Using the AD&D enrollment Form:
- Complete all member and beneficiary information
- Check the box(es) next to the selections that best fit your needs.
- Check the box (es) for spouse and/or children’s selections if you want this added protection, otherwise only the member will be insured.
- Premiums will be deducted monthly from your payroll if the service is available. If not, you will be billed quarterly, semi-annually, or annually by Myers-Stevens & Toohey & Co., Inc. Retired members will also be billed quarterly, semi-annually, or annually.
- Don’t forget to SIGN and DATE your enrollment form.
- Submit your enrollment form by either:
- Send completed for to WPOA and they will transmit it to Myers-Stevens & Toohey.