Preparing for Graduation

During your active employment, benefits include:

• Medical and Dental
• Group Life and Long-Term Disability insurances; no payroll deduction for employee
• Ancillary/Voluntary benefits such as; Flexibility Spending Account, Identity Theft, Voluntary Life,
  subject to employee payroll deduction

• Medical and Dental; COBRA coverage plan available to elect
• Group Term Life Insurance; conversion option available for individual plan
• Individual Long Term Disability Insurance available now, guarantees access to Graduate Offer

• Advise HR of new address, send email to: ubgmehr@buffalo.edu
  
• Elect COBRA plan within 60 days of Election Notice date
• COBRA plan coverage is retroactive to last date of active coverage; no coverage gap
• COBRA plan provides up to 18 months continuous, monthly coverage
• Can elect COBRA for yourself and covered dependents, or only specific dependent(s)
• Can elect medical and/or dental coverage
• Work with COBRA plan Administrator GIS Boon Chapman
• Coverage ends on last date of employment
  

Option to convert the group term life insurance policy to individual term policy

Step One: Review the following  

• Group Term Life Insurance Summary of Benefits
• Life Conversion Checklist

Step Two: Complete the following

• Request for Quote: Sections A & B
  
• Application for Conversion of Group Life Insurance
• Supplementary Contact Information

Step Three: Submit

• To insurance carrier for review, work with insurance carrier
  
• If approved, individual is responsible for premium payment(s)
  

• Available now, coverage while presently working & after graduation
  

Richard W. Godshaw, GBDS, VBS, CHSA
Vice President, Individual and Group Benefits
Walsh Duffield Companies, Inc.
801 Main Street
Buffalo, NY 14203
(716) 362-7367