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State of California Personnel Officers

Group Insurance for Excluded Employees

Help Educate Excluded Employees on the Need for Income Protection

State of California and Standard Insurance Company have partnered for over 15 years to provide valuable insurance benefits to eligible employees. This insurance can help employees pay a portion of their bills and other expenses if they are unable to work for an extended period of time due to a covered illness or injury.

Select a topic below to access helpful tools and resources.

 

Group Long Term Disability | Group Accident | Group Critical Illness | Forms and Resources | Contact Us

Employee Resources

These resources can assist your employees as they determine the coverage that will help keep their income and lifestyle safe.
Features plan specifics and calculators to estimate needs and monthly premium
Helps employees estimate their monthly premium
Mobile-friendly webpage featuring informative videos, claim stories and links to enrollment platform

Long Term Disability Insurance

Coverage Details

Group Long Term Disability helps protect your employee's income if they are unable to work for an extended period of time due to a covered illness or injury. This benefit is designed to replace a portion of their income to help meet monthly expenses when they may need it most.

Coverage Amount

Two Coverage Levels Designed to Fit Your Employees' Needs

Eligible Excluded employees can choose one of the following options:

  • Option A: Replace up to 65% of the first $15,385 of their monthly base salary reduced by deductible income
  • Option B: Replace up to 55% of the first $18,182 of their monthly base salary reduced by deductible income

Maximum Benefit for Both Options: $10,000 before reduction of deductible income

Minimum Benefit for Both Options: $100 or 15% of their benefit before reduction by deductible income, whichever is greater

Refer employees to the Employee Benefits Guide for more information. 

Benefit Waiting Period

Benefits become payable after a six-month waiting period during which the employee is continuously disabled. Employees are responsible for making monthly premium payments during the benefit waiting period.

Maximum Benefit Period

Determined by the employee's age at the time of disability, benefits may continue until age 65, the Social Security Normal Retirement Age, or under the plan’s age-graded schedule, whichever is greatest. Refer employees to the Certificate of Insurance for more details. 

Benefit Premium

The premium payment is determined by the benefit option the employee elects. Payments are conveniently managed by automatic payroll deduction.

Share These Additional Features

  • Survivors Benefit equal to six times the unreduced Group Long Term Disability benefit may be payable to the employee's survivors if they die while benefits are payable and has been continuously disabled for at least 180 days. Any Survivors Benefit payable will be first applied to any overpayment of their claim due to The Standard.
  • Dependent Education Benefit may be payable if the employee has a dependent under the age of 22 attending an accredited post-secondary school on a full-time basis while they are disabled. An additional $150 (increasing to $300 in 2026) per month for up to 48 months for each child is available.
  • Family Care Expenses Benefit adjusts any calculated work earnings offset if the employee is participating in an approved rehabilitation plan and incur child or elder expenses.
  • Conversion allows employees the option to purchase Long Term Disability conversion insurance after the termination of their insurance if they meet the requirements defined by the group policy.

 

Continuation Options

Employees may be eligible to continue their LTD coverage in certain circumstances as described below.

24-month Direct Pay for LTD Insurance

Under the provisions of the Group Long Term Disability coverage provided by Standard Insurance Company, employees may have the right to continue their coverage for up to 24 months if they cease to be eligible due to a classification change. If they wish to continue their coverage, they must make the election to continue their insurance within 60 days following the date they cease to be a Member. If they do not apply to continue their insurance during that 60-day period, their insurance will be deemed to have ended on the date they ceased to be a Member. If they apply to continue their insurance during that 60-day period, their coverage will be retroactive to the date they ceased to be a Member.

Premium is due on or before the first day of each calendar month, and is paid directly to us at our home office. If they do not pay a premium before its due date, they may pay the premium during the following 60-day grace period. If they do not pay the premium during the 60-day grace period, their insurance will terminate automatically at the end of the grace period.

To apply to continue their coverage, please direct employees to complete the Request for Group LTD 24-month Direct Pay. If they have questions or want rate information, please direct them to contact The Standard at 888.641.7193.

Conversion of LTD Insurance

Employees may be eligible to convert their coverage to an individual insurance policy if all the following conditions are met at the time their insurance ends:

  1. Their insurance ends for a reason other than:
    1. Termination or amendment of the group policy;
    2. Failure to make a required premium contribution; or
    3. Retirement.
  2. They were continuously insured under State of California's group Group Long Term Disability plan for at least one year as of the date their insurance ended;
  3. They are not disabled on the date their insurance ends;
  4. They are a citizen or resident of the United States or Canada;
  5. They apply in writing and pay the first premium for the individual disability income policy within the 31 days after their insurance ends.

The effective date of the individual disability income policy will be the day after their insurance ended under the Group LTD policy.

Please note that Long Term Disability Conversion Insurance is not a continuation of their insurance under the group Group Long Term Disability policy which State of California has with The Standard. It is a separate and distinct policy which may provide different benefits, exclusions, limitations and reductions than those provided under the group policy. See the Certificate of Insurance for specific details about the conversion provision.

To apply or receive Long Term Disability conversion materials, please direct employees to complete the Request for Group LTD Conversion Materials. If they have questions or want rate information, please direct them to contact The Standard at 888.641.7193.

 

Forms and Online Calculators

Benefit Summaries

Online Calculators

Enrollment Forms

  • Ready Enroll
  • Ready Enroll Employee Guide
  • Paper Enrollment Form
    • State Fair and Expo employees and Active Military State employees must enroll using a paper enrollment form that must be returned to the department’s personnel office for processing.
    • When Ready Enroll is experiencing a black-out period, employees can enroll using a paper enrollment form.

Certificates of Insurance

Marketing Materials

Continuation Forms

Claim Forms

 

Accident Insurance

Coverage Details

The expenses of an accident can add up fast, especially when it keeps employees from working. Group Accident Insurance pays benefits for covered injuries and treatments to employees and their loved ones, not to providers. Employees will get a lump sum to spend on whatever they need, from deductibles and copays to groceries and alternative treatments.

If employees are enrolled or enroll in the Group LTD policy 643146 through the State of California, they are automatically enrolled in Group Accident Insurance at no cost if they are an eligible Excluded employee.

If employees are not enrolled in the Group LTD policy 643146 through the State of California, they’ll have access to Group Accident Insurance at affordable group rates.

Coverage Amount

Group Accident Insurance includes more than 70 benefits for covered injuries and treatment. Refer employees to the Employee Benefits Guide for more information.

Share These Additional Features

  • 24-hour Coverage includes coverage for accidents that occur on and off the job.
  • Accidental Death & Dismemberment includes a benefit for an accidental death or covered dismemberment for employees and their spouses or domestic partners.
  • Line of Duty Benefit provides an additional benefit for public safety officers who suffer an accidental death or covered dismemberment or impairment while on the job.
  • Health Maintenance Screening Benefit pays a $100 benefit once per calendar year when employees and their spouses or domestic partners go to the doctor for a covered wellness screening, which may include a novel infectious disease test (including COVID-19) or a mammogram.

 

Continuation Option

This coverage is portable. That means that employees may be able to continue their coverage through direct bill if their employment ends, the group policy terminates or their insurance ends because they no longer meet the eligibility requirements. Direct the employees to begin the application process:

  1. Review the Group Accident Insurance Certificate for eligibility details.
  2. Call 800.634.1743 to continue Accident Insurance coverage directly with The Standard.
Forms

Benefit Summaries

Enrollment Forms

Certificates of Insurance

Marketing Materials

Claim Forms

 

Critical Illness Insurance

Coverage Details

Health insurance can cover many of the medical expenses related to a serious illness, but it doesn't cover everything. When it comes to co-pays, deductibles, loss of income, child care and even travel expenses, Group Critical Illness Insurance can help fill that financial gap with a safety net of coverage for employees and their loved ones.

If employees are enrolled or enroll in the Group LTD policy 643146 through the State of California, they are automatically enrolled in Group Critical Illness Insurance at no cost if they are an eligible Excluded employee.

If employees are not enrolled in the Group LTD policy 643146 through the State of California, they’ll have access to Group Critical Illness Insurance at affordable group rates.

Employees and their spouses or domestic partners may continue coverage past age 64. However, they cannot apply for new coverage past age 64. Employees and spouses or domestic partners must have major medical or other minimum essential insurance that provides medical, hospital, and surgical coverage to be eligible for Group Critical Illness Insurance.

Coverage Amount

  • For employees:
    • $10,000
  • For their spouses or domestic partners:
    • $10,000
  • For their child(ren):
    • $5,000

Refer employees to the Employee Benefits Guide for more information.

Share These Additional Features

  • Health Maintenance Screening Benefit pays a $100 benefit once per calendar year when employees and their covered dependents go to the doctor for covered wellness screenings, which may include a novel infectious disease test (including COVID-19) or a mammogram.
  • Child(ren) are automatically covered at 50% of the amount elected for employees for the same critical illnesses that employees are. Child(ren) are also covered for 21 additional childhood diseases, including cystic fibrosis, Down syndrome, muscular dystrophy, spina bifida and cerebral palsy.
  • Additional benefits included if employees and covered dependents are diagnosed with a covered illness again after a treatment-free period of six months. They will receive 100% of the original benefit amount. If they are diagnosed with a different and subsequent covered illness after the diagnosis of the first critical illness, they will receive an additional Critical Illness Insurance benefit.
  • Additional services available through Health Advocate include access to specialists for a second opinion upon approval of a covered claim.*

* Health Advocacy services are provided through an arrangement with Health Advocate, a leading health advocacy and assistance company. Health Advocate is not affiliated with The Standard or any insurance or third-party provider, and does not replace health insurance coverage, provide medical care or recommend treatment.

Payment of benefits is subject to the terms and conditions of the group critical illness policy and insurance certificate. These plan documents are the final arbiter of coverages.

Diagnosis and recommendation must occur after your coverage becomes effective.

Continuation Option

This coverage is portable. That means that employees may be able to continue their coverage through direct bill if their employment ends, the group policy terminates or their insurance ends because they no longer meet the eligibility requirements. Direct the employees to begin the application process:

  1. Review the Group Critical Illness Insurance Certificate for eligibility details.
  2. Call 800.634.1743 to continue Critical Illness Insurance coverage directly with The Standard.
Forms

Benefit Summaries

Enrollment Forms

  • Ready Enroll
  • Ready Enroll Employee Guide
  • Paper Enrollment Form
    • State Fair and Expo employees and Active Military State employees must enroll using a paper enrollment form that must be returned to the department’s personnel office for processing.
    • When Ready Enroll is experiencing a black-out period, employees can enroll using a paper enrollment form.

Certificates of Insurance

Marketing Materials

Claim Forms

 

Forms and Resources

Benefit Summaries Enrollment Forms
Certificates of Insurance Marketing Materials Continuation Forms Claim Forms

Contact Us

Darlene Gallinger-Long

Dedicated Account Specialist

If you have questions regarding your group coverage or the enrollment process, you may contact The Standard by email or phone:

socltdforms@standard.com

971.321.8150 Direct

888.641.7193 Toll-free

Hours of Operation: Monday through Friday, 5:00 a.m. to 5:00 p.m. Pacific

Mailing Addresses

National Account Services SOC Team
Standard Insurance Company
900 SW 5th Avenue
Portland OR 97204

For Claims:

Employee Benefits Department
Standard Insurance Company
PO Box 2800
Portland, OR 97208

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