AOCDS/FOP Individual LTD Plan

Features/Benefits FOP #18 CLEA (Enhanced Individual Plan) AOCDS Plan (Group UNUM Ins. Plan)
Monthly C­­ost

$24.50 per month, level cost

Voluntary individual participation

Convenient AOCDS payroll deduction

$56.00 per month

Voluntary group participation

Convenient AOCDS payroll deduction

Percentage Of Wages Protected*

 

 

 

85% of wages Non-Industrial Disability

70% of wages Industrial Disability

(100% of wages for Catastrophic Disabilities for up to 30 months – not to exceed maximum monthly benefit)

(No Workers’ Comp. Permanent Disability offsets)

Maximum Benefit of $10,000 per month, tax-free

(90% of wages for Non-Industrial D­isability if continuously insured by and benefits are payable under the AOCDS Group UNUM Plan during the first calendar year of disability)

66.67% of wages Industrial and Non-Industrial Disability

(No permanent disability offsets)

Benefits payable in addition to Annual Leave Balance
until exhausted

Maximum Benefit $5,500 per month, tax-free

Waiting Period 30 Calendar days – If less than 60 days of personal leave, you may receive 70% of wages after 30 days.
Otherwise, 60 calendar days.
30 calendar days
Benefit Period Lifetime: Sickness, Accident and Pregnancy
(Industrial Disability and Non-Industrial Disabilities)
Maximum three (3) years coverage for Sickness, Accident, and Pregnancy for both Industrial and Non-Industrial Disabilities
Cost of Living Benefit (COLA) 4% compounded per year (years 3-8) thereafter, CPI increase to age 65 and then continued lifetime benefits None
Drug and Alcohol Abuse

Six (6) months lifetime coverage

(3 months per occurrence)

Twenty-four (24) months coverage after 30 days
Stress & Psychological Conditions

18 months maximum benefit amount 3 months per occurrence.

Must return to work for 1 year between each occurrence.

No limit if hospitalized.

Twenty-four (24) months coverage after 30 days
Waiver of Payment Waiver of Payment after no-pay status After 30 days and receiving benefits
Benefits Payable During Challenged Workers’ Compensation Cases After 60 calendar days – 70% of wages to a Maximum Benefit of $10,000 per month
(Repayable only if settled in your favor)
66.67% of wages after 30 days – Maximum Benefit $5,500 per month (Repayable if determined to be Industrial)
Minimum Monthly Benefit

$1,000 per mo. – paid in addition to personal leave after 60 calendar days.

($100 per mo. for Disputed Workers’ Compensation claims.)

None
Pre-Existing Medical Condition Coverage All pre-existing medical conditions will be covered once you have been in the Plan for sixty (60) months, unless you are eligible for the Prior Coverage Credit – otherwise, pre-existing medical conditions will not be covered. You may apply during open enrollment without having to complete “health screen” unless you have been previously declined by UNUM.  In all cases, pre-existing conditions will apply.  Claims for pre-existing conditions will be covered after 12 months after effective date of coverage.
Death Benefit

$65,000 Death Benefit on- or off-duty natural, accidental or terminal illness ***
($15,000 initial benefit then $1,000 per month for 50 months)

$10,000 for suicide ($2,000 first 2 Years in Plan)**

(Benefits may be payable within 24 hours of notification)

None
Survivorship Benefit Six (6) months addition benefits to dependent beneficiary Three (3) months disability benefits
Ownership of Plan Owned, operated and managed by its Participants through a representative Board of Directors (non-profit California Corporation since 1985) Owned, operated and managed by the UNUM Ins.

** The Death Benefit for suicide is limited to $2,000 for the first 24 months of participation in the Plan.

*** Forty-eight months for Death Benefits, and for HIV, AIDS, and ARC.

Request a Plan Description

The California Law Enforcement Association (Safety Personnel) Long Term Disability Plan was established pursuant to the California Department of Insurance, Insurance Code Sections 11400 – 11407 (Peace Officers Benefit and Relief Association) by CLEA, a police officers benefit and relief association.  CLEA is a non-profit corporation exempt from tax under Internal Revenue Code Section 501(c)(9). The Plan, CLEA and the Trust, are annually audited by independent certified public accountants in conformity with generally accepted accounting principles.

4-18 This is a highlight page only – certain exceptions & limitations apply. See the complete Plan Document provisions for a more complete description of coverage. CA Insurance Lic. #0544968