Once an employee returns to work with his or her pre-military leave of absence employer, the employer is required to submit this form along with a copy of the appropriate military paperwork.
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Retiree /
Board Member /
Local Employer /
State Employer
Income Continuation Insurance (ICI) is an optional insurance that provides a replacement income for disabilities that are considered short-term in nature, as well as those which may last for extended periods.
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Active Employee /
Retiree /
Other Benefit Recipient /
Board Member /
Local Employer /
State Employer