Important Notes:

• Eligible employees receive one times their annual salary in basic life insurance coverage.
• The Annual Salary Verification report ensures that covered employees receive the correct life insurance coverage each year. Coverage amounts will adjust on January 1, 2025, based on the employee's annual salary in effect on July 31, 2024 (or the employee's first day of coverage, if not covered on July 31).

Annual Earnings Include:

• Normal earnings from a benefit-eligible position.
• Shift differential, security differential, and retention pay.

Annual Earnings Exclude:

• Overtime pay and other irregular payments.
• Earnings from a non-benefit-eligible position if the employee works in both types of positions.

Special Cases:

• Unpaid Leave of Absence: Calculate the employee's annual earnings based on the annual salary that would have been in effect on July 31, 2024.
• Former Employees: Submit a Termination of Employment Form if a former employee appears on your report.
• Non-benefit-eligible Employees: If an employee no longer holds a benefit-eligible position, submit a Termination of Employment Form noting the date the employee's benefit-eligible appointment ended.

MOSERS used data from the SAM II July 2024 payroll file to update basic and optional life insurance coverage amounts for most state employees. Manual salary verification is needed for benefit-eligible hourly and intermittent employees, employees on leave, employees working in multiple positions, and anyone not in SAM II.

For Assistance:

• Email: employers@mosers.org
• Phone: Call an Employer Services analyst at 800-827-1063 option 2.
• Video Tutorial: A brief video tutorial on how to work the report is available if needed.