Overview & Capabilities

Slides:



Advertisements
Similar presentations
HIPAA Privacy Rule Training
Advertisements

THE FRATERNAL ORDER OF POLICE TEXAS LABOR COUNCIL, INC. AND THE PROFESSIONAL LAW ENFORCEMENT ASSOCIATION PRESENT THE MANY WAYS LEGAL DEFENSE WORKS FOR.
Local Union Officer Responsibilities under the LMRDA
1 1 Provided by:. 2 2 Today’s Agenda Overview of Retirement Plans How Plans are Used – Private vs Public Hot Topics and Trends Employment Opportunities.
Presenter: Marshall Gilinsky, Esq. (212) Canadian Capital RIMS Chapter Meeting March 11, 2009 Understanding Key E&O,
September 2013 UNDERSTANDING COBRA. 2 INTRODUCTION  The Consolidated Omnibus Budge Reconciliation Act (COBRA) is a federal law enacted in The act.
Life Insurance Strategies For Individuals with Special Needs Beneficiaries.
Brought to you by the Nationwide ® Advanced Consulting Group Best Practices When Working With Your 401(k) Clients.
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved 1 Chapter 11 The Blue Plans, Private Insurance, and Managed Care Plans Insurance.
Captive Considerations What to know, What to avoid #[insert hashtag here]
Business Entities under the General Corporation Law of Delaware 1 Civil Service Bureau Reform & Development Department
Presented By: Tammy Usher Chief Executive Office Risk Management Branch Long-Term Disability LONG-TERM DISABILITY AND SURVIVOR BENEFIT PLAN County of Los.
How to Prevent Findings Part 2 Michigan State Police Emergency Management and Homeland Security Division Ms. Jackie Reese, Audit Unit Manager Mr. Richard.
F IDUCIARY R ESPONSIBILITIES R. S COTT G ARDNER, CIMA S ENIOR I NVESTMENT A DVISOR P ACIFIC P ORTFOLIO C ONSULTING, LLC.
May 16, 2007 Board of Directors Texas Regional Entity Division Update Sam R. Jones ERCOT President & CEO.
Implementing a Medicare Compliance Program. Implementation of Medicare Compliance Program Rules & procedures to reduce chance of wrongdoing High level.
1 Local Government Liability Pool. Background W.S enabled the state to create a state administered self insurance account that will offer.
How We’re Cutting Benefit Costs Without Cutting Benefits APPA Discussion Forum 3:00pm-4:00pm June 21, 2004 Seattle, Washington.
ESOPs: It’s More Than a Matter of Trust Presented by: Dan Reser President; Fiduciary Services, Inc
UMBC POLICY ON ESH MANAGEMENT & ENFORCEMENT UMBC Policy #VI
Presented By: Tammy Usher Chief Executive Office Risk Management Branch Long-Term Disability LONG-TERM DISABILITY AND SURVIVOR BENEFIT PLAN County of Los.
Understanding COBRA. ©SHRM Introduction The Consolidated Omnibus Budge Reconciliation Act (COBRA) is a federal law that was enacted in The.
Principal Executive Bonus Plus SM Presented to: [ Name Of Company ] [ Title Of Employees ] Presented by: [ Name Of Agent(s) ] [ Title Of Agent(s) ] [ Name.
HIPAA Privacy Rule Training
The Illinois Secure Choice Savings Program
Sequence of Returns Cash Access via Policy Loans
Effective Delivery of Small Group Level Funded Plans
Contracts A contract is an agreement between two or more parties which creates an obligation to do or not to do a particular thing. The document containing.
DOL Employee Benefit Plan Audits & How to Prepare
NMHIMSS Meet the Board & Committees May 26th, 2016
Directors & Officers Liability Insurance Review
Income. Guarantees. OR BOTH?
Division Finances: Aligning Resources with Goals
What is Law Enforcement Labor Services?
Program Overview.
Identity Theft Presentation
Audit Committees: Perspectives from an Elected Official
What if you could knock out three birds with one stone?
The Fraternal Order of Police N. California Probation Lodge 19
An Exciting New Service
Whistleblower Program
The Sarbanes-Oxley Act
Multiple Employer Welfare Arrangement (MEWA)
Supplemental & Special Needs Trusts, Guardianship and Alternatives
Sequence of Returns Cash Access via Policy Loans
Fiduciary Responsibilities Regarding Your Retirement Plan
Healthcare Management Liability Program
MTA Metro-North Railroad Guide to Retirement
Beth Wright Managing Director
Pre-Retirement Planning
DOL’s Final Rule Defining the Term Fiduciary
Employee Benefits Solutions
Reaching Retirement with RSA-1
Medical Expense Reimbursement Plan
EEO MODULE 3: DISCRIMINATION COMPLAINT PROCESSING
Directors & Officers Liability Insurance
Tutorials – How-to’s / Guide
Conflicts of Interest and Management Plans
Retirement 101 James Wilbanks, Ph.D. Retirement Administrator
What if you could knock out three birds with one stone?
Income. Guarantees. OR BOTH?
EMPLOYMENT, WORKER PROTECTION, AND IMMIGRATION LAWS
Understanding 3(16) Fiduciary Services
ACCE Benefit Trust Spring Meeting
Overview & Capabilities
A Captive Insurance Company
What if you could knock out three birds with one stone?
Protecting Your Employee Benefits
ON TRACK KEEPING YOUR BUDGETS
Presentation transcript:

Overview & Capabilities

FOP Legal Defense Plan Team Legal Defense Plan Board Sedgwick Claims Management Services: Steve James, President (CA) Pete Fogarty, Vice President (KS) Robert Martin, Treasurer (CT) Dave Mutchler, Secretary (KY) Jerry Wright (SC) Hylant Michael Yon, Melissa Watson Carpenter Maureen Jagos, Lynn Young Denise Wimbiscus Mimi Sewell TyRhonda Byrd Legal Counsel Christopher Carlsen Accounting and Audit Sassetti

Our Strong History

Legal Plan History ERISA plan Owned & Operated by the FOP since 1995 – FOP Board of Trustees Currently over 58,000 active participating FOP members The Plan has serviced over 25,000 claims and paid out over $65 million in legal fees defending participants (as of August 2017) Reinsured (Catastrophic Insurance up to $5M) Employee Retirement Income Security Act of 1974 (ERISA) ERISA was enacted to protect the interests of employee benefit plan participants and their beneficiaries by: Requiring the disclosure of financial and other information concerning the plan to beneficiaries; Establishing standards of conduct for plan fiduciaries; Providing for appropriate remedies and access to the federal courts

What Makes this Plan Strong! Owned and Operated by The FOP – This is your Plan! (Largest Organization in the country) Must be an active FOP member to participate An FOP Board of Trustees whose sole purpose is to: Provide management and fiduciary oversight Address coverage appeals on behalf of fellow officers Monitor the performance of the Plan Respond to the changing needs of Plan participant’s and Plan Solvency Choice of your own attorney with legal fees paid on your behalf – unique Financially Strong

Additional Strengths One price Nationwide—not experience rated Protects personal assets & professional reputations Sends a message that you have a strong defense partner Prevents frivolous administrative actions Protects your organization from crippling legal defense fees Designed to address the legal defense needs of police professionals

Coverages

Legal Plan Unlimited Coverages (Plan Attorney) The Plan pays legal defense costs on your behalf arising out of the following actions and procedures: Officer Administrative Coverage A (Excess Basis) Coverage B Civil Coverage C Criminal Administrative (on-duty and off-duty) Civil Criminal

Administrative Coverage Coverage for administrative discipline, sanction or proceeding: Involving salary, dismissal, change of assignment, demotion, leave of absence, resignation or other professional rights, duties or responsibilities, as determined by the Plan Board of Trustees, where such discipline, sanction or proceeding arises directly out of the Participant’s Activities in the scope of law enforcement employment; or Involving the issuance, suspension, cancellation or revocation of any credential, certification or license issued by federal, state or local authorities, which credential the participant is required to have in the scope of law enforcement employment.

Additional Administrative Coverage Off Duty Out of Scope Coverage Coverage for incidents that occur off-duty and not within the scope of employment which result in administrative discipline or sanction. (DUI, Domestic, etc.) Will defend the administrative discipline or sanction only, not the criminal charge. No Cap on Defense Costs when using a Plan attorney

Eligibility Must be an active FOP member in good standing Employment with federal, state or local governmental law enforcement agencies Associate FOP members (jailors, dispatchers, etc.) who are not eligible for active membership and are in employment with the above may be deemed eligible to participate as part of a group, at the Board’s discretion. Individuals Groups – at least 50 FOP Active members in the lodge, or lesser number of FOP active members equal to at least 50% of the active members

Enrollment & Fees Group Rates Individual Rates Payment Options Full Coverage – Administrative, Civil & Criminal $264.00 Two Coverages – Civil and Criminal together $ 64.00 Individual Rates Full Coverage – Administrative, Civil & Criminal $282.00 Two Coverages – Civil and Criminal together $ 68.00 Payment Options Group – Annual, Semi-Annual, and Quarterly Individual – Annual and Semi-Annual HR-218 ($25,000 Limit) $ 50.00 These are the rates regardless of utilization. There are no loss leaders or teaser rates. What you see is what everyone currently pays.

Enhanced Coverages Salary Reimbursement Option In lieu of Legal Defense costs, participants whose claims involve suspension or other discipline resulting in salary loss may elect to receive reimbursement of up to (3) days actual salary loss or $500 whichever is less. May be utilized once per year. Civil Monitoring There may be situations in which a defensive attorney is being provided through “another plan, your employer, or insurance,” but the obligation to provide such services is limited in scope.  Under those circumstances the Plan will now provide monitoring coverage when you select a Plan attorney only. Prior Acts Coverage – Unknown If coverage is terminated from other plans and group is moving to FOP LDP, unknown/unreported claims will be covered for additional Premium and Underwriting. Fire Department Fire Investigators If Certified peace officer, FOP associate member, and the claim would arise out of the duties of an arson investigator.

FOP Legal Key Points

Key Points FOP Owned and Operated Participants can choose their Attorney Unlimited Defense Benefit when using a Plan Attorney No Experience Rating Fixed Annual Costs Excess/Catastrophic Insurance Coverage Financial Strength

Differentiators Ability to use non plan attorney Off Duty administrative coverage at no extra charge Rates are not based off of utilization Letters of Reprimand are covered You have coverage for the period of time you paid for coverage even after you leave coverage

Enrollment & Marketing Administrator – Hylant Responsibilities include: Marketing and growing Plan membership Enrollment administration – process applications & fee distributions, invoicing, adding & deleting, cancellations & changes Communications with active and potential new members – responding to questions and concerns Consultant and advisor to the Board – Tracking and Reporting 1-800-341-6038

Claims Administration – Sedgwick Responsibilities include: Providing dedicated claims services for the FOP Legal Plan Interpreting the Plan Description as guided by Board Approving Plan attorneys of your choice Negotiating attorney fees & paying bills on your behalf Experience & expertise with law enforcement cases 1-866-857-3276

Who To Call For: Enrollment & Marketing Information*: Hylant 1-800-341-6038 * Contact for ACH Payment Options www.foplegal.com Claims Service & Attorney Qualification: Sedgwick Claims Mgmt Services 1-866-857-3276 foplegal@sedgwickcms.com

FOP Legal Plan Website - www.foplegal.com 24/7 Access to Individual and Group Applications Access to Claim Reporting Forms and the Plan attorney panel PayPal Latest FOP Legal Defense Plan News and Updates Client Portal access for Groups/Lodges

Benefits of Group/Lodge Participation Client Portal Access – Groups/Lodges Add, Delete and Edit group’s participation roster View Account Statement Update Contact Information for Group/Lodge ACH Payment Option No cost to enroll Ease of use for payments Avoid unintentional lapse in coverage Group/Lodge Officer/Primary Representative - Call 1-800-341-6038 for more information about enrolling in these benefits

Questions?