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This Month's Alive

Alive Archives

Insurance Claims

Short Term Disability
Professional Insurance Company (PIC)

Plan pays a fixed monthly amount from $500 to $1,500 for up to 5 years, when you are totally disabled regardless the cause of the Disability: accident, illness, work-related or not.

How Do I Get Started

  1. Send the claim form & L.A. City Employee's Club Authorization For Release of Information Form to you payroll/personnel office and ask that office to complete the "Employer's Statement" portion of the claim form. Please, complete the Claimant's Statement form and the Part A. Then forward the form to your attending physician for the completion of Part B.
  2. Please, return the forms to PIC within 90 days after the termination of the period for which the insurer is liable.

    If you have any questions regarding your claim, please contact PIC.

Do You Have Your Forms Yet?

Need Help?

We Can Help.

Call us at 1-800-464-0452 or email us at claims@cityemployeesclub.com to speak to our claims department.

 

Additional Information

Benefits

WHEN DOES A CLAIMANT RECEIVE BENEFITS? Approximately between 5 to 14 days after PIC receives the claim form. PIC corresponds directly with members regarding any specific information needed.

DOES DISABILITY INTERFERE WITH OTHER LACEA INSURANCE PLANS? No, Supplemental insurance pays on top of any insurance, even Workers Compensation.

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