DSA INSURANCE OPTIONS

California Casualty meets with the DSA regularly to uncover the unique needs of law enforcement professionals and their families. Out of those talks comes a DSA-exclusive program, personalized for your needs. Here are just a few examples of the tailored coverage, outstanding service, great savings, and peace of mind you get when you insure with California Casualty:

• Convenient payment plans including payroll deduction
• Fallen Officer Survivor Benefit – premium waiver program for surviving partner/spouse
• ID Theft Recovery Service – free to all policy holders
• Reduced rates by up to 12%
• Option to add pet insurance

Call today to receive a free, no obligation quote. Or visit http://www.calcas.com/imorales for more information.

DSA CalCasualty Contact: Inez Morales, Field Marketing Manager
Call: (866) 688-7382
Email: imorales@calcas.com

Chiropractic care is available to all members, their spouses/domestic partners, children (18 years or under), or stepchildren (18 years or under and living in the member’s home). The cost is $10 per payday for active members and $21.67 per payday for retired members; enroll anytime. The plan is administered through Administrative Health Fund (AHF) and is available through payroll deduction. Contact the Administrative Health Fund at (619) 656-7304 or adhealthfund@yahoo.com, or visit the plan website at www.adhealthfund.net.

	Exam	1st Visit/Week	2nd Visit/Week	3rd Visit/Week
Member	$40	$20	$10	$5
Spouse	$30	$10	$10	$10
Child	$30	$5	$5	$5

IMPORTANT FORMS AND RESOURCES:
AHF Website (Includes List of Doctors)
Payroll Authorization for Chiropractic Plan

Long-term disability insurance is offered through the California Law Enforcement Association (CLEA). CLEA is a non-political, non-profit benefit association committed to offering the best benefits available to California peace officers. For 20 years, the CLEA Plan has served the California Public Safety insurance market with market-leading benefits and the best premiums.

IMPORTANT FORMS AND RESOURCES:
CLEA Enrollment Form
Beneficiary Change Form
CLEA Website

As a member of the DSA, your beneficiary will automatically receive a $10,000 death benefit in the event of your death, under the DSA’s group life insurance program. If you are an active member, you are also eligible for additional, or supplemental, life coverage through The Hartford.

The Hartford Group Life plan provides a member $100,000 of life and another $100,000 accidental, plus $7,500 spouse & $5,000 kids for just $33.65 per payday or $72.89 monthly. Plus, it is the only Group Life plan that stays with you after retirement.

If you enroll in the Hartford Group Life Insurance more than 61 days after the date you first become eligible to do so (after first joining the DSA), no coverage will be available without Evidence of Good Health. For members who are past their 60-day eligibility period you must complete the Personal Health Application.

Newly eligible members within 60 days of joining the DSA should complete the New Member Enrollment Form.

IMPORTANT FORMS AND RESOURCES:

Basic Life & ADD Summary for Active Employees
Basic Life & ADD Summary for Retirees Under 70
Basic Life & ADD Summary for Retirees Over 70
Enrollment Application
Beneficiary Change
Plan 1 Certificate of Coverage
Plan 2 Certificate of Coverage
Plan 3 Certificate of Coverage

 

ADDITIONAL HARTFORD BENEFITS:

Beneficiary Assist
Funeral Concierge
Travel Assist
Will Services

 

Questions about enrollment? Contact DSA Member Benefits Coordinator Louisa Hicks at lhicks@dsasd.org or at (858) 486-9009 ext. 102.

MetLife Legal is a legal services plan that provides legal representation for you, your spouse, and dependents at an affordable cost of $8.25 per pay period and is paid through the convenience of automatic payroll deduction. If you are currently enrolled in the PrePaid legal plan, you may continue those legal benefits or opt to enroll in the MetLife Legal plan. All new enrollees will be enrolled in the MetLife Legal Plan.

Unfortunately, you can only enroll in this plan once a year. If you missed this year’s Open Enrollment you will have to wait until the next open enrollment period to enroll. This takes place in October for active class 1 members and in November for retired members. New DSA members may enroll within 31 days of their membership.

Learn more about the MetLife Legal Plan or find a plan attorney at the LegalPlans.com.

IMPORTANT FORMS AND RESOURCES:
Overview Flyer and Enrollment Form

*Legal Shield is another name for this plan for members who were grandfathered into the program.

Questions about enrollment? Contact DSA Member Benefits Coordinator Louisa Hicks at lhicks@dsasd.org or at (858) 486-9009 ext. 102.

Members residing in California have the option of selecting a Dental HMO or Dental PPO plan. Members living out-of-state may enroll in the Dental PPO plan. Texas residents have a separate PPO plan schedule.

Dental – Vision Schedule of Benefits – 2024

Dental – Vision Schedule of Benefits – TEXAS 2024

UnitedHealthcare HMO
Each family member can select his or her own Dental Provider Group from the directory. All you pay is the copayment required for the covered service.

Current Dental HMO Rates:

Member Only	$13.32
Member +1	$25.30
Member + Family	$38.51

Dental HMO Customer Service Line: (800) 228-3384
Hours: Monday-Friday: 8:00 a.m. – 6:00 p.m. (PST)

IMPORTANT FORMS AND RESOURCES:
Enrollment Form

Dental Exclusive-Network (HMO) Flier

UnitedHealthcare PPO
In the Dental PPO plan, you may visit any provider you choose, but you maximize your savings when you visit a network provider.

Basic Schedule of Benefits
Voluntary Options PPO 30 / Covered Dental Services

Current Dental PPO Rates:

Member Only	$40.00
Memer +1	$78.15
Member + Family	$127.74

Dental PPO Customer Service Line: (877) 816-3596
Monday-Friday: 5:30 a.m. – 7:00 p.m. (PST)

IMPORTANT FORMS AND RESOURCES:
Enrollment Form

Dental PPO Member Flier

UnitedHealthcare Vision has been trusted for more than 40 years to deliver affordable, innovative vision benefit solutions to the nation’s leading employers through experienced, customer focused people, and the nation’s most accessible, diversified vision care network. With a provider network consisting of more than 24,000 private practice and retail chain providers, a state-of-the-art optical laboratory, and consistently updated benefits, UnitedHealthcare Vision truly is a vision care pioneer.

UnitedHealthcare Vision’s program provides affordable, quality vision care nationwide. With the addition of the Out-of-Network benefit, you will receive benefits even if you go to a provider that is not part of the UnitedHealthcare Vision network. The network includes over 25,000 private practice and retail chain providers nationwide, the most notable chains being WALMART and Sam Club’s, which historically offer discounted rates. With UnitedHealthcare Vision, you can visit any provider you choose, but you maximize your savings when you visit a network provider.

EXAMS

In-Network	Out of Network
Covered in Full	$45

 

LENSES

In-Network                 Out of Network

Single Vision	Covered in Full	Up to $45
Bifocal	Covered in Full	Up to $65
Trifocal	Covered in Full	Up to $85
Lenticular	Covered in Full	Up to $125
Frame Allowance (Retail)	Up to $130	Up to $47
Frame Allowance (Private Practice)	Up to $130	Up to $47
Elective Contact Lenses*	Up to $125	Up to $125
Necessary Contact Lenses*	Covered in Full	Up to $150

FREQUENCY

Exams	Once Every 12 Months
Frames	Once Every 12 Months
Lenses	Once Every 12 Months

UnitedHealthcare Vision Customer Service Line: (800) 638-3120
Monday-Friday: 5:00 a.m. to 8:00 p.m. (PST) & Saturday: 6:00 a.m. to 3:30 p.m. (PST)
Provider Locator: (800) 839-3242

IMPORTANT FORMS & RESOURCES:

Group Policy
Vision Certificate of Coverage
Enrollment Form
UsingYour Benefits at Warby Parker
Schedule of Benefits 2022