Benefit Forms

Insurance

The Lincoln National Life Insurance Company

LTD Rates – Lincoln Plan

• Simplified rate structure for all members, based on age and covered earnings in PDF

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FMLA Documents:

HOW TO ACCESS MY HEALTH CARE PROVIDER CERTIFICATION FORM


Hartford

Short Term Disability (STD) Effective January 1, 2018 – December 31. 2022.

Long Term Disability (LTD)Effective January 1, 2017 – December 31. 2022.


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(LTD No Longer in USE, Saved for Historical Value)

Short Term Disability (STD)

  • Mutual of Omaha Voluntary Long-Term Disability benefits 

Retirement

Fidelity Retirement Phone Number: 1-800-354-3412 The Checklist for Retirement: More Information:

Death of an Employee

Shipment of Human Remains Americans Airlines Policy :(From Jetnet 6-23-2017) We understand how painful losing a loved one is and we want to respect the wishes of travelers and employees who wish to carry or transport crematory remains as part of their carry-on luggage. Employees, retirees or eligible family members are allowed to carry on a crematory container provided Transportation Security Administration (TSA) screening and the laws of the country of destination (if applicable) can be met. This does apply to international employees; however, charges are only waived on American’s portion of the transport in cases where interline travel is required. The company also provides confirmed space for the shipment of an employee’s, retiree’s or eligible family member’s remains between cities on the American Airlines system. At this time, American Eagle is unable to accommodate the shipment of remains. For additional information, you may contact TLC@aa.com. If you have any questions at all about this, the TLC Dept is open 24/7 and their number is: 800-852-3333 You will need to contact the funeral home or mortuary to make the arrangements. They will need your employee number, station/branch and your relation to the deceased. The funeral home will contact our Cargo Department to make the arrangements. Any additional charges will be the responsibility of the next-of-kin or estate. The company is unable to secure courtesy shipment of remains on other airlines. Eligibility Employee/Retiree • Your spouse or DP or RC • Your children or stepchildren (including children of your spouse/DP) • Your daughter/son-in-law • Your parents/stepparents/parents-in-law (parents of spouse/DP) • Your sister/stepsister/sister-in-law • Your brother/stepbrother/brother-in-law • Your grandparents (including those of our spouse/DP) • Your grandchildren (including those of your spouse/DP)

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