Application Form
  • Cost & Coverage
  • Exclusions
  • Application

Cost & Coverage

All premiums are paid through payroll deduction, which means they are deducted directly from your paycheck.


Monthly Benefit

This is how much coverage you'll receive if you become disabled - i.e. the monthly check you'll receive.

Waiting period

This is how long it will take to receive your coverage check if you become disabled. The 14 Day option will cost you more than the 30 day option.

Cost per Pay period

This is how much gets deducted from your paycheck every two weeks when you get paid.


Section

Please select whether you're a Federal or Postal employee.
Please select the waiting period for your coverage.
Please select your monthly benefit for the amount of coverage you want.
Please select your monthly benefit for the amount of coverage you want.
Please select your monthly benefit for the amount of coverage you want.
Please select your monthly benefit for the amount of coverage you want.