RATE-CHANGE FORM 

1. Rate-change form.pdf – click here to download. Please print, complete, scan, and email to benefit@saunified.com

Rate-change form

2. Rate-change form electronic – see 3 options below. Any questions please call our Benefit Team for help 718-980-6100 ext 257 or 284.

a) Default benefits for NYC and other County

b) No Pension Group (only for NYC)

c) Exception Group (no automatic calculation, rate and all other benefits must be entered manually)

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