Marsh Affinity Group Services
Los Angeles County Medical Association
Following are brief outlines of various sponsored insurance program features. To receive information on any program, please complete an Interest Form. For a quotation on any of the sponsored programs, please complete a Quote Request Form.

If you have any questions regarding the sponsored insurance programs, please contact a Marsh Client Service Representative at (800) 842-3761 or e-mail us at CMACounty.Insurance@marsh.com.

This web page is for illustrative purposes only, and is not a contract. It is intended to provide a general overview of the services described. Remember that only the policy can provide the actual description of services, terms, conditions and exclusions.

LACMA Website
Information
Terms & Conditions
News & Information
• Medical Programs
   • Health Savings Accounts!
• Dental Program
• Long Term Disability Program
• Workers' Compensation Program
• Employment Practices Liability
• Business Overhead Expense Program
• Term Life Program
• Group Universal Life Program

• Business Owners Package
• Accidental Death and
Dismemberment Program

• Long Term Care Program
• Hosital Income Plan
• International Accident & Medical Plans
• Catastrophe Major Medical Program
Medical
Medical Program
High Deductible Health Plans and Health Savings Accounts

Open a Health Savings Account now! If you already have a qualified high deductible health plan, Click here to go directly to the CMA UMB online enrollment site.

In order to open a Health Savings Account, you must satisfy these four eligibility guidelines: 1) you must be enrolled in a qualified high deductible health plan (not just a health plan with a high deductible), 2) you may not be covered under any health plan that is not a high deductible health plan, 3) not be enrolled in Medicare, and 4) not be claimed as a dependent on another person’s tax return.

Significant premium savings are available through a number of qualifying high deductible health plans (HDHP) on an individual or group basis. For more information or a quote from a number of different insurance companies, please call a Client Service Representative at 800-842-3761.


Blue Shield of California

Through a unique arrangement with Blue Shield of California, groups of 2 – 50 members and employees have access to Blue Shield’s small group medical plans with a special 5% discount due to their CMA membership. This saving is also included on the high deductible health plans for Health Savings Accounts. In addition, in order to facilitate the enrollment process, no medical questions need to be answered to enroll. However, you can qualify for even greater savings if your group answers a few medical questions on a Probable Action Form. This discount is only available if your application is submitted through Marsh Affinity.

For a quote, please call a Marsh Client Service Representative at 800-842-3761.

Dental
Dental Program
You have a choice when it comes to Dental Plans too. You may enroll with your employees at any time during the year, or enroll yourself only during special annual open enrollment periods.

Preferred Provider Program
  • $50 Calendar Year Deductible ($100 per family)
  • $2,000 Calendar Year Benefit In-Network / $1,500 Calendar Year Benefit Out-of-Network
  • No Deductible for Preventive Services
  • Choose Your Dentist from a Network of Providers and Receive a Higher Benefit
  • Orthodontia Benefits ($500 per Calendar Year Maximum)

Underwritten by: The Guardian (rated "A+" by A.M. Best and Company)

LTD
Long Term Disability
Medical Specialty Definition of Disability

Long term disability coverage helps protect your income in the event you become Totally Disabled. You are protected in your medical specialty for the first 5 years of your Total Disability. The maximum benefit period is age 65 for both Injury and Sickness related disabilities. The plan includes Waiver of Premium and a choice of waiting periods (90, 120 or 180 days). Up to $10,000 per month is available after the selected waiting period for members under age 50. Members ages 50 - 54 may apply for up to $6,000 per month in benefits.

Underwritten by: Hartford Life and Accident Insurance Company (rated "A+" by A.M. Best and Company)

Hartford Life’s Privacy Policy
Hartford Life’s Legal Notices
Workers' Comp
Workers' Compensation
Workers' Compensation insurance is required by law and covers your employees in the event of a job-related injury. Coverage is standardized by state law and includes hospital and medical expenses, work-related disability income and a death benefit.

Merit Rating Discount Program – With a claims free history, you are eligible for a lower rate. Available to members not large enough to qualify for their own experience modification factor.

• Dividend Eligible Program – This means with favorable program experience over time, members may receive a portion of their premiums back as dividends.*

• iCustomer Series® Portal – Access to Fireman’s Fund exclusive online claims reporting system plus access to free loss prevention tools to help reduce your risk of employee injury.

• Premium Discounts – Based on the size of your premium, additional premium discounts may be applied.

• New Ventures – New physician practices will not be surcharged as they may be with other companies during the first two or three years.

* Payment of future dividends cannot be promised or guaranteed. Past dividend performance is no guarantee of an insurer’s future dividend performance.

Underwritten by Fireman's Fund Insurance Company (rated "A" by A.M. Best and Company)

EPLI

Employment related suits usually involve one or more of the following: discrimination, sexual harassment, or wrongful termination. The purpose of the LACMA program is to provide members with the needed tools to manage risk properly and the protection generally missing from other insurance policies.

LACMA’s program provides members with significant benefits:

Risk Management

  • Web based training for members, office managers and employees to help minimize exposure to employment practices lawsuits
  • Access to a legal information hotline staffed by employment practices attorneys
  • Review of employee handbooks and employment applications

Insurance

  • Choice of policy limits of $250,000, $500,000 or $1,000,000
  • Low minimum premium of $1,000
  • Low per claim retention of $5,000
  • Provides for defense costs and losses an insured becomes legally obligated to pay as a result of a covered claim. 
  • 60 day extended reporting endorsement included
Business Overhead
Business Overhead Expense
Pays the normal and fixed expenses of running your office while you are disabled so you don't have to use your personal disability income.

Examples of Covered Expenses Include:
  • Rent
  • Deposits to Health Savings Accounts
  • Employee Salaries
  • Utilities
  • Association Dues
  • Professional Liability Premiums

Members under age 60, working full-time, are eligible to apply for benefits of up to $10,000 per month. Medical specialty definition of disability is included. Benefits are payable as long as you remain disabled up to a maximum of 15 months. In a group practice, it pays your share of fixed expenses.

Underwritten by: Hartford Life and Accident Insurance Company (rated "A+" by A.M. Best and Company)

Hartford Life’s Privacy Policy
Hartford Life’s Legal Notices

Term Life
Term Life
You may apply for up to $500,000 of benefits at competitive group premiums. Your spouse and employees are eligible for up to $500,000. Plan features include coverage for children.

Members under age 60 may apply. At age 65, benefits reduce by 50% to a maximum of $250,000.

Underwritten by: Hartford Life and Accident Insurance Company (rated "A+" by A.M. Best and Company)

Hartford Life’s Privacy Policy
Hartford Life’s Legal Notices
GUL
Group Universal Life
This plan offers permanent insurance (up to $1,000,000) that is guaranteed renewable to age 95 and an optional cash accumulation account that earns tax-deferred interest at competitive rates (minimum guarantee: 4%). An accelerated death benefit provision (equal to 50% of your policy up to a maximum of $250,000) is included.

Highlights Include:
  • At death, the face amount plus accrued cash values are paid
  • No administrative fees or surrender charges
  • You may skip payments to the cash account

For more information or to enroll on-line:

Go to www.MetLife.com/MyBenefits and enter "CMA" in the Company Name field.

Underwritten by: Metropolitan Life Insurance Company (rated "A+" by A.M. Best and Company)

Package
Business Owners Package
This policy provides property and liability protection for your practice. By providing access to a few different companies, we are able to provide you the policy that best meets the needs of your practice.

Coverages included:

  • Replacement cost for buildings and business personal property
  • Automatic inflation protection
  • Building ordinance/law – $100,000 limit*
  • Automatic seasonal increase
  • Glass - interior/exterior
  • Signs – interior/exterior
  • Theft
  • Money and securities – $10,000 in/$2,500 out limit
  • Accounts receivable – $15,000 limit*
  • Valuable papers – $15,000 limit
  • Computer equipment/software – $15,000 limit*
  • Off-premises(including Transit) – $15,000 limit*
  • Income support properties
  • Loss of business income and extra expense
  • Tenants legal liability – $100,000 limit*
  • High limit business liability protection
  • Medical payments - $10,000 limit
  • $2 million/$4 million liability limit
  • Umbrella limits up to $5 million
  • Business Owners' Extension Endorsement – provides increased limits for additional coverages (computer equipment, accounts receivable, etc., subject to a $250,000 blanket limit of insurance.

* Higher limits may be available.

Underwritten by Fireman's Fund Insurance Company (rated "A" by A.M. Best and Company)

AD&D
Accidental Death and Dismemberment
This program covers you 24-hours a day, 365 days a year and pays regardless of any insurance you may have. Benefit amounts are available from $50,000 to $750,000.

Highlights Include:
  • Loss of Use Benefit - 1% of Principal Sum Per Month
  • Seat Belt Benefit - up to $10,000
  • Spouse Retraining Benefit
  • Private Pilots Coverage (20% of Face Amount to $250,000)
  • Hospital Benefit

Underwritten by: Unum Life Insurance Company of America (rated "A-" by A.M. Best and Company)

LTC
Long Term Care
Up to $10,000 per month available.

Members receive a 5% premium discount through MetLife and John Hancock. Special plans (Carve-Outs) may be written to cover only physicians in a practice.

Long Term Care benefits are payable upon the loss of two of the six Activities of Daily Living (ADLs) or cognitive impairment.

There is an additional premium discount if both you and your spouse purchase coverage at the same time. Applicants in good health may receive further discounts.

Coverage is also available to employees of members, parents, parents-in-law and grandparents.

We can arrange to have a Long Term Care specialist meet with you to discuss your needs.

Underwritten by: Metropolitan Life Insurance Company (rated "A+" by A.M. Best and Company) and John Hancock Life Insurance Company (rated "A++" by A.M. Best and Company)

Hospital Income
Member Assistance Plan
This plan provides an opportunity to receive up to $250 a day while you are hospitalized. This extra money could be used for a private room, to pay expenses not covered by your medical insurance, or any way you choose.

Underwritten by: Unum Life Insurance Company of America (rated "A-" by A.M. Best and Company)
International Accident & Medical
International Accident & Medical Plans
When coverage outside your home country is missing or limited, or when supplemental coverage is needed for a short term or extended term – solutions can be found through the Marsh Affinity Group Services Gateway plans.

The CMA / County Medical Association & Society member only portfolio consists of five distinct plans. Each plan offers coverage for accident and sickness medical expenses, emergency medical evacuation and repatriation, and accidental death. All plans include worldwide travel and medical assistance.

For more information, go to the Gateway Plans website at www.gatewayplans.com.
Catastrophe
Catastrophe Major Medical
This high deductible program provides a supplement to your basic medical coverage, especially if you're insured through an HMO.

Highlights Include:
  • $25,000 Deductible (all cause)
  • 3 year Accumulation Period
  • Benefit Period of 5 Years
  • Maximum Benefit of $2,000,000 (per Benefit Period, per person)
  • Convalescent Home Benefit of $500 per week (up to 3 years)

Underwritten by: The United States Life Insurance Company (rated "A+" by A.M. Best and Company)

Questions?
Call Marsh Affinity Group Services, at (800) 842-3761 or e-mail us at CMACounty.Insurance@marsh.com

To receive information on the sponsored programs complete an Interest Form
Or, to receive a quotation, please complete an online Quote Request Form.

Home | Interest Form | Quote Request Form | LACMA Website 

Page last updated 7/30/07

© 2007 Seabury & Smith Insurance Program Management
CA License #0633005

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