ESBD_398114_1740251829270_F022710 LIFE Claims Status Report 10.1.2019-12.30.2024.xlsx

XLSX spreadsheet 123 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 life insurance benefits for the City of Waco covering the period from October 1, 2019 through December 30, 2024. The report details life insurance claims activity including basic life, supplemental life, voluntary life, and waiver of premium claims for both active employees and retirees. The claims data shows various benefit amounts ranging from $2,500 for retiree basic life coverage to $200,000 for active employee supplemental life coverage, with most claims having been processed and closed.

The report indicates that basic life coverage for active employees is generally $50,000, while retirees typically have $2,500 in basic life and $5,000 in supplemental life coverage. Most claims were paid promptly after the date of death, with processing times averaging 2-4 weeks. The majority of claims were for retirees aged 70-90, with fewer claims from active employees. Several waiver of premium claims were denied, primarily due to employees not meeting disability requirements or elimination period criteria. The report shows claims being administered by Dearborn Life Insurance Company, operating as Blue Cross and Blue Shield of Texas.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 WACOLIFELIFEVoluntary Life1ALL ACTIVE FULL TIME EMPLOYEESK202310424ClosedBenefit Process Completed11/21/202311/12/2023$10,000.00$10,010.9211/27/20235511/12/202311/21/2023
1CITY OF WACOLIFELIFESupplemental AD&D1ALL ACTIVE FULL TIME EMPLOYEESI202118801ClosedBenefit Process Completed09/02/202107/07/2021$30,000.00$30,011.6212/17/20212507/07/202112/02/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESA202100565ClosedBenefit Process Completed01/14/202112/19/2020$2,500.00$2,500.1201/22/20218801/30/199212/19/202001/19/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESA202100565ClosedBenefit Process Completed01/14/202112/19/2020$5,000.00$5,000.2501/22/20218801/30/199212/19/202001/19/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202029026ClosedAdvance Benefit Complete10/09/202009/21/2020$2,500.00$2,500.1410/16/20205909/20/202009/21/202010/09/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESB202102158ClosedAdvance Benefit Complete02/22/202101/22/2021$2,500.00$2,500.0502/25/20218601/31/199401/22/202102/22/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESB202102158ClosedAdvance Benefit Complete02/22/202101/22/2021$5,000.00$5,000.1002/25/20218601/31/199401/22/202102/22/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESH202416656ClosedBenefit Process Completed08/02/202406/25/2024$2,500.00$2,502.8008/08/20246407/18/200506/25/202408/02/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESK201908404ClosedBenefit Process Completed11/05/201906/23/2019$2,500.00$2,501.4011/12/20197210/31/200106/23/201911/05/2019
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESK202420495ClosedAdvance Benefit Complete11/15/202411/13/2024$2,500.00$2,503.8611/22/20247701/29/201011/13/202411/20/2024
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESK202420495ClosedBenefit Process Completed11/15/202411/13/2024$5,000.00$5,008.4211/25/20247701/29/201011/13/202411/20/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESI202119634ClosedAdvance Benefit Complete09/22/202108/03/2021$2,500.00$2,500.0909/30/20216508/31/200108/03/202109/22/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESD202303573ClosedBenefit Process Completed04/13/202303/20/2023$2,500.00$2,504.6804/26/20239101/07/197703/20/202304/24/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESD202303573ClosedBenefit Process Completed04/13/202303/20/2023$5,000.00$5,009.3404/26/20239101/07/197703/20/202304/24/2023
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESB202101610DeniedNot Totally Disabled Any Occupation02/08/202111/01/2020$0.00$0.005204/19/202004/20/202011/05/203702/25/2021
1CITY OF WACOWaiver of PremiumLIFE WAIVERSupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESB202101610DeniedNot Totally Disabled Any Occupation02/08/202111/01/2020$0.00$0.005204/19/202004/20/202011/05/202702/25/2021
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESG202025487ClosedBenefit Process Completed07/01/202005/26/2020$44,000.00$44,003.6907/16/20206102/02/202005/26/202007/14/2020
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESG202025487ClosedBenefit Process Completed07/01/202005/26/2020$44,000.00$44,003.6907/16/20206102/02/202005/26/202007/14/2020
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESL202123865ClosedBenefit Process Completed12/30/202111/27/2021$2,500.01$2,501.2202/21/20228308/15/199411/27/202102/18/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESL202123865ClosedBenefit Process Completed12/30/202111/27/2021$5,000.01$5,002.4302/21/20228308/15/199411/27/202102/18/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESA202200669ClosedBenefit Process Completed01/15/202212/25/2021$2,500.02$2,500.6702/14/20227901/31/200412/25/202101/24/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESA202200669ClosedBenefit Process Completed01/15/202212/25/2021$5,000.02$5,000.6402/11/20227901/31/200412/25/202101/26/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202115840ClosedBenefit Process Completed06/07/202104/25/2021$2,500.00$2,500.0806/11/20219410/31/197804/25/202106/07/2021
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESF202415628ClosedBenefit Process Completed06/27/202401/18/2024$38,000.00$38,037.9007/02/20242901/17/202401/18/202406/28/2024
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESD202213869ClosedBenefit Process Completed04/06/202203/23/2022$50,000.00$50,008.1405/12/20225503/22/202203/23/202204/26/2022
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESD202213869ClosedBenefit Process Completed04/06/202203/23/2022$67,000.00$67,010.9005/12/20225503/22/202203/23/202204/26/2022
1CITY OF WACOWaiver of PremiumLIFE WAIVERBasic Life1ALL ACTIVE FULL TIME EMPLOYEESH202117983Denied$ Not Paid During the Elimination Period08/12/202109/01/2021$0.00$0.005302/02/202102/03/202101/06/203809/15/2021
1CITY OF WACOWaiver of PremiumLIFE WAIVERSupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESH202117983Denied$ Not Paid During the Elimination Period08/12/202109/01/2021$0.00$0.005302/02/202102/03/202101/06/203809/15/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESF202305265ClosedBenefit Process Completed06/06/202305/24/2023$2,500.00$2,513.8607/19/20238409/30/199705/24/202307/17/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESF202305265ClosedBenefit Process Completed06/06/202305/24/2023$5,000.00$5,027.7207/19/20238409/30/199705/24/202307/17/2023
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESI202308828ClosedBenefit Process Completed09/29/202308/27/2023$2,500.00$2,503.3410/06/20236412/18/202008/27/202310/05/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESI202308828ClosedBenefit Process Completed09/29/202308/27/2023$5,000.00$5,006.6810/06/20236412/18/202008/27/202310/05/2023
1CITY OF WACOLIFELIFEBasic Life1ALL ACTIVE FULL TIME EMPLOYEESL202311311ClosedBenefit Process Completed12/13/202311/12/2023$50,000.00$50,054.6212/20/20234911/10/202311/12/202312/18/2023
1CITY OF WACOLIFELIFESupplemental Life1ALL ACTIVE FULL TIME EMPLOYEESL202311311ClosedBenefit Process Completed12/13/202311/12/2023$200,000.00$201,210.5202/21/20244911/10/202311/12/202302/16/2024
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESE202115240ClosedBenefit Process Completed05/19/202104/03/2021$2,500.00$2,500.2306/08/20218806/01/199404/03/202106/01/2021
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESE202115240ClosedBenefit Process Completed05/19/202104/03/2021$5,000.01$5,000.4606/08/20218806/01/199404/03/202106/01/2021
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESJ202219760ClosedAdvance Benefit Complete10/11/202209/10/2022$2,500.00$2,501.0610/14/20227501/31/200609/10/202210/11/2022
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESJ202219760ClosedBenefit Process Completed10/11/202209/10/2022$5,000.00$5,002.1210/14/20227501/31/200609/10/202210/11/2022
1CITY OF WACOLIFELIFEBasic Life2ALL ELIGIBLE RETIREESG202306640ClosedBenefit Process Completed07/21/202304/07/2023$2,500.00$2,502.1207/26/20238602/28/199204/07/202307/21/2023
1CITY OF WACOLIFELIFESupplemental Life2ALL ELIGIBLE RETIREESG202306640ClosedAdvance Benefit Complete07/21/202304/07/2023$5,000.00$5,004.2507/26/20238602/28/199204/07/202307/21/2023

Insurance products issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. Blue Cross and Blue Shield of Texas is the trade name of Dearborn Life Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

image1.jpeg

File details come from the government source that posted it. Updated .