Enter the amount of other death benefits paid for by the employer, such as additional group term life coverage. This includes supplemental death benefits purchased through the Benefits Plan.
If you worked 35 or more hours during the week, you are considered “Full Time.” If “Part Time,” please indicated the number of hours you worked during the week.
If the member worked from January 1 through December 31 in the tax year , select “Yes.” If they did not, select “No,” and enter their first and last dates of employment for the year in the boxes. Use date format MM/DD/YYYY.
A change in total annual effective salary is a change that occurs during the tax year selected.
The calculator can only take into consideration one change in total annual effective salary during the year. If the member’s salary changed more than once during the tax year selected, please call the Board of Pensions to determine imputed income.
Eligible dependents include: