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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Text version

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
EmployeeEligibilityClaimBenefitClaimLatestAgeLast DateMaxClaimantEmployerPhysicianRequired
AccountAccount NameLocationProduct TypeCoverageProductEmployeeEligibilityClassClaimStatusStatus ReasonReceivedBeginApprovedBenefitTotal PaidPaymentatofEvent DateDurationStatementStatementStatementInformation
NumberDescriptionTypeIDClassDescriptionNumberDateDateThroughAmountDateEventWorkDateRec'dRec'dRec'dCompleted
NumberDateDate
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESI202418005ClosedBenefit Process Completed09/12/202403/27/2024$20,000.00$20,025.2509/19/20241403/27/202409/13/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202403814ClosedBenefit Process Completed04/26/202404/08/2024$2,500.00$1,253.7805/15/20248708/31/198804/08/202405/07/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESC202302485ClosedBenefit Process Completed03/09/202302/11/2023$2,500.00$2,506.5403/28/20237412/31/200602/11/202303/27/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESC202302485ClosedBenefit Process Completed03/09/202302/11/2023$5,000.00$5,013.0903/28/20237412/31/200602/11/202303/27/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-181590ClosedAdvance Pay & Close05/10/202304/08/202305/19/2023$500.00$3,000.0005/18/20233203/24/202303/25/202310/06/202305/10/202305/10/202305/10/202305/10/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-268626ClosedAdvance Pay & Close06/25/202406/07/202407/05/2024$545.72$2,260.8407/17/20243305/23/202405/24/202412/05/202406/25/202406/25/202406/25/202406/25/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-60039ClosedReturn to Work09/15/202009/17/202010/18/2020$499.05$2,281.3710/19/20203708/24/202008/28/202003/17/202109/15/202009/22/202009/15/202009/22/2020
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-49772ClosedOther05/13/202011/01/202010/31/2022$2,625.76$61,862.6809/09/20224005/04/202005/05/202005/17/204605/13/202005/13/202005/14/202005/14/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-49772ClosedMaximum Duration of Benefits05/13/202005/19/202011/16/2020$500.00$13,000.0012/21/20204005/04/202005/05/202011/16/202005/13/202005/13/202005/14/202005/14/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202216682ClosedAdvance Benefit Complete08/02/202206/15/2022$2,500.00$2,505.6008/09/20226906/25/201006/15/202208/02/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESG202216682ClosedAdvance Benefit Complete08/02/202206/15/2022$5,000.00$5,011.2008/09/20226906/25/201006/15/202208/02/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202217898ClosedBenefit Process Completed08/10/202202/11/2022$2,500.00$2,501.8704/18/20239103/29/199602/11/202209/08/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESH202217898ClosedBenefit Process Completed08/10/202202/11/2022$5,000.00$5,040.7804/18/20239103/29/199602/11/202209/08/2022
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESA202100206Denied$ Not Paid During the Elimination Period01/07/202112/01/2020$50,000.00$0.004005/04/202005/04/202005/18/204903/03/2021
1CITY OF WACOWaiver of PremiumLIFE WAIVERSupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESA202100206Denied$ Not Paid During the Elimination Period01/07/202112/01/2020$106,000.00$0.004005/04/202005/04/202005/18/204903/03/2021
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESI202028102ClosedBenefit Process Completed09/15/202009/06/2020$38,000.00$38,003.3710/01/20204909/05/202009/06/202009/30/2020
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESI202028102ClosedBenefit Process Completed09/15/202009/06/2020$76,000.00$76,006.7510/01/20204909/05/202009/06/202009/30/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202415848ClosedBenefit Process Completed07/10/202406/15/2024$2,500.00$2,504.5607/16/20248506/14/202406/15/202407/10/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESG202415848ClosedBenefit Process Completed07/10/202406/15/2024$5,000.00$5,017.5307/26/20248506/14/202406/15/202407/25/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202309448ClosedAdvance Benefit Complete10/30/202309/21/2023$2,500.01$2,501.5311/02/20238801/31/200509/21/202310/30/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESJ202309448ClosedBenefit Process Completed10/30/202309/21/2023$5,000.01$5,002.4411/02/20238801/31/200509/21/202310/31/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESA202000903ClosedAdvance Benefit Complete01/30/202012/28/2019$2,500.00$2,500.6602/03/20209705/16/197312/28/201901/30/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESE202115243ClosedBenefit Process Completed05/19/202102/26/2021$2,500.00$2,500.0805/25/20218107/31/199002/26/202105/20/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESE202115243ClosedBenefit Process Completed05/19/202102/26/2021$5,000.00$5,000.1605/25/20218107/31/199002/26/202105/20/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-221820DeniedPre-existing Condition12/26/202301/06/2024$705.60$0.005812/10/202312/11/202307/05/202412/26/202301/11/202412/26/202301/11/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability3AAFT ELECTING $500GDC-270377DeniedPre-existing Condition07/16/202407/06/2024$500.00$0.005805/17/202405/18/202401/03/202509/26/202407/16/202407/16/202409/03/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-264129DeniedPre-existing Condition05/03/202405/23/2024$467.32$0.006605/05/202405/09/202411/20/202405/03/202405/03/202405/03/202405/21/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-89066DeniedNot Disabled Own Occupation08/31/202108/30/2021$0.00$0.006008/16/202108/16/202102/27/202209/02/202109/02/202108/31/202109/02/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability2AAFT ELECTING $750GDC-273449DeniedPre-existing Condition08/19/202408/15/2024$711.20$0.004807/19/202407/22/202402/12/202508/19/202409/10/202408/23/202409/10/2024
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESI202418004ClosedBenefit Process Completed09/12/202408/23/2024$50,000.00$50,063.1209/19/20243208/23/202408/23/202409/17/2024
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESG202117074Denied$ Not Paid During the Elimination Period07/16/202108/01/2021$0.00$0.004001/03/202101/04/202107/17/205008/05/2021
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-71552DeniedPre-existing Condition02/03/202107/06/2021$1,716.78$0.004001/03/202101/07/202107/16/204702/03/202102/03/202102/03/202102/03/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-71552ClosedMaximum Duration of Benefits02/03/202101/21/202107/21/2021$462.21$12,017.4607/21/20214001/03/202101/07/202107/21/202102/03/202102/03/202102/03/202102/03/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202305174ClosedBenefit Process Completed06/02/202305/10/2023$2,500.00$2,501.8706/06/20237710/31/201005/10/202306/02/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESF202305174ClosedBenefit Process Completed06/02/202305/10/2023$5,000.00$5,003.7406/06/20237710/31/201005/10/202306/02/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202115854ClosedBenefit Process Completed06/07/202104/27/2021$2,500.00$2,500.0906/11/20219204/26/202104/27/202106/07/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESF202115854ClosedBenefit Process Completed06/07/202104/27/2021$5,000.00$5,000.1506/11/20219204/26/202104/27/202106/07/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ201907777ClosedBenefit Process Completed10/15/201909/28/2019$2,500.00$2,506.8211/22/20196003/15/198809/28/201911/20/2019
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ201907777ClosedBenefit Process Completed10/15/201909/28/2019$5,000.00$5,013.6411/22/20196003/15/198809/28/201911/20/2019
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-206958ClosedReturn to Work10/31/202311/16/202302/04/2024$645.40$7,468.2002/05/20243611/02/202311/02/202305/15/202410/31/202310/31/202310/31/202311/02/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-202447ClosedReturn to Work09/12/202308/22/202310/16/2023$677.87$5,422.9611/13/20235208/07/202308/08/202302/19/202409/12/202309/18/202309/12/202309/18/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-69354ClosedReturn to Work01/08/202111/11/202012/22/2020$500.00$3,000.0002/09/20215411/30/202010/28/202005/11/202101/20/202101/20/202101/08/202101/20/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-90486ClosedAdvance Pay & Close09/16/202109/06/202109/19/2021$500.00$1,000.0010/08/20213608/22/202108/23/202103/06/202209/16/202109/16/202109/16/202109/16/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-96040ClosedReturn to Work11/16/202111/24/202101/09/2022$500.00$3,357.1401/10/20225111/10/202111/10/202105/24/202212/03/202111/16/202111/18/202112/03/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-109891ClosedReturn to Work04/29/202205/06/202206/05/2022$500.00$2,214.2906/06/20225604/21/202204/22/202211/03/202204/29/202204/29/202204/29/202204/29/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-198192ClosedReturn to Work07/27/202307/04/202307/23/2023$750.00$0.005306/19/202306/20/202301/01/202409/11/202309/11/202307/27/202309/11/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-220289ClosedReturn to Work12/05/202310/10/202311/06/2023$750.00$3,000.0012/14/20235309/25/202309/26/202304/08/202412/05/202312/05/202312/05/202312/05/2023
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESF202115815DeniedReturned to Work06/07/202107/01/2021$0.00$0.003212/06/202012/06/202004/07/205811/24/2021
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-70336ClosedReturn to Work02/04/202106/04/202110/13/2021$1,712.88$6,368.1510/22/20213212/06/202012/06/202004/06/205501/20/202101/20/202101/20/202101/20/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-70336ClosedMaximum Duration of Benefits02/04/202112/20/202006/19/2021$461.27$10,033.6506/21/20213212/06/202012/06/202006/19/202101/20/202101/20/202101/20/202101/20/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202027130ClosedBenefit Process Completed08/19/202008/15/2020$2,500.01$2,500.1509/03/20208101/31/200108/15/202008/28/2020
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESH202027130ClosedBenefit Process Completed08/19/202008/15/2020$5,000.01$5,000.4309/09/20208101/31/200108/15/202009/02/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-90215ClosedReturn to Work09/13/202109/15/202101/31/2022$500.00$9,928.5702/16/20225908/10/202108/11/202103/15/202209/13/202109/16/202109/13/202109/16/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202211669ClosedBenefit Process Completed02/08/202212/20/2021$2,500.00$2,500.4702/25/20229605/31/199312/20/202102/24/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESB202211669ClosedBenefit Process Completed02/08/202212/20/2021$5,000.00$5,000.9502/25/20229605/31/199312/20/202102/24/2022
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESC202302886ClosedAdvance Benefit Complete03/23/202303/05/2023$50,000.00$50,081.0304/03/20234403/03/202303/05/202303/31/2023
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESC202302886ClosedBenefit Process Completed03/23/202303/05/2023$138,000.00$138,223.6404/03/20234403/03/202303/05/202303/30/2023
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESK202220960DeniedReturned to Work11/14/202211/01/2022$48,000.00$0.005104/20/202204/21/202211/15/204012/21/2022
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-109117ClosedAdvance Pay & Close04/19/202210/18/202211/10/2022$2,221.31$592.3512/14/20225104/20/202204/21/202211/14/203704/19/202204/19/202204/19/202204/21/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-109117ClosedMaximum Duration of Benefits04/19/202205/05/202211/02/2022$500.00$13,000.0011/02/20225104/20/202204/21/202211/02/202204/19/202204/19/202204/19/202204/21/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-68437ClosedReturn to Work12/29/202011/25/202001/05/2021$500.00$3,000.0002/19/20212410/15/202010/16/202005/25/202112/29/202012/29/202012/29/202012/29/2020
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-269459Pending07/03/202409/09/2024$4,044.56$0.006903/12/202403/13/202409/08/202507/17/202407/03/202407/03/202407/17/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability3AAFT ELECTING $500GDC-269459ClosedMaximum Duration of Benefits07/03/202404/12/202410/10/2024$500.00$13,000.0010/17/20246903/12/202403/13/202410/10/202407/17/202407/03/202407/03/202407/17/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202101873ClosedBenefit Process Completed02/12/202102/02/2021$2,500.01$2,500.1502/24/20217109/09/199902/02/202102/22/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-87312ClosedReturn to Work08/12/202109/07/202110/05/2021$500.00$2,071.4310/05/20216408/23/202108/24/202103/07/202208/12/202108/12/202108/30/202108/30/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-274520ClosedAdvance Pay & Close08/29/202408/19/202409/16/2024$588.00$2,436.0010/25/20243308/02/202408/05/202402/16/202508/29/202408/29/202408/29/202408/28/2024
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESE202305054DeniedReturned to Work05/31/202306/01/2023$0.00$0.004911/23/202211/26/202206/22/204306/13/2023
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-129379DeniedFailure to Provide Required12/19/202205/25/2023$1,798.16$0.004911/23/202211/26/202206/21/204012/19/202212/19/202212/19/202212/19/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-129379ClosedReturn to Work12/19/202212/10/202206/04/2023$484.12$12,241.3208/25/20234911/23/202211/26/202206/09/202312/19/202212/19/202212/19/202212/19/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-224888ClosedReturn to Work01/30/202402/02/202402/04/2024$508.40$217.8902/05/20245012/08/202312/11/202308/01/202401/31/202401/31/202401/31/202401/31/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESI202308450ClosedBenefit Process Completed09/15/202308/08/2023$2,500.00$2,502.1209/20/20237001/31/201808/08/202309/15/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG201905370ClosedBenefit Process Completed07/17/201906/03/2019$2,500.00$2,012.8611/01/20198206/02/201906/03/201910/07/2019
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG201905370ClosedBenefit Process Completed07/17/201906/03/2019$5,000.00$4,025.7111/01/20198206/02/201906/03/201910/07/2019
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202114500ClosedAdvance Benefit Complete04/27/202103/29/2021$2,500.00$2,500.0605/03/20217703/28/202103/29/202104/29/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESD202114500ClosedBenefit Process Completed04/27/202103/29/2021$5,000.00$5,000.1205/03/20217703/28/202103/29/202104/29/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-129002ClosedReturn to Work12/14/202212/29/202201/17/2023$500.00$1,428.5701/20/20232912/13/202212/15/202206/28/202312/14/202212/14/202212/14/202212/14/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202309050ClosedBenefit Process Completed10/09/202309/20/2023$2,500.00$2,503.0310/11/20237809/28/200709/20/202310/09/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESJ202309050ClosedBenefit Process Completed10/09/202309/20/2023$5,000.00$5,006.0710/11/20237809/28/200709/20/202310/03/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESL202123751ClosedBenefit Process Completed12/28/202111/24/2021$2,500.00$2,501.2602/22/20228403/01/199311/24/202102/17/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESL202123751ClosedBenefit Process Completed12/28/202111/24/2021$5,000.00$5,002.5102/22/20228403/01/199311/24/202102/17/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-224894ClosedReturn to Work01/30/202401/30/202403/10/2024$747.32$4,377.1603/12/20245001/12/202401/14/202407/29/202401/30/202401/30/202401/30/202401/30/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESL202122503ClosedAdvance Benefit Complete12/01/202110/30/2021$2,500.00$2,500.2012/21/20217502/29/200010/30/202112/18/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-101893ClosedReturn to Work01/25/202211/23/202112/19/2021$500.00$1,928.5702/25/20225410/29/202111/09/202105/23/202201/25/202201/25/202201/25/202201/25/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESE202404828ClosedBenefit Process Completed05/30/202405/06/2024$2,500.00$2,502.8806/05/20248601/31/199805/06/202405/30/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESE202404828ClosedBenefit Process Completed05/30/202405/06/2024$5,000.00$5,005.7606/05/20248601/31/199805/06/202405/30/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202024514ClosedAdvance Benefit Complete06/02/202005/20/2020$2,500.01$2,500.4506/04/20208304/30/200105/20/202006/02/2020
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESF202024514ClosedBenefit Process Completed06/02/202005/20/2020$5,000.01$5,002.4406/11/20208304/30/200105/20/202006/03/2020
1CITY OF WACOSTDSTDShort Term DisabilityGDC-56482Closed07/31/2020$0.00$0.003706/11/202006/12/202007/31/202008/19/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-46335ClosedAdvance Pay & Close03/17/202003/12/202003/30/2020$344.21$934.2804/02/20205402/26/202002/27/202009/09/202003/19/202003/19/202003/17/202003/19/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-60625ClosedReturn to Work09/22/202009/19/202010/25/2020$354.54$1,874.0010/26/20205409/04/202009/05/202003/19/202109/22/202009/22/202009/22/202009/22/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESC202102590ClosedBenefit Process Completed03/04/202102/03/2021$2,500.00$2,500.1503/17/20215104/30/202002/03/202103/10/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESC202102590ClosedBenefit Process Completed03/04/202102/03/2021$5,000.00$5,000.3103/17/20215104/30/202002/03/202103/10/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202101447ClosedAdvance Benefit Complete02/03/202112/23/2020$2,500.00$2,500.0702/08/20219403/11/199712/23/202002/04/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESK202420650PendingManagement Review11/18/202409/12/2024$2,500.00$0.008104/16/200209/12/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESK202420650PendingManagement Review11/18/202409/12/2024$5,000.00$0.008104/16/200209/12/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202025748ClosedBenefit Process Completed07/10/202005/29/2020$2,500.01$2,500.6608/28/20209001/08/199505/29/202007/30/2020
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESH202218094ClosedBenefit Process Completed08/16/202205/16/2022$50,000.00$50,069.6309/06/20225605/14/202205/16/202209/01/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-201826DeniedNot Disabled Own Occupation09/05/202308/01/2023$461.14$0.002907/17/202307/18/202301/29/202409/05/202309/12/202309/05/202309/12/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202419462ClosedBenefit Process Completed10/24/202410/03/2024$2,500.00$2,502.4510/29/20248212/31/200110/03/202410/24/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESJ202419462ClosedBenefit Process Completed10/24/202410/03/2024$5,000.00$5,006.3110/31/20248212/31/200110/03/202410/30/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability3AAFT ELECTING $500GDC-276392ClosedReturn to Work09/18/202407/22/202409/29/2024$500.00$5,000.0009/30/20243707/05/202407/08/202401/19/202509/18/202409/18/202409/23/202409/23/2024
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESB202301380ClosedBenefit Process Completed02/07/202301/10/2023$5,000.00$5,004.3602/10/20231701/10/202302/08/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability2AAFT ELECTING $750GDC-292244ClosedAdvance Pay & Close11/18/202410/26/202412/30/2024$725.20$6,837.6012/30/20245409/20/202409/30/202404/25/202511/18/202411/18/202411/18/202411/18/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202025016ClosedBenefit Process Completed06/16/202005/12/2020$2,500.00$2,500.7706/19/20209001/31/198905/12/202006/17/2020
1CITY OF WACOLIFELIFESupplemental AD&D1ALL ACTIVE FULL TIME EMPLOYEESF202305375ClosedBenefit Process Completed06/09/202303/28/2023$20,000.00$20,044.8806/23/20236003/28/202306/14/2023
1CITY OF WACOLIFELIFEVoluntary AD&D1ALL ACTIVE FULL TIME EMPLOYEESF202305375ClosedBenefit Process Completed06/09/202303/28/2023$200,000.00$200,448.7706/23/20236003/28/202306/14/2023
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESF202305375ClosedBenefit Process Completed06/09/202303/28/2023$20,000.00$20,017.4506/14/20236003/28/202306/09/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESE202024366ClosedBenefit Process Completed05/26/202005/24/2020$2,500.00$2,501.5406/09/20208308/31/200005/24/202006/02/2020
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESE202024366ClosedBenefit Process Completed05/26/202005/24/2020$5,000.00$5,003.0906/09/20208308/31/200005/24/202006/02/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202029281ClosedBenefit Process Completed10/16/202009/13/2020$2,500.00$2,500.0910/21/20209809/12/202009/13/202010/16/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202307589ClosedAdvance Benefit Complete08/18/202305/19/2023$2,500.00$2,501.8208/22/20236403/31/201205/19/202308/18/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-196561ClosedReturn to Work07/10/202307/13/202307/25/2023$500.00$928.5708/07/20233306/27/202306/28/202301/10/202407/10/202307/10/202307/10/202307/10/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202121124ClosedBenefit Process Completed10/27/202109/13/2021$2,500.00$1,250.0411/03/20217210/04/199609/13/202110/29/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESJ202121124ClosedBenefit Process Completed10/27/202109/13/2021$5,000.00$2,500.0811/03/20217210/04/199609/13/202110/29/2021
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESF202024850ClosedBenefit Process Completed06/11/202005/27/2020$50,000.00$50,030.8806/23/20204105/26/202005/27/202006/17/2020
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESF202024850ClosedBenefit Process Completed06/11/202005/27/2020$85,000.00$85,052.4906/23/20204105/26/202005/27/202006/17/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESA202000859ClosedBenefit Process Completed01/29/202012/26/2019$2,500.00$2,500.8802/04/20207103/31/200512/26/201901/31/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESA202000859ClosedBenefit Process Completed01/29/202012/26/2019$5,000.00$5,001.7602/04/20207103/31/200512/26/201901/31/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESE202304389ClosedBenefit Process Completed05/08/202304/30/2023$2,500.00$2,504.6705/19/20239101/31/199304/30/202305/16/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESE202304389ClosedBenefit Process Completed05/08/202304/30/2023$5,000.00$5,009.3505/19/20239101/31/199304/30/202305/16/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-108256DeniedWork Related Condition04/08/202212/16/2021$500.00$0.004511/19/202112/02/202106/15/202204/08/202204/08/202204/08/202204/08/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESC202212991ClosedBenefit Process Completed03/14/202201/30/2022$2,500.00$2,500.2303/22/20228601/31/199501/30/202203/16/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESC202212991ClosedBenefit Process Completed03/14/202201/30/2022$5,000.00$5,000.4503/22/20228601/31/199501/30/202203/16/2022
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESJ201907724ClosedBenefit Process Completed10/11/201909/27/2019$50,000.00$50,152.6011/25/20195009/26/201909/27/201911/22/2019
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESJ201907724ClosedBenefit Process Completed10/11/201909/27/2019$183,000.00$183,558.4711/25/20195009/26/201909/27/201911/22/2019
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202306541ClosedBenefit Process Completed07/18/202307/03/2023$2,500.00$2,502.7307/25/20237904/30/199507/03/202307/24/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESG202306541ClosedBenefit Process Completed07/18/202307/03/2023$5,000.00$5,005.4607/25/20237904/30/199507/03/202307/24/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESK202122227ClosedBenefit Process Completed11/22/202110/10/2021$2,500.00$2,501.1202/02/20227201/31/200810/10/202101/27/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESK202122227ClosedBenefit Process Completed11/22/202110/10/2021$5,000.00$5,002.2502/02/20227201/31/200810/10/202101/27/2022
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESI202308097ClosedAdvance Benefit Complete09/05/202308/15/2023$50,000.00$50,042.4809/08/20235708/15/202308/15/202309/05/2023
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESI202308097ClosedBenefit Process Completed09/05/202308/15/2023$177,000.00$177,236.3109/14/20235708/15/202308/15/202309/12/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-49311DeniedPre-existing Condition05/06/202005/27/2020$406.00$0.001905/12/202005/13/202011/24/202005/06/202005/14/202005/18/202005/18/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202416881ClosedAdvance Benefit Complete08/12/202407/29/2024$2,500.00$2,501.4008/14/20246704/29/202107/29/202408/12/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESH202416881ClosedBenefit Process Completed08/12/202407/29/2024$5,000.00$5,006.3108/19/20246704/29/202107/29/202408/16/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-36133DeniedPre-existing Condition10/25/201912/17/2019$417.73$0.003511/27/201912/03/201906/15/202010/25/201912/09/201910/30/201912/09/2019
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESB202401145ClosedAdvance Benefit Complete02/02/202401/11/2024$50,000.00$50,043.2302/06/20244211/13/202301/11/202402/02/2024
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESB202401145ClosedBenefit Process Completed02/02/202401/11/2024$122,000.00$122,070.3302/22/20244211/13/202301/11/202402/20/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-220512ClosedDeath12/11/202312/15/202301/11/2024$750.00$5,250.0001/26/20244211/13/202311/29/202306/13/202412/11/202312/11/202312/11/202312/11/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-289463Pending10/18/202410/09/2024$577.92$0.004208/23/202408/27/202404/08/202510/18/202410/18/202410/18/202410/18/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-224968ClosedAdvance Pay & Close01/30/202401/25/202402/11/2024$693.08$1,782.2102/05/20244412/27/202312/28/202307/24/202401/30/202401/30/202401/30/202401/30/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202418664ClosedBenefit Process Completed10/02/202407/08/2024$2,500.00$2,502.4510/07/20248801/02/199707/08/202410/03/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202211733ClosedBenefit Process Completed02/09/202201/17/2022$2,500.02$2,500.3903/11/20225703/31/201001/17/202203/10/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESB202211733ClosedBenefit Process Completed02/09/202201/17/2022$5,000.02$5,000.7803/11/20225703/31/201001/17/202203/10/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202307489ClosedAdvance Benefit Complete08/16/202307/01/2023$2,500.00$2,502.4308/22/20238602/28/199407/01/202308/16/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-34981ClosedReturn to Work10/09/201910/23/201912/31/2019$336.95$3,369.5012/31/20193710/09/201910/09/201904/21/202010/09/201910/23/201910/23/201910/23/2019
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-46023ClosedReturn to Work03/12/202003/20/202007/21/2020$336.95$5,968.8308/03/20203702/28/202002/29/202009/17/202003/12/202003/17/202003/16/202003/23/2020
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESA202100829ClosedBenefit Process Completed01/20/202112/19/2020$50,000.00$50,006.1602/17/20214912/18/202012/19/202002/08/2021
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESA202100829ClosedBenefit Process Completed01/20/202112/19/2020$150,000.00$150,018.4902/17/20214912/18/202012/19/202002/08/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202403001ClosedAdvance Benefit Complete04/01/202403/15/2024$2,500.00$2,502.8804/05/20248402/28/200103/15/202404/02/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202113799ClosedBenefit Process Completed04/05/202103/08/2021$2,500.01$2,500.1004/12/20218401/31/199203/08/202104/07/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESD202113799ClosedBenefit Process Completed04/05/202103/08/2021$3,500.00$3,500.1304/12/20218401/31/199203/08/202104/07/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-206959ClosedReturn to Work10/31/202310/14/202312/08/2023$732.26$7,636.4312/26/20236309/25/202309/26/202304/12/202410/31/202310/31/202310/31/202310/31/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESK202221271ClosedAdvance Benefit Complete11/21/202210/26/2022$2,500.00$2,501.3611/28/20228901/31/199310/26/202211/22/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESK202221271ClosedBenefit Process Completed11/21/202210/26/2022$5,000.00$5,006.6612/09/20228901/31/199310/26/202211/22/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202415960ClosedBenefit Process Completed07/10/202406/22/2024$2,500.00$2,502.4507/15/20248401/30/199906/22/202407/10/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202212349ClosedBenefit Process Completed02/25/202202/01/2022$2,500.00$2,500.5303/29/20227910/31/202102/01/202203/10/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESB202212349ClosedBenefit Process Completed02/25/202202/01/2022$5,000.00$5,001.0603/29/20227910/31/202102/01/202203/10/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-78908DeniedPre-existing Condition04/30/202104/30/2021$0.00$0.005704/15/202104/16/202110/28/202105/03/202105/03/202104/30/202105/03/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202013457ClosedBenefit Process Completed04/24/202003/11/2020$2,500.01$2,500.7806/04/20208603/10/202003/11/202004/24/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202013457ClosedBenefit Process Completed04/24/202003/11/2020$5,000.00$5,006.4005/21/20208603/10/202003/11/202005/19/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-108777ClosedAdvance Pay & Close04/14/202204/23/202205/26/2022$500.00$2,428.5704/28/20223103/25/202204/01/202210/21/202204/14/202204/14/202204/14/202204/14/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202416147ClosedBenefit Process Completed07/17/202406/22/2024$2,500.00$2,526.6609/27/20245811/30/201006/22/202409/26/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESC202102537ClosedBenefit Process Completed03/03/202102/03/2021$2,500.00$2,500.0903/10/20217202/02/202102/03/202103/03/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESC202102537ClosedBenefit Process Completed03/03/202102/03/2021$5,000.00$5,000.1803/10/20217202/02/202102/03/202103/03/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-56793ClosedAdvance Pay & Close08/04/202008/04/202008/12/2020$415.88$582.2308/24/20203707/17/202007/21/202002/01/202108/04/202008/13/202008/11/202008/13/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESE202404540ClosedBenefit Process Completed05/21/202403/22/2024$2,500.00$2,518.3706/18/20248101/31/200003/22/202406/14/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESE202404540ClosedBenefit Process Completed05/21/202403/22/2024$5,000.00$5,036.7606/18/20248101/31/200003/22/202406/14/2024
1CITY OF WACOLIFELIFEBasic Life3DISABLED RETIREESE202215036ClosedBenefit Process Completed05/12/202207/26/2021$2,500.00$2,551.3405/20/20227002/28/199407/26/202105/13/2022
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESE202404288ClosedBenefit Process Completed05/13/202403/11/2024$50,000.00$51,033.3910/28/20245702/25/202203/11/202409/04/2024
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESE202404288ClosedBenefit Process Completed05/13/202403/11/2024$165,000.00$166,388.7110/28/20245702/25/202203/11/202409/04/2024
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESI202218678ClosedDeath09/07/202209/01/2022$50,000.00$0.005502/25/202202/26/202209/16/203605/22/2023
1CITY OF WACOWaiver of PremiumLIFE WAIVERSupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESI202218678ClosedDeath09/07/202209/01/2022$165,000.00$0.005502/25/202202/26/202209/16/203608/10/2023
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-109956ClosedDeath04/29/202208/25/202203/11/2024$3,890.00$21,239.8004/24/20245502/25/202202/26/202209/15/203304/29/202204/29/202204/29/202204/29/2022
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESB202301620ClosedBenefit Process Completed02/14/202301/22/2023$20,000.00$20,409.6403/03/20235201/22/202303/02/2023
1CITY OF WACOLIFELIFEBasic AD&D1ALL ACTIVE FULL TIME EMPLOYEESH202027616ClosedBenefit Process Completed09/02/202007/27/2020$23,000.00$23,004.4610/13/20206007/27/202007/27/202009/28/2020
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESH202027616ClosedAdvance Benefit Complete09/02/202007/27/2020$23,000.00$23,001.1909/17/20206007/27/202007/27/202009/04/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-288407ClosedIncomplete claim10/08/202410/16/2024$750.00$0.004210/02/202410/02/202404/15/202510/08/202410/08/202412/20/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-73437ClosedAdvance Pay & Close02/25/202104/01/202104/28/2021$500.00$2,000.0003/30/20212803/17/202103/18/202109/29/202102/25/202102/25/202102/25/202103/18/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-219968ClosedAdvance Pay & Close12/05/202312/02/202312/18/2023$745.92$1,811.5201/19/20244311/03/202311/06/202305/31/202412/05/202312/05/202312/05/202312/05/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202101359ClosedBenefit Process Completed02/01/202112/18/2020$2,500.00$2,500.0002/05/20217612/31/200012/18/202002/01/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESB202101359ClosedBenefit Process Completed02/01/202112/18/2020$5,000.00$5,000.0002/05/20217612/31/200012/18/202002/01/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202118567ClosedBenefit Process Completed08/27/202105/31/2021$2,500.00$2,500.4311/29/20216605/30/202105/31/202110/08/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESH202118567ClosedBenefit Process Completed08/27/202105/31/2021$5,000.00$5,000.8510/12/20216605/30/202105/31/202110/08/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202212202ClosedBenefit Process Completed02/23/202202/04/2022$2,500.00$2,500.3003/04/20229204/30/199402/04/202203/03/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESB202212202ClosedBenefit Process Completed02/23/202202/04/2022$5,000.00$5,000.5803/04/20229204/30/199402/04/202203/03/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202116220ClosedBenefit Process Completed06/17/202105/23/2021$2,500.00$2,500.0906/24/20216204/30/201405/23/202106/21/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESF202116220ClosedBenefit Process Completed06/17/202105/23/2021$5,000.00$5,000.1806/24/20216204/30/201405/23/202106/21/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-59498ClosedAdvance Pay & Close09/08/202011/04/202012/02/2020$500.00$2,071.4301/28/20212510/09/202010/21/202005/04/202109/08/202009/08/202009/08/202010/28/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-38956ClosedReturn to Work12/04/201912/23/201902/09/2020$461.44$3,230.0802/10/20204112/06/201912/09/201906/21/202012/04/201912/18/201912/19/201912/19/2019
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESA202000607ClosedBenefit Process Completed01/22/202001/14/2020$20,000.00$20,020.2903/05/20204501/14/202003/02/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-128497ClosedReturn to Work12/08/202212/21/202203/05/2023$500.00$5,357.1404/13/20234512/06/202212/07/202206/20/202312/08/202212/08/202212/08/202212/08/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-119387DeniedElimination Period Not Satisfied08/22/202209/22/2022$470.02$0.006607/18/202207/19/202203/22/202308/23/202208/22/202208/23/202208/23/2022
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESC202302496ClosedBenefit Process Completed03/10/202302/13/2023$20,000.00$20,024.9303/29/20236702/13/202303/23/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-83983ClosedReturn to Work07/02/202107/01/202108/08/2021$342.72$1,909.4408/09/20214106/16/202106/17/202112/29/202107/02/202107/08/202107/07/202107/08/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-93645ClosedReturn to Work10/20/202110/01/202102/19/2022$500.00$10,142.8603/18/20225609/16/202109/17/202103/31/202210/20/202110/20/202110/22/202110/22/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-103541ClosedReturn to Work02/10/202201/25/202201/30/2022$482.17$413.2903/21/20223701/11/202201/11/202207/25/202202/10/202202/10/202202/10/202202/10/2022
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-39012DeniedEligibility For Coverage Not Satisfied12/04/2019$0.00$0.005806/24/201906/25/201910/20/202712/04/201912/10/201912/19/201912/19/2019
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESC202212677ClosedAdvance Benefit Complete03/07/202201/30/2022$2,500.00$2,500.5203/28/20226702/15/200101/30/202203/09/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESC202212677ClosedBenefit Process Completed03/07/202201/30/2022$5,000.00$5,001.0403/28/20226702/15/200101/30/202203/09/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-198060DeniedPre-existing Condition07/26/202307/31/2023$445.20$0.004807/14/202307/17/202301/28/202407/26/202308/04/202308/18/202308/18/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202116574ClosedBenefit Process Completed06/30/202104/11/2021$2,500.00$2,500.4209/01/20218408/20/200104/11/202107/27/2021
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESE202114689ClosedNot Totally Disabled Any Occupation05/03/202105/01/2021$28,000.00$0.003210/28/202010/29/202002/25/205809/28/2021
1CITY OF WACOWaiver of PremiumLIFE WAIVERSupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESE202114689ClosedNot Totally Disabled Any Occupation05/03/202105/01/2021$28,000.00$0.003210/28/202010/29/202002/25/205809/28/2021
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-64255ClosedOther11/04/202004/27/202104/26/2023$1,352.00$31,606.7603/13/20233210/28/202010/29/202002/24/205511/09/202011/06/202011/04/202011/09/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-64255ClosedMaximum Duration of Benefits11/04/202011/12/202005/12/2021$364.00$9,464.0005/12/20213210/28/202010/29/202005/12/202111/09/202011/06/202011/04/202011/09/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-58070ClosedReturn to Work08/19/202008/28/202009/07/2020$463.12$727.7609/10/20206108/13/202008/14/202002/25/202109/02/202008/19/202008/19/202009/02/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-109065ClosedAdvance Pay & Close04/19/202204/04/202205/15/2022$481.76$3,578.7904/22/20223103/18/202203/21/202210/02/202204/19/202204/19/202204/19/202204/19/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-71567ClosedWithdrawn02/03/202102/17/2021$0.00$0.003001/06/202102/03/202108/17/202102/03/202102/03/202102/03/202102/03/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESA202200012ClosedAdvance Benefit Complete01/01/202211/04/2021$2,500.00$2,500.5001/21/20229002/28/199011/04/202101/03/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESA202200012ClosedBenefit Process Completed01/01/202211/04/2021$5,000.00$5,002.0802/16/20229002/28/199011/04/202102/14/2022
1CITY OF WACOLIFELIFEVoluntary AD&D1ALL ACTIVE FULL TIME EMPLOYEESF202215691ClosedBenefit Process Completed06/02/202205/11/2022$30,000.00$30,111.4008/25/20222005/11/202208/24/2022
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-62438ClosedAdvance Pay & Close10/13/202009/28/202010/25/2020$415.87$1,663.4810/30/20203209/13/202009/14/202003/28/202110/13/202010/13/202010/13/202010/13/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-197193ClosedReturn to Work07/17/202306/27/202307/09/2023$500.00$928.5707/25/20235006/12/202306/13/202312/25/202307/17/202307/21/202307/21/202307/21/2023
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-54174ClosedReturn to Work07/01/202007/05/202007/27/2020$472.32$1,551.9107/28/20204706/19/202006/21/202001/02/202107/01/202007/13/202007/14/202007/14/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-89473ClosedAdvance Pay & Close09/03/202108/24/202109/29/2021$481.76$1,458.7610/14/20214808/09/202108/10/202102/21/202209/16/202109/03/202109/03/202109/16/2021
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESH201905969ClosedBenefit Process Completed08/08/201907/22/2019$35,000.00$35,138.6310/04/20196407/22/201907/22/201909/30/2019
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESC202002282ClosedBenefit Process Completed03/12/202003/02/2020$41,000.00$41,092.2404/30/20206207/22/201903/02/202004/29/2020
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESC202002282ClosedBenefit Process Completed03/12/202003/02/2020$81,000.00$81,182.2004/30/20206207/22/201903/02/202004/29/2020
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-41591ClosedReturn to Work01/13/202001/01/202001/14/2020$500.00$1,000.0002/27/20204512/17/201912/18/201906/30/202001/13/202001/15/202002/18/202002/18/2020
1CITY OF WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESH202218286ClosedBenefit Process Completed08/23/202208/17/2022$20,000.00$20,013.3209/01/20227208/17/202208/30/2022
1CITY OF WACOWaiver of PremiumLIFE WAIVERLife - Waiver of PremiumL202432160Pending12/24/2024$0.00$0.003109/09/2024
1CITY OF WACOLTDLTDLong Term Disability1All Full-time EEsGDC-294109Pending12/10/202402/04/2024$0.00$0.003008/08/202308/08/202304/26/206012/10/202412/10/202412/10/202412/10/2024
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-72997ClosedReturn to Work02/22/202102/26/202102/28/2021$436.80$187.2003/01/20212902/04/202102/05/202108/26/202102/22/202102/22/202102/22/202102/22/2021
1CITY OF WACOSTDSTDVoluntary Short Term Disability1All Full-time EEsGDC-62744ClosedReturn to Work10/16/202010/05/202011/22/2020$500.00$2,642.8611/23/20205709/18/202009/21/202004/04/202110/16/202010/16/202010/16/202010/16/2020

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