|Plan Name||CLEA LTD Plan (CCSO Peace Officer Group Plan)||CCPOA LTD Plan|
$28.00 per month – CCSO membership.
Must enroll within 60 days of promotion or no pre-existing medical conditions will be covered.
$55.00 per month for Gold Shield***
$45.00 per month for Silver Shield***
Percentage of Wages Protected
70% of wages Non-Industrial Disability*
70% of wages Industrial Disability*
(80% of wages for Catastrophic Disabilities for up to 30 months – not to exceed maximum monthly benefits*)
Maximum Benefit of $10,000 per month, tax-free
CLEA pays in addition to AFLAC and Combined Insurance.
Gold Shield: 67% of base wages – Maximum monthly benefit of $6,000, tax-free. 75% benefit if disability is so severe that you cannot work any other occupation and that after 24 months you cannot perform 2 Activities of Daily Living (including bathing, dressing, toileting, transferring, continence & eating) for non-occupational disabilities.
Silver Shield: 100% of base wages – Maximum monthly benefit of $3,000, tax-free
CCPOA reduces their benefits by all income benefits provided by AFLAC.
|Waiting Period||30 Calendar days – If less than 60 calendar days of personal leave, you may receive 70% of wages after 30 calendar days. Otherwise, 60 calendar days.||
Gold Shield: 30 calendar days
Silver Shield: 180 calendar days
|Benefit Period||Lifetime: Sickness, Accident and Pregnancy
(Industrial Disabilities and Non-Industrial Disabilities)
|Gold Shield and Silver Shield: 24 months for Sickness, Accident and Pregnancy for both Industrial and Non-Industrial Disabilities. Fully integrated with all income. (Gold Shield includes age 65 coverage for
non-industrial disability if unable to perform two or more Activities of Daily Living.)
|Definition of Disability||Two (2) years Own Occupation Disability, thereafter any occupation that you may be reasonably suited for.||One (1) year Own Occupation Disability, thereafter any occupation that you may be reasonably suited for.|
|Cost of Living Benefit (COLA)||4% compounded per year (years 3-8) thereafter, CPI increase to age 65 and then continued lifetime benefits||None|
|Return to Work Incentive Benefit||$1,800 per month for Non-Industrial Catastrophic Total Disability if a Participant returns to gainful employment.||None|
|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.
|Waiver of Payment||Waiver of Payment after no-pay status||Waiver of Payment after no-pay status|
|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)||
Gold Shield: 67% of base wages to Maximum Benefit of $6,000
Silver Shield: 100% of base wages to Maximum Benefit of $3,000
(Repayable if determined to be an Industrial Disability)
|Minimum Monthly Benefit||$1,000 per month – paid in addition to personal leave after 60 calendar days.($100 for Industrial or Disputed Workers’ Compensation claims.)||
Gold Shield: $300 per month paid in addition to personal leave after 30 days
Silver Shield: $400 per month paid in addition to personal leave balances after 180 days
|Survivorship Benefit||Six (6) months addition benefits to dependent beneficiary||
Gold Shield: Six (6) months addition benefits to dependent beneficiary
Silver Shield: Three (3) months addition benefits to dependent beneficiary
|No medical underwriting. If you enroll within 60 days of promotion, all pre-existing medical conditions will be covered once you have been in the Plan for twenty-four (24)/forty-eight (48)*** months. Otherwise, pre-existing medical conditions will not be covered.||All applications are medically underwritten and include a 2-year pre-existing medical condition exclusion.|
$65,000 Death Benefit on- or off-duty natural, accidental or
$20,000 Military Active Service Benefit
(Benefits may be payable within 24 hours of notification)
|CCPOA membership includes a $20,000 basic life insurance benefit and a $5,000 Accidental Death benefit|
Special Provision: Participants not covered by Penal Code 830.1 and 830.2(a) will have limited benefits (36 months Maximum Benefit at 66 2/3% of wages and one (1) year Own Occupation Disability Plan Provision) if they suffer a disability that would normally be covered by Labor Code 3212 and its subchapters, and the disability is not determined to be job-related.
* Maximum percentages reflect amount payable after completion of (a) waiting period, (b) freeze of personal leave option, or (c) personal leave integration. Offsetting Benefit/Income Amounts are applied to reduce amount from the Plan
** Forty-eight months for Death Benefits, and for HIV, AIDS, and ARC.
*** CCPOA Plan – If new employee and enrolls within first 90 days, then premium is half price for first year only.
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, has been independently certified and determined to be actuarially sound and are annually audited by independent certified public accountants in conformity with generally accepted accounting principles.
11-19 This is a highlight page only – certain exceptions & limitations apply. See the Summary Plan Description or the complete Plan Document provisions for a more complete description of coverage. CA Insurance Lic. #0544968