| Applying for Benefits |
Click on the following tabs to get information on applying for benefits on the Flex Plan. |
| Economic Dislocation |
Within four weeks of the week that you meet the eligibility requirements, you should complete a claim form to receive benefits. You have 15 days after the end of the Plan Year to submit a completed claim form. The Plan Year ends on December 31. For example, if you met the eligibility requirements for economic dislocation benefits in 2004, you must submit the completed claim form by January 15, 2005. The claim form requires you to provide proof of the following:
To withdraw the second half of your Wage Replacement Account, you must submit a claim form and provide proof that:
Claims not submitted within given time limits will be denied as untimely by the Plan Administrator. |
| All information provided on this web site is in summary and intended to provide highlights of your plans. We strongly recommend referring to the Plan booklet for complete details before making any decisions related to your eligibility, benefits and coverage. |