PDF
… only:
Member and Dependents:
Premium Due Dates:
$.030 monthly per $1,000 of Member's AD&D Insurance.
$.050 monthly per $1,000 of Member's AD&D Insurance.
January 1, 2008 and the first day of each calendar month
thereafter.
Grace Period:
Printed 03/04/2008
31 days
- 2 -
645938-A
Standard Insurance Company
Enrollment and Change
To Be Completed By…
https://www.wichita.edu/services/humanresources/Total_Rewards/docs/StandardVolADD.pdf