03/2021 | 01/04/2021 | 07/17/2050 | 08/05/2021 | |||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-71552 | Denied | Pre-existing Condition | 02/03/2021 | 07/06/2021 | $1,716.78 | $0.00 | 40 | 01/03/2021 | 01/07/2021 | 07/16/2047 | 02/03/2021 | 02/03/2021 | 02/03/2021 | 02/03/2021 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-71552 | Closed | Maximum Duration of Benefits | 02/03/2021 | 01/21/2021 | 07/21/2021 | $462.21 | $12,017.46 | 07/21/2021 | 40 | 01/03/2021 | 01/07/2021 | 07/21/2021 | 02/03/2021 | 02/03/2021 | 02/03/2021 | 02/03/2021 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | F202305174 | Closed | Benefit Process Completed | 06/02/2023 | 05/10/2023 | $2,500.00 | $2,501.87 | 06/06/2023 | 77 | 10/31/2010 | 05/10/2023 | 06/02/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | F202305174 | Closed | Benefit Process Completed | 06/02/2023 | 05/10/2023 | $5,000.00 | $5,003.74 | 06/06/2023 | 77 | 10/31/2010 | 05/10/2023 | 06/02/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | F202115854 | Closed | Benefit Process Completed | 06/07/2021 | 04/27/2021 | $2,500.00 | $2,500.09 | 06/11/2021 | 92 | 04/26/2021 | 04/27/2021 | 06/07/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | F202115854 | Closed | Benefit Process Completed | 06/07/2021 | 04/27/2021 | $5,000.00 | $5,000.15 | 06/11/2021 | 92 | 04/26/2021 | 04/27/2021 | 06/07/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J201907777 | Closed | Benefit Process Completed | 10/15/2019 | 09/28/2019 | $2,500.00 | $2,506.82 | 11/22/2019 | 60 | 03/15/1988 | 09/28/2019 | 11/20/2019 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J201907777 | Closed | Benefit Process Completed | 10/15/2019 | 09/28/2019 | $5,000.00 | $5,013.64 | 11/22/2019 | 60 | 03/15/1988 | 09/28/2019 | 11/20/2019 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-206958 | Closed | Return to Work | 10/31/2023 | 11/16/2023 | 02/04/2024 | $645.40 | $7,468.20 | 02/05/2024 | 36 | 11/02/2023 | 11/02/2023 | 05/15/2024 | 10/31/2023 | 10/31/2023 | 10/31/2023 | 11/02/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-202447 | Closed | Return to Work | 09/12/2023 | 08/22/2023 | 10/16/2023 | $677.87 | $5,422.96 | 11/13/2023 | 52 | 08/07/2023 | 08/08/2023 | 02/19/2024 | 09/12/2023 | 09/18/2023 | 09/12/2023 | 09/18/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-69354 | Closed | Return to Work | 01/08/2021 | 11/11/2020 | 12/22/2020 | $500.00 | $3,000.00 | 02/09/2021 | 54 | 11/30/2020 | 10/28/2020 | 05/11/2021 | 01/20/2021 | 01/20/2021 | 01/08/2021 | 01/20/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-90486 | Closed | Advance Pay & Close | 09/16/2021 | 09/06/2021 | 09/19/2021 | $500.00 | $1,000.00 | 10/08/2021 | 36 | 08/22/2021 | 08/23/2021 | 03/06/2022 | 09/16/2021 | 09/16/2021 | 09/16/2021 | 09/16/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-96040 | Closed | Return to Work | 11/16/2021 | 11/24/2021 | 01/09/2022 | $500.00 | $3,357.14 | 01/10/2022 | 51 | 11/10/2021 | 11/10/2021 | 05/24/2022 | 12/03/2021 | 11/16/2021 | 11/18/2021 | 12/03/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-109891 | Closed | Return to Work | 04/29/2022 | 05/06/2022 | 06/05/2022 | $500.00 | $2,214.29 | 06/06/2022 | 56 | 04/21/2022 | 04/22/2022 | 11/03/2022 | 04/29/2022 | 04/29/2022 | 04/29/2022 | 04/29/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-198192 | Closed | Return to Work | 07/27/2023 | 07/04/2023 | 07/23/2023 | $750.00 | $0.00 | 53 | 06/19/2023 | 06/20/2023 | 01/01/2024 | 09/11/2023 | 09/11/2023 | 07/27/2023 | 09/11/2023 | |||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-220289 | Closed | Return to Work | 12/05/2023 | 10/10/2023 | 11/06/2023 | $750.00 | $3,000.00 | 12/14/2023 | 53 | 09/25/2023 | 09/26/2023 | 04/08/2024 | 12/05/2023 | 12/05/2023 | 12/05/2023 | 12/05/2023 | ||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202115815 | Denied | Returned to Work | 06/07/2021 | 07/01/2021 | $0.00 | $0.00 | 32 | 12/06/2020 | 12/06/2020 | 04/07/2058 | 11/24/2021 | |||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-70336 | Closed | Return to Work | 02/04/2021 | 06/04/2021 | 10/13/2021 | $1,712.88 | $6,368.15 | 10/22/2021 | 32 | 12/06/2020 | 12/06/2020 | 04/06/2055 | 01/20/2021 | 01/20/2021 | 01/20/2021 | 01/20/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-70336 | Closed | Maximum Duration of Benefits | 02/04/2021 | 12/20/2020 | 06/19/2021 | $461.27 | $10,033.65 | 06/21/2021 | 32 | 12/06/2020 | 12/06/2020 | 06/19/2021 | 01/20/2021 | 01/20/2021 | 01/20/2021 | 01/20/2021 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | H202027130 | Closed | Benefit Process Completed | 08/19/2020 | 08/15/2020 | $2,500.01 | $2,500.15 | 09/03/2020 | 81 | 01/31/2001 | 08/15/2020 | 08/28/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | H202027130 | Closed | Benefit Process Completed | 08/19/2020 | 08/15/2020 | $5,000.01 | $5,000.43 | 09/09/2020 | 81 | 01/31/2001 | 08/15/2020 | 09/02/2020 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-90215 | Closed | Return to Work | 09/13/2021 | 09/15/2021 | 01/31/2022 | $500.00 | $9,928.57 | 02/16/2022 | 59 | 08/10/2021 | 08/11/2021 | 03/15/2022 | 09/13/2021 | 09/16/2021 | 09/13/2021 | 09/16/2021 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202211669 | Closed | Benefit Process Completed | 02/08/2022 | 12/20/2021 | $2,500.00 | $2,500.47 | 02/25/2022 | 96 | 05/31/1993 | 12/20/2021 | 02/24/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | B202211669 | Closed | Benefit Process Completed | 02/08/2022 | 12/20/2021 | $5,000.00 | $5,000.95 | 02/25/2022 | 96 | 05/31/1993 | 12/20/2021 | 02/24/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | C202302886 | Closed | Advance Benefit Complete | 03/23/2023 | 03/05/2023 | $50,000.00 | $50,081.03 | 04/03/2023 | 44 | 03/03/2023 | 03/05/2023 | 03/31/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | C202302886 | Closed | Benefit Process Completed | 03/23/2023 | 03/05/2023 | $138,000.00 | $138,223.64 | 04/03/2023 | 44 | 03/03/2023 | 03/05/2023 | 03/30/2023 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | K202220960 | Denied | Returned to Work | 11/14/2022 | 11/01/2022 | $48,000.00 | $0.00 | 51 | 04/20/2022 | 04/21/2022 | 11/15/2040 | 12/21/2022 | |||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-109117 | Closed | Advance Pay & Close | 04/19/2022 | 10/18/2022 | 11/10/2022 | $2,221.31 | $592.35 | 12/14/2022 | 51 | 04/20/2022 | 04/21/2022 | 11/14/2037 | 04/19/2022 | 04/19/2022 | 04/19/2022 | 04/21/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-109117 | Closed | Maximum Duration of Benefits | 04/19/2022 | 05/05/2022 | 11/02/2022 | $500.00 | $13,000.00 | 11/02/2022 | 51 | 04/20/2022 | 04/21/2022 | 11/02/2022 | 04/19/2022 | 04/19/2022 | 04/19/2022 | 04/21/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-68437 | Closed | Return to Work | 12/29/2020 | 11/25/2020 | 01/05/2021 | $500.00 | $3,000.00 | 02/19/2021 | 24 | 10/15/2020 | 10/16/2020 | 05/25/2021 | 12/29/2020 | 12/29/2020 | 12/29/2020 | 12/29/2020 | ||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-269459 | Pending | 07/03/2024 | 09/09/2024 | $4,044.56 | $0.00 | 69 | 03/12/2024 | 03/13/2024 | 09/08/2025 | 07/17/2024 | 07/03/2024 | 07/03/2024 | 07/17/2024 | |||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 3 | AAFT ELECTING $500 | GDC-269459 | Closed | Maximum Duration of Benefits | 07/03/2024 | 04/12/2024 | 10/10/2024 | $500.00 | $13,000.00 | 10/17/2024 | 69 | 03/12/2024 | 03/13/2024 | 10/10/2024 | 07/17/2024 | 07/03/2024 | 07/03/2024 | 07/17/2024 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202101873 | Closed | Benefit Process Completed | 02/12/2021 | 02/02/2021 | $2,500.01 | $2,500.15 | 02/24/2021 | 71 | 09/09/1999 | 02/02/2021 | 02/22/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-87312 | Closed | Return to Work | 08/12/2021 | 09/07/2021 | 10/05/2021 | $500.00 | $2,071.43 | 10/05/2021 | 64 | 08/23/2021 | 08/24/2021 | 03/07/2022 | 08/12/2021 | 08/12/2021 | 08/30/2021 | 08/30/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-274520 | Closed | Advance Pay & Close | 08/29/2024 | 08/19/2024 | 09/16/2024 | $588.00 | $2,436.00 | 10/25/2024 | 33 | 08/02/2024 | 08/05/2024 | 02/16/2025 | 08/29/2024 | 08/29/2024 | 08/29/2024 | 08/28/2024 | ||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | E202305054 | Denied | Returned to Work | 05/31/2023 | 06/01/2023 | $0.00 | $0.00 | 49 | 11/23/2022 | 11/26/2022 | 06/22/2043 | 06/13/2023 | |||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-129379 | Denied | Failure to Provide Required | 12/19/2022 | 05/25/2023 | $1,798.16 | $0.00 | 49 | 11/23/2022 | 11/26/2022 | 06/21/2040 | 12/19/2022 | 12/19/2022 | 12/19/2022 | 12/19/2022 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-129379 | Closed | Return to Work | 12/19/2022 | 12/10/2022 | 06/04/2023 | $484.12 | $12,241.32 | 08/25/2023 | 49 | 11/23/2022 | 11/26/2022 | 06/09/2023 | 12/19/2022 | 12/19/2022 | 12/19/2022 | 12/19/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-224888 | Closed | Return to Work | 01/30/2024 | 02/02/2024 | 02/04/2024 | $508.40 | $217.89 | 02/05/2024 | 50 | 12/08/2023 | 12/11/2023 | 08/01/2024 | 01/31/2024 | 01/31/2024 | 01/31/2024 | 01/31/2024 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | I202308450 | Closed | Benefit Process Completed | 09/15/2023 | 08/08/2023 | $2,500.00 | $2,502.12 | 09/20/2023 | 70 | 01/31/2018 | 08/08/2023 | 09/15/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G201905370 | Closed | Benefit Process Completed | 07/17/2019 | 06/03/2019 | $2,500.00 | $2,012.86 | 11/01/2019 | 82 | 06/02/2019 | 06/03/2019 | 10/07/2019 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G201905370 | Closed | Benefit Process Completed | 07/17/2019 | 06/03/2019 | $5,000.00 | $4,025.71 | 11/01/2019 | 82 | 06/02/2019 | 06/03/2019 | 10/07/2019 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | D202114500 | Closed | Advance Benefit Complete | 04/27/2021 | 03/29/2021 | $2,500.00 | $2,500.06 | 05/03/2021 | 77 | 03/28/2021 | 03/29/2021 | 04/29/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | D202114500 | Closed | Benefit Process Completed | 04/27/2021 | 03/29/2021 | $5,000.00 | $5,000.12 | 05/03/2021 | 77 | 03/28/2021 | 03/29/2021 | 04/29/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-129002 | Closed | Return to Work | 12/14/2022 | 12/29/2022 | 01/17/2023 | $500.00 | $1,428.57 | 01/20/2023 | 29 | 12/13/2022 | 12/15/2022 | 06/28/2023 | 12/14/2022 | 12/14/2022 | 12/14/2022 | 12/14/2022 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J202309050 | Closed | Benefit Process Completed | 10/09/2023 | 09/20/2023 | $2,500.00 | $2,503.03 | 10/11/2023 | 78 | 09/28/2007 | 09/20/2023 | 10/09/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | J202309050 | Closed | Benefit Process Completed | 10/09/2023 | 09/20/2023 | $5,000.00 | $5,006.07 | 10/11/2023 | 78 | 09/28/2007 | 09/20/2023 | 10/03/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | L202123751 | Closed | Benefit Process Completed | 12/28/2021 | 11/24/2021 | $2,500.00 | $2,501.26 | 02/22/2022 | 84 | 03/01/1993 | 11/24/2021 | 02/17/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | L202123751 | Closed | Benefit Process Completed | 12/28/2021 | 11/24/2021 | $5,000.00 | $5,002.51 | 02/22/2022 | 84 | 03/01/1993 | 11/24/2021 | 02/17/2022 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-224894 | Closed | Return to Work | 01/30/2024 | 01/30/2024 | 03/10/2024 | $747.32 | $4,377.16 | 03/12/2024 | 50 | 01/12/2024 | 01/14/2024 | 07/29/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | L202122503 | Closed | Advance Benefit Complete | 12/01/2021 | 10/30/2021 | $2,500.00 | $2,500.20 | 12/21/2021 | 75 | 02/29/2000 | 10/30/2021 | 12/18/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-101893 | Closed | Return to Work | 01/25/2022 | 11/23/2021 | 12/19/2021 | $500.00 | $1,928.57 | 02/25/2022 | 54 | 10/29/2021 | 11/09/2021 | 05/23/2022 | 01/25/2022 | 01/25/2022 | 01/25/2022 | 01/25/2022 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | E202404828 | Closed | Benefit Process Completed | 05/30/2024 | 05/06/2024 | $2,500.00 | $2,502.88 | 06/05/2024 | 86 | 01/31/1998 | 05/06/2024 | 05/30/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | E202404828 | Closed | Benefit Process Completed | 05/30/2024 | 05/06/2024 | $5,000.00 | $5,005.76 | 06/05/2024 | 86 | 01/31/1998 | 05/06/2024 | 05/30/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | F202024514 | Closed | Advance Benefit Complete | 06/02/2020 | 05/20/2020 | $2,500.01 | $2,500.45 | 06/04/2020 | 83 | 04/30/2001 | 05/20/2020 | 06/02/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | F202024514 | Closed | Benefit Process Completed | 06/02/2020 | 05/20/2020 | $5,000.01 | $5,002.44 | 06/11/2020 | 83 | 04/30/2001 | 05/20/2020 | 06/03/2020 | |||||||
| 1 | CITY OF WACO | STD | STD | Short Term Disability | GDC-56482 | Closed | 07/31/2020 | $0.00 | $0.00 | 37 | 06/11/2020 | 06/12/2020 | 07/31/2020 | 08/19/2020 | |||||||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-46335 | Closed | Advance Pay & Close | 03/17/2020 | 03/12/2020 | 03/30/2020 | $344.21 | $934.28 | 04/02/2020 | 54 | 02/26/2020 | 02/27/2020 | 09/09/2020 | 03/19/2020 | 03/19/2020 | 03/17/2020 | 03/19/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-60625 | Closed | Return to Work | 09/22/2020 | 09/19/2020 | 10/25/2020 | $354.54 | $1,874.00 | 10/26/2020 | 54 | 09/04/2020 | 09/05/2020 | 03/19/2021 | 09/22/2020 | 09/22/2020 | 09/22/2020 | 09/22/2020 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | C202102590 | Closed | Benefit Process Completed | 03/04/2021 | 02/03/2021 | $2,500.00 | $2,500.15 | 03/17/2021 | 51 | 04/30/2020 | 02/03/2021 | 03/10/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | C202102590 | Closed | Benefit Process Completed | 03/04/2021 | 02/03/2021 | $5,000.00 | $5,000.31 | 03/17/2021 | 51 | 04/30/2020 | 02/03/2021 | 03/10/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202101447 | Closed | Advance Benefit Complete | 02/03/2021 | 12/23/2020 | $2,500.00 | $2,500.07 | 02/08/2021 | 94 | 03/11/1997 | 12/23/2020 | 02/04/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | K202420650 | Pending | Management Review | 11/18/2024 | 09/12/2024 | $2,500.00 | $0.00 | 81 | 04/16/2002 | 09/12/2024 | |||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | K202420650 | Pending | Management Review | 11/18/2024 | 09/12/2024 | $5,000.00 | $0.00 | 81 | 04/16/2002 | 09/12/2024 | |||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G202025748 | Closed | Benefit Process Completed | 07/10/2020 | 05/29/2020 | $2,500.01 | $2,500.66 | 08/28/2020 | 90 | 01/08/1995 | 05/29/2020 | 07/30/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | H202218094 | Closed | Benefit Process Completed | 08/16/2022 | 05/16/2022 | $50,000.00 | $50,069.63 | 09/06/2022 | 56 | 05/14/2022 | 05/16/2022 | 09/01/2022 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-201826 | Denied | Not Disabled Own Occupation | 09/05/2023 | 08/01/2023 | $461.14 | $0.00 | 29 | 07/17/2023 | 07/18/2023 | 01/29/2024 | 09/05/2023 | 09/12/2023 | 09/05/2023 | 09/12/2023 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J202419462 | Closed | Benefit Process Completed | 10/24/2024 | 10/03/2024 | $2,500.00 | $2,502.45 | 10/29/2024 | 82 | 12/31/2001 | 10/03/2024 | 10/24/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | J202419462 | Closed | Benefit Process Completed | 10/24/2024 | 10/03/2024 | $5,000.00 | $5,006.31 | 10/31/2024 | 82 | 12/31/2001 | 10/03/2024 | 10/30/2024 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 3 | AAFT ELECTING $500 | GDC-276392 | Closed | Return to Work | 09/18/2024 | 07/22/2024 | 09/29/2024 | $500.00 | $5,000.00 | 09/30/2024 | 37 | 07/05/2024 | 07/08/2024 | 01/19/2025 | 09/18/2024 | 09/18/2024 | 09/23/2024 | 09/23/2024 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | B202301380 | Closed | Benefit Process Completed | 02/07/2023 | 01/10/2023 | $5,000.00 | $5,004.36 | 02/10/2023 | 17 | 01/10/2023 | 02/08/2023 | ||||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 2 | AAFT ELECTING $750 | GDC-292244 | Closed | Advance Pay & Close | 11/18/2024 | 10/26/2024 | 12/30/2024 | $725.20 | $6,837.60 | 12/30/2024 | 54 | 09/20/2024 | 09/30/2024 | 04/25/2025 | 11/18/2024 | 11/18/2024 | 11/18/2024 | 11/18/2024 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | F202025016 | Closed | Benefit Process Completed | 06/16/2020 | 05/12/2020 | $2,500.00 | $2,500.77 | 06/19/2020 | 90 | 01/31/1989 | 05/12/2020 | 06/17/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental AD&D | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202305375 | Closed | Benefit Process Completed | 06/09/2023 | 03/28/2023 | $20,000.00 | $20,044.88 | 06/23/2023 | 60 | 03/28/2023 | 06/14/2023 | ||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary AD&D | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202305375 | Closed | Benefit Process Completed | 06/09/2023 | 03/28/2023 | $200,000.00 | $200,448.77 | 06/23/2023 | 60 | 03/28/2023 | 06/14/2023 | ||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202305375 | Closed | Benefit Process Completed | 06/09/2023 | 03/28/2023 | $20,000.00 | $20,017.45 | 06/14/2023 | 60 | 03/28/2023 | 06/09/2023 | ||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | E202024366 | Closed | Benefit Process Completed | 05/26/2020 | 05/24/2020 | $2,500.00 | $2,501.54 | 06/09/2020 | 83 | 08/31/2000 | 05/24/2020 | 06/02/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | E202024366 | Closed | Benefit Process Completed | 05/26/2020 | 05/24/2020 | $5,000.00 | $5,003.09 | 06/09/2020 | 83 | 08/31/2000 | 05/24/2020 | 06/02/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J202029281 | Closed | Benefit Process Completed | 10/16/2020 | 09/13/2020 | $2,500.00 | $2,500.09 | 10/21/2020 | 98 | 09/12/2020 | 09/13/2020 | 10/16/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | H202307589 | Closed | Advance Benefit Complete | 08/18/2023 | 05/19/2023 | $2,500.00 | $2,501.82 | 08/22/2023 | 64 | 03/31/2012 | 05/19/2023 | 08/18/2023 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-196561 | Closed | Return to Work | 07/10/2023 | 07/13/2023 | 07/25/2023 | $500.00 | $928.57 | 08/07/2023 | 33 | 06/27/2023 | 06/28/2023 | 01/10/2024 | 07/10/2023 | 07/10/2023 | 07/10/2023 | 07/10/2023 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J202121124 | Closed | Benefit Process Completed | 10/27/2021 | 09/13/2021 | $2,500.00 | $1,250.04 | 11/03/2021 | 72 | 10/04/1996 | 09/13/2021 | 10/29/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | J202121124 | Closed | Benefit Process Completed | 10/27/2021 | 09/13/2021 | $5,000.00 | $2,500.08 | 11/03/2021 | 72 | 10/04/1996 | 09/13/2021 | 10/29/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202024850 | Closed | Benefit Process Completed | 06/11/2020 | 05/27/2020 | $50,000.00 | $50,030.88 | 06/23/2020 | 41 | 05/26/2020 | 05/27/2020 | 06/17/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202024850 | Closed | Benefit Process Completed | 06/11/2020 | 05/27/2020 | $85,000.00 | $85,052.49 | 06/23/2020 | 41 | 05/26/2020 | 05/27/2020 | 06/17/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | A202000859 | Closed | Benefit Process Completed | 01/29/2020 | 12/26/2019 | $2,500.00 | $2,500.88 | 02/04/2020 | 71 | 03/31/2005 | 12/26/2019 | 01/31/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | A202000859 | Closed | Benefit Process Completed | 01/29/2020 | 12/26/2019 | $5,000.00 | $5,001.76 | 02/04/2020 | 71 | 03/31/2005 | 12/26/2019 | 01/31/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | E202304389 | Closed | Benefit Process Completed | 05/08/2023 | 04/30/2023 | $2,500.00 | $2,504.67 | 05/19/2023 | 91 | 01/31/1993 | 04/30/2023 | 05/16/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | E202304389 | Closed | Benefit Process Completed | 05/08/2023 | 04/30/2023 | $5,000.00 | $5,009.35 | 05/19/2023 | 91 | 01/31/1993 | 04/30/2023 | 05/16/2023 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-108256 | Denied | Work Related Condition | 04/08/2022 | 12/16/2021 | $500.00 | $0.00 | 45 | 11/19/2021 | 12/02/2021 | 06/15/2022 | 04/08/2022 | 04/08/2022 | 04/08/2022 | 04/08/2022 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | C202212991 | Closed | Benefit Process Completed | 03/14/2022 | 01/30/2022 | $2,500.00 | $2,500.23 | 03/22/2022 | 86 | 01/31/1995 | 01/30/2022 | 03/16/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | C202212991 | Closed | Benefit Process Completed | 03/14/2022 | 01/30/2022 | $5,000.00 | $5,000.45 | 03/22/2022 | 86 | 01/31/1995 | 01/30/2022 | 03/16/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | J201907724 | Closed | Benefit Process Completed | 10/11/2019 | 09/27/2019 | $50,000.00 | $50,152.60 | 11/25/2019 | 50 | 09/26/2019 | 09/27/2019 | 11/22/2019 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | J201907724 | Closed | Benefit Process Completed | 10/11/2019 | 09/27/2019 | $183,000.00 | $183,558.47 | 11/25/2019 | 50 | 09/26/2019 | 09/27/2019 | 11/22/2019 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G202306541 | Closed | Benefit Process Completed | 07/18/2023 | 07/03/2023 | $2,500.00 | $2,502.73 | 07/25/2023 | 79 | 04/30/1995 | 07/03/2023 | 07/24/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | G202306541 | Closed | Benefit Process Completed | 07/18/2023 | 07/03/2023 | $5,000.00 | $5,005.46 | 07/25/2023 | 79 | 04/30/1995 | 07/03/2023 | 07/24/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | K202122227 | Closed | Benefit Process Completed | 11/22/2021 | 10/10/2021 | $2,500.00 | $2,501.12 | 02/02/2022 | 72 | 01/31/2008 | 10/10/2021 | 01/27/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | K202122227 | Closed | Benefit Process Completed | 11/22/2021 | 10/10/2021 | $5,000.00 | $5,002.25 | 02/02/2022 | 72 | 01/31/2008 | 10/10/2021 | 01/27/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202308097 | Closed | Advance Benefit Complete | 09/05/2023 | 08/15/2023 | $50,000.00 | $50,042.48 | 09/08/2023 | 57 | 08/15/2023 | 08/15/2023 | 09/05/2023 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202308097 | Closed | Benefit Process Completed | 09/05/2023 | 08/15/2023 | $177,000.00 | $177,236.31 | 09/14/2023 | 57 | 08/15/2023 | 08/15/2023 | 09/12/2023 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-49311 | Denied | Pre-existing Condition | 05/06/2020 | 05/27/2020 | $406.00 | $0.00 | 19 | 05/12/2020 | 05/13/2020 | 11/24/2020 | 05/06/2020 | 05/14/2020 | 05/18/2020 | 05/18/2020 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | H202416881 | Closed | Advance Benefit Complete | 08/12/2024 | 07/29/2024 | $2,500.00 | $2,501.40 | 08/14/2024 | 67 | 04/29/2021 | 07/29/2024 | 08/12/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | H202416881 | Closed | Benefit Process Completed | 08/12/2024 | 07/29/2024 | $5,000.00 | $5,006.31 | 08/19/2024 | 67 | 04/29/2021 | 07/29/2024 | 08/16/2024 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-36133 | Denied | Pre-existing Condition | 10/25/2019 | 12/17/2019 | $417.73 | $0.00 | 35 | 11/27/2019 | 12/03/2019 | 06/15/2020 | 10/25/2019 | 12/09/2019 | 10/30/2019 | 12/09/2019 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | B202401145 | Closed | Advance Benefit Complete | 02/02/2024 | 01/11/2024 | $50,000.00 | $50,043.23 | 02/06/2024 | 42 | 11/13/2023 | 01/11/2024 | 02/02/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | B202401145 | Closed | Benefit Process Completed | 02/02/2024 | 01/11/2024 | $122,000.00 | $122,070.33 | 02/22/2024 | 42 | 11/13/2023 | 01/11/2024 | 02/20/2024 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-220512 | Closed | Death | 12/11/2023 | 12/15/2023 | 01/11/2024 | $750.00 | $5,250.00 | 01/26/2024 | 42 | 11/13/2023 | 11/29/2023 | 06/13/2024 | 12/11/2023 | 12/11/2023 | 12/11/2023 | 12/11/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-289463 | Pending | 10/18/2024 | 10/09/2024 | $577.92 | $0.00 | 42 | 08/23/2024 | 08/27/2024 | 04/08/2025 | 10/18/2024 | 10/18/2024 | 10/18/2024 | 10/18/2024 | |||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-224968 | Closed | Advance Pay & Close | 01/30/2024 | 01/25/2024 | 02/11/2024 | $693.08 | $1,782.21 | 02/05/2024 | 44 | 12/27/2023 | 12/28/2023 | 07/24/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | J202418664 | Closed | Benefit Process Completed | 10/02/2024 | 07/08/2024 | $2,500.00 | $2,502.45 | 10/07/2024 | 88 | 01/02/1997 | 07/08/2024 | 10/03/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202211733 | Closed | Benefit Process Completed | 02/09/2022 | 01/17/2022 | $2,500.02 | $2,500.39 | 03/11/2022 | 57 | 03/31/2010 | 01/17/2022 | 03/10/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | B202211733 | Closed | Benefit Process Completed | 02/09/2022 | 01/17/2022 | $5,000.02 | $5,000.78 | 03/11/2022 | 57 | 03/31/2010 | 01/17/2022 | 03/10/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | H202307489 | Closed | Advance Benefit Complete | 08/16/2023 | 07/01/2023 | $2,500.00 | $2,502.43 | 08/22/2023 | 86 | 02/28/1994 | 07/01/2023 | 08/16/2023 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-34981 | Closed | Return to Work | 10/09/2019 | 10/23/2019 | 12/31/2019 | $336.95 | $3,369.50 | 12/31/2019 | 37 | 10/09/2019 | 10/09/2019 | 04/21/2020 | 10/09/2019 | 10/23/2019 | 10/23/2019 | 10/23/2019 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-46023 | Closed | Return to Work | 03/12/2020 | 03/20/2020 | 07/21/2020 | $336.95 | $5,968.83 | 08/03/2020 | 37 | 02/28/2020 | 02/29/2020 | 09/17/2020 | 03/12/2020 | 03/17/2020 | 03/16/2020 | 03/23/2020 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | A202100829 | Closed | Benefit Process Completed | 01/20/2021 | 12/19/2020 | $50,000.00 | $50,006.16 | 02/17/2021 | 49 | 12/18/2020 | 12/19/2020 | 02/08/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | A202100829 | Closed | Benefit Process Completed | 01/20/2021 | 12/19/2020 | $150,000.00 | $150,018.49 | 02/17/2021 | 49 | 12/18/2020 | 12/19/2020 | 02/08/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | D202403001 | Closed | Advance Benefit Complete | 04/01/2024 | 03/15/2024 | $2,500.00 | $2,502.88 | 04/05/2024 | 84 | 02/28/2001 | 03/15/2024 | 04/02/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | D202113799 | Closed | Benefit Process Completed | 04/05/2021 | 03/08/2021 | $2,500.01 | $2,500.10 | 04/12/2021 | 84 | 01/31/1992 | 03/08/2021 | 04/07/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | D202113799 | Closed | Benefit Process Completed | 04/05/2021 | 03/08/2021 | $3,500.00 | $3,500.13 | 04/12/2021 | 84 | 01/31/1992 | 03/08/2021 | 04/07/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-206959 | Closed | Return to Work | 10/31/2023 | 10/14/2023 | 12/08/2023 | $732.26 | $7,636.43 | 12/26/2023 | 63 | 09/25/2023 | 09/26/2023 | 04/12/2024 | 10/31/2023 | 10/31/2023 | 10/31/2023 | 10/31/2023 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | K202221271 | Closed | Advance Benefit Complete | 11/21/2022 | 10/26/2022 | $2,500.00 | $2,501.36 | 11/28/2022 | 89 | 01/31/1993 | 10/26/2022 | 11/22/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | K202221271 | Closed | Benefit Process Completed | 11/21/2022 | 10/26/2022 | $5,000.00 | $5,006.66 | 12/09/2022 | 89 | 01/31/1993 | 10/26/2022 | 11/22/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G202415960 | Closed | Benefit Process Completed | 07/10/2024 | 06/22/2024 | $2,500.00 | $2,502.45 | 07/15/2024 | 84 | 01/30/1999 | 06/22/2024 | 07/10/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202212349 | Closed | Benefit Process Completed | 02/25/2022 | 02/01/2022 | $2,500.00 | $2,500.53 | 03/29/2022 | 79 | 10/31/2021 | 02/01/2022 | 03/10/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | B202212349 | Closed | Benefit Process Completed | 02/25/2022 | 02/01/2022 | $5,000.00 | $5,001.06 | 03/29/2022 | 79 | 10/31/2021 | 02/01/2022 | 03/10/2022 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-78908 | Denied | Pre-existing Condition | 04/30/2021 | 04/30/2021 | $0.00 | $0.00 | 57 | 04/15/2021 | 04/16/2021 | 10/28/2021 | 05/03/2021 | 05/03/2021 | 04/30/2021 | 05/03/2021 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | D202013457 | Closed | Benefit Process Completed | 04/24/2020 | 03/11/2020 | $2,500.01 | $2,500.78 | 06/04/2020 | 86 | 03/10/2020 | 03/11/2020 | 04/24/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | D202013457 | Closed | Benefit Process Completed | 04/24/2020 | 03/11/2020 | $5,000.00 | $5,006.40 | 05/21/2020 | 86 | 03/10/2020 | 03/11/2020 | 05/19/2020 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-108777 | Closed | Advance Pay & Close | 04/14/2022 | 04/23/2022 | 05/26/2022 | $500.00 | $2,428.57 | 04/28/2022 | 31 | 03/25/2022 | 04/01/2022 | 10/21/2022 | 04/14/2022 | 04/14/2022 | 04/14/2022 | 04/14/2022 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | G202416147 | Closed | Benefit Process Completed | 07/17/2024 | 06/22/2024 | $2,500.00 | $2,526.66 | 09/27/2024 | 58 | 11/30/2010 | 06/22/2024 | 09/26/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | C202102537 | Closed | Benefit Process Completed | 03/03/2021 | 02/03/2021 | $2,500.00 | $2,500.09 | 03/10/2021 | 72 | 02/02/2021 | 02/03/2021 | 03/03/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | C202102537 | Closed | Benefit Process Completed | 03/03/2021 | 02/03/2021 | $5,000.00 | $5,000.18 | 03/10/2021 | 72 | 02/02/2021 | 02/03/2021 | 03/03/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-56793 | Closed | Advance Pay & Close | 08/04/2020 | 08/04/2020 | 08/12/2020 | $415.88 | $582.23 | 08/24/2020 | 37 | 07/17/2020 | 07/21/2020 | 02/01/2021 | 08/04/2020 | 08/13/2020 | 08/11/2020 | 08/13/2020 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | E202404540 | Closed | Benefit Process Completed | 05/21/2024 | 03/22/2024 | $2,500.00 | $2,518.37 | 06/18/2024 | 81 | 01/31/2000 | 03/22/2024 | 06/14/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | E202404540 | Closed | Benefit Process Completed | 05/21/2024 | 03/22/2024 | $5,000.00 | $5,036.76 | 06/18/2024 | 81 | 01/31/2000 | 03/22/2024 | 06/14/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 3 | DISABLED RETIREES | E202215036 | Closed | Benefit Process Completed | 05/12/2022 | 07/26/2021 | $2,500.00 | $2,551.34 | 05/20/2022 | 70 | 02/28/1994 | 07/26/2021 | 05/13/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | E202404288 | Closed | Benefit Process Completed | 05/13/2024 | 03/11/2024 | $50,000.00 | $51,033.39 | 10/28/2024 | 57 | 02/25/2022 | 03/11/2024 | 09/04/2024 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | E202404288 | Closed | Benefit Process Completed | 05/13/2024 | 03/11/2024 | $165,000.00 | $166,388.71 | 10/28/2024 | 57 | 02/25/2022 | 03/11/2024 | 09/04/2024 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202218678 | Closed | Death | 09/07/2022 | 09/01/2022 | $50,000.00 | $0.00 | 55 | 02/25/2022 | 02/26/2022 | 09/16/2036 | 05/22/2023 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | I202218678 | Closed | Death | 09/07/2022 | 09/01/2022 | $165,000.00 | $0.00 | 55 | 02/25/2022 | 02/26/2022 | 09/16/2036 | 08/10/2023 | |||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-109956 | Closed | Death | 04/29/2022 | 08/25/2022 | 03/11/2024 | $3,890.00 | $21,239.80 | 04/24/2024 | 55 | 02/25/2022 | 02/26/2022 | 09/15/2033 | 04/29/2022 | 04/29/2022 | 04/29/2022 | 04/29/2022 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | B202301620 | Closed | Benefit Process Completed | 02/14/2023 | 01/22/2023 | $20,000.00 | $20,409.64 | 03/03/2023 | 52 | 01/22/2023 | 03/02/2023 | ||||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic AD&D | 1 | ALL ACTIVE FULL TIME EMPLOYEES | H202027616 | Closed | Benefit Process Completed | 09/02/2020 | 07/27/2020 | $23,000.00 | $23,004.46 | 10/13/2020 | 60 | 07/27/2020 | 07/27/2020 | 09/28/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | H202027616 | Closed | Advance Benefit Complete | 09/02/2020 | 07/27/2020 | $23,000.00 | $23,001.19 | 09/17/2020 | 60 | 07/27/2020 | 07/27/2020 | 09/04/2020 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-288407 | Closed | Incomplete claim | 10/08/2024 | 10/16/2024 | $750.00 | $0.00 | 42 | 10/02/2024 | 10/02/2024 | 04/15/2025 | 10/08/2024 | 10/08/2024 | 12/20/2024 | |||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-73437 | Closed | Advance Pay & Close | 02/25/2021 | 04/01/2021 | 04/28/2021 | $500.00 | $2,000.00 | 03/30/2021 | 28 | 03/17/2021 | 03/18/2021 | 09/29/2021 | 02/25/2021 | 02/25/2021 | 02/25/2021 | 03/18/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-219968 | Closed | Advance Pay & Close | 12/05/2023 | 12/02/2023 | 12/18/2023 | $745.92 | $1,811.52 | 01/19/2024 | 43 | 11/03/2023 | 11/06/2023 | 05/31/2024 | 12/05/2023 | 12/05/2023 | 12/05/2023 | 12/05/2023 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202101359 | Closed | Benefit Process Completed | 02/01/2021 | 12/18/2020 | $2,500.00 | $2,500.00 | 02/05/2021 | 76 | 12/31/2000 | 12/18/2020 | 02/01/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | B202101359 | Closed | Benefit Process Completed | 02/01/2021 | 12/18/2020 | $5,000.00 | $5,000.00 | 02/05/2021 | 76 | 12/31/2000 | 12/18/2020 | 02/01/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | H202118567 | Closed | Benefit Process Completed | 08/27/2021 | 05/31/2021 | $2,500.00 | $2,500.43 | 11/29/2021 | 66 | 05/30/2021 | 05/31/2021 | 10/08/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | H202118567 | Closed | Benefit Process Completed | 08/27/2021 | 05/31/2021 | $5,000.00 | $5,000.85 | 10/12/2021 | 66 | 05/30/2021 | 05/31/2021 | 10/08/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | B202212202 | Closed | Benefit Process Completed | 02/23/2022 | 02/04/2022 | $2,500.00 | $2,500.30 | 03/04/2022 | 92 | 04/30/1994 | 02/04/2022 | 03/03/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | B202212202 | Closed | Benefit Process Completed | 02/23/2022 | 02/04/2022 | $5,000.00 | $5,000.58 | 03/04/2022 | 92 | 04/30/1994 | 02/04/2022 | 03/03/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | F202116220 | Closed | Benefit Process Completed | 06/17/2021 | 05/23/2021 | $2,500.00 | $2,500.09 | 06/24/2021 | 62 | 04/30/2014 | 05/23/2021 | 06/21/2021 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | F202116220 | Closed | Benefit Process Completed | 06/17/2021 | 05/23/2021 | $5,000.00 | $5,000.18 | 06/24/2021 | 62 | 04/30/2014 | 05/23/2021 | 06/21/2021 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-59498 | Closed | Advance Pay & Close | 09/08/2020 | 11/04/2020 | 12/02/2020 | $500.00 | $2,071.43 | 01/28/2021 | 25 | 10/09/2020 | 10/21/2020 | 05/04/2021 | 09/08/2020 | 09/08/2020 | 09/08/2020 | 10/28/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-38956 | Closed | Return to Work | 12/04/2019 | 12/23/2019 | 02/09/2020 | $461.44 | $3,230.08 | 02/10/2020 | 41 | 12/06/2019 | 12/09/2019 | 06/21/2020 | 12/04/2019 | 12/18/2019 | 12/19/2019 | 12/19/2019 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | A202000607 | Closed | Benefit Process Completed | 01/22/2020 | 01/14/2020 | $20,000.00 | $20,020.29 | 03/05/2020 | 45 | 01/14/2020 | 03/02/2020 | ||||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-128497 | Closed | Return to Work | 12/08/2022 | 12/21/2022 | 03/05/2023 | $500.00 | $5,357.14 | 04/13/2023 | 45 | 12/06/2022 | 12/07/2022 | 06/20/2023 | 12/08/2022 | 12/08/2022 | 12/08/2022 | 12/08/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-119387 | Denied | Elimination Period Not Satisfied | 08/22/2022 | 09/22/2022 | $470.02 | $0.00 | 66 | 07/18/2022 | 07/19/2022 | 03/22/2023 | 08/23/2022 | 08/22/2022 | 08/23/2022 | 08/23/2022 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | C202302496 | Closed | Benefit Process Completed | 03/10/2023 | 02/13/2023 | $20,000.00 | $20,024.93 | 03/29/2023 | 67 | 02/13/2023 | 03/23/2023 | ||||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-83983 | Closed | Return to Work | 07/02/2021 | 07/01/2021 | 08/08/2021 | $342.72 | $1,909.44 | 08/09/2021 | 41 | 06/16/2021 | 06/17/2021 | 12/29/2021 | 07/02/2021 | 07/08/2021 | 07/07/2021 | 07/08/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-93645 | Closed | Return to Work | 10/20/2021 | 10/01/2021 | 02/19/2022 | $500.00 | $10,142.86 | 03/18/2022 | 56 | 09/16/2021 | 09/17/2021 | 03/31/2022 | 10/20/2021 | 10/20/2021 | 10/22/2021 | 10/22/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-103541 | Closed | Return to Work | 02/10/2022 | 01/25/2022 | 01/30/2022 | $482.17 | $413.29 | 03/21/2022 | 37 | 01/11/2022 | 01/11/2022 | 07/25/2022 | 02/10/2022 | 02/10/2022 | 02/10/2022 | 02/10/2022 | ||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-39012 | Denied | Eligibility For Coverage Not Satisfied | 12/04/2019 | $0.00 | $0.00 | 58 | 06/24/2019 | 06/25/2019 | 10/20/2027 | 12/04/2019 | 12/10/2019 | 12/19/2019 | 12/19/2019 | |||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | C202212677 | Closed | Advance Benefit Complete | 03/07/2022 | 01/30/2022 | $2,500.00 | $2,500.52 | 03/28/2022 | 67 | 02/15/2001 | 01/30/2022 | 03/09/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | C202212677 | Closed | Benefit Process Completed | 03/07/2022 | 01/30/2022 | $5,000.00 | $5,001.04 | 03/28/2022 | 67 | 02/15/2001 | 01/30/2022 | 03/09/2022 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-198060 | Denied | Pre-existing Condition | 07/26/2023 | 07/31/2023 | $445.20 | $0.00 | 48 | 07/14/2023 | 07/17/2023 | 01/28/2024 | 07/26/2023 | 08/04/2023 | 08/18/2023 | 08/18/2023 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | F202116574 | Closed | Benefit Process Completed | 06/30/2021 | 04/11/2021 | $2,500.00 | $2,500.42 | 09/01/2021 | 84 | 08/20/2001 | 04/11/2021 | 07/27/2021 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | E202114689 | Closed | Not Totally Disabled Any Occupation | 05/03/2021 | 05/01/2021 | $28,000.00 | $0.00 | 32 | 10/28/2020 | 10/29/2020 | 02/25/2058 | 09/28/2021 | |||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | E202114689 | Closed | Not Totally Disabled Any Occupation | 05/03/2021 | 05/01/2021 | $28,000.00 | $0.00 | 32 | 10/28/2020 | 10/29/2020 | 02/25/2058 | 09/28/2021 | |||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-64255 | Closed | Other | 11/04/2020 | 04/27/2021 | 04/26/2023 | $1,352.00 | $31,606.76 | 03/13/2023 | 32 | 10/28/2020 | 10/29/2020 | 02/24/2055 | 11/09/2020 | 11/06/2020 | 11/04/2020 | 11/09/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-64255 | Closed | Maximum Duration of Benefits | 11/04/2020 | 11/12/2020 | 05/12/2021 | $364.00 | $9,464.00 | 05/12/2021 | 32 | 10/28/2020 | 10/29/2020 | 05/12/2021 | 11/09/2020 | 11/06/2020 | 11/04/2020 | 11/09/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-58070 | Closed | Return to Work | 08/19/2020 | 08/28/2020 | 09/07/2020 | $463.12 | $727.76 | 09/10/2020 | 61 | 08/13/2020 | 08/14/2020 | 02/25/2021 | 09/02/2020 | 08/19/2020 | 08/19/2020 | 09/02/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-109065 | Closed | Advance Pay & Close | 04/19/2022 | 04/04/2022 | 05/15/2022 | $481.76 | $3,578.79 | 04/22/2022 | 31 | 03/18/2022 | 03/21/2022 | 10/02/2022 | 04/19/2022 | 04/19/2022 | 04/19/2022 | 04/19/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-71567 | Closed | Withdrawn | 02/03/2021 | 02/17/2021 | $0.00 | $0.00 | 30 | 01/06/2021 | 02/03/2021 | 08/17/2021 | 02/03/2021 | 02/03/2021 | 02/03/2021 | 02/03/2021 | ||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 2 | ALL ELIGIBLE RETIREES | A202200012 | Closed | Advance Benefit Complete | 01/01/2022 | 11/04/2021 | $2,500.00 | $2,500.50 | 01/21/2022 | 90 | 02/28/1990 | 11/04/2021 | 01/03/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 2 | ALL ELIGIBLE RETIREES | A202200012 | Closed | Benefit Process Completed | 01/01/2022 | 11/04/2021 | $5,000.00 | $5,002.08 | 02/16/2022 | 90 | 02/28/1990 | 11/04/2021 | 02/14/2022 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary AD&D | 1 | ALL ACTIVE FULL TIME EMPLOYEES | F202215691 | Closed | Benefit Process Completed | 06/02/2022 | 05/11/2022 | $30,000.00 | $30,111.40 | 08/25/2022 | 20 | 05/11/2022 | 08/24/2022 | ||||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-62438 | Closed | Advance Pay & Close | 10/13/2020 | 09/28/2020 | 10/25/2020 | $415.87 | $1,663.48 | 10/30/2020 | 32 | 09/13/2020 | 09/14/2020 | 03/28/2021 | 10/13/2020 | 10/13/2020 | 10/13/2020 | 10/13/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-197193 | Closed | Return to Work | 07/17/2023 | 06/27/2023 | 07/09/2023 | $500.00 | $928.57 | 07/25/2023 | 50 | 06/12/2023 | 06/13/2023 | 12/25/2023 | 07/17/2023 | 07/21/2023 | 07/21/2023 | 07/21/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-54174 | Closed | Return to Work | 07/01/2020 | 07/05/2020 | 07/27/2020 | $472.32 | $1,551.91 | 07/28/2020 | 47 | 06/19/2020 | 06/21/2020 | 01/02/2021 | 07/01/2020 | 07/13/2020 | 07/14/2020 | 07/14/2020 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-89473 | Closed | Advance Pay & Close | 09/03/2021 | 08/24/2021 | 09/29/2021 | $481.76 | $1,458.76 | 10/14/2021 | 48 | 08/09/2021 | 08/10/2021 | 02/21/2022 | 09/16/2021 | 09/03/2021 | 09/03/2021 | 09/16/2021 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | H201905969 | Closed | Benefit Process Completed | 08/08/2019 | 07/22/2019 | $35,000.00 | $35,138.63 | 10/04/2019 | 64 | 07/22/2019 | 07/22/2019 | 09/30/2019 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Basic Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | C202002282 | Closed | Benefit Process Completed | 03/12/2020 | 03/02/2020 | $41,000.00 | $41,092.24 | 04/30/2020 | 62 | 07/22/2019 | 03/02/2020 | 04/29/2020 | |||||||
| 1 | CITY OF WACO | LIFE | LIFE | Supplemental Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | C202002282 | Closed | Benefit Process Completed | 03/12/2020 | 03/02/2020 | $81,000.00 | $81,182.20 | 04/30/2020 | 62 | 07/22/2019 | 03/02/2020 | 04/29/2020 | |||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-41591 | Closed | Return to Work | 01/13/2020 | 01/01/2020 | 01/14/2020 | $500.00 | $1,000.00 | 02/27/2020 | 45 | 12/17/2019 | 12/18/2019 | 06/30/2020 | 01/13/2020 | 01/15/2020 | 02/18/2020 | 02/18/2020 | ||
| 1 | CITY OF WACO | LIFE | LIFE | Voluntary Life | 1 | ALL ACTIVE FULL TIME EMPLOYEES | H202218286 | Closed | Benefit Process Completed | 08/23/2022 | 08/17/2022 | $20,000.00 | $20,013.32 | 09/01/2022 | 72 | 08/17/2022 | 08/30/2022 | ||||||||
| 1 | CITY OF WACO | Waiver of Premium | LIFE WAIVER | Life - Waiver of Premium | L202432160 | Pending | 12/24/2024 | $0.00 | $0.00 | 31 | 09/09/2024 | ||||||||||||||
| 1 | CITY OF WACO | LTD | LTD | Long Term Disability | 1 | All Full-time EEs | GDC-294109 | Pending | 12/10/2024 | 02/04/2024 | $0.00 | $0.00 | 30 | 08/08/2023 | 08/08/2023 | 04/26/2060 | 12/10/2024 | 12/10/2024 | 12/10/2024 | 12/10/2024 | |||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-72997 | Closed | Return to Work | 02/22/2021 | 02/26/2021 | 02/28/2021 | $436.80 | $187.20 | 03/01/2021 | 29 | 02/04/2021 | 02/05/2021 | 08/26/2021 | 02/22/2021 | 02/22/2021 | 02/22/2021 | 02/22/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-62744 | Closed | Return to Work | 10/16/2020 | 10/05/2020 | 11/22/2020 | $500.00 | $2,642.86 | 11/23/2020 | 57 | 09/18/2020 | 09/21/2020 | 04/04/2021 | 10/16/2020 | 10/16/2020 | 10/16/2020 | 10/16/2020 |
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