Third, Act 13 is not specific to any conflict. This Act provides that the employer must receive the subscriber s election within 60 days after the employe is activated. We ask that you immediately review your records to determine if you have an affected employe. The form is available on our Employer Forms and Brochures Menu. Once the subscriber has made an election, and signed and dated the form, you should provide him or her with a photocopy of the form as an acknowledgment and keep the original for your records.
Coverage is prospective for employes who reinstate.
These employes have 60 days from the date their employer provides them with the notice to return the election form to their employer.