WACOPS | Long Term Disability Insurance Program

 WACOPS has renewed with The Standard Insurance Program from January 1, 2019 to December 31, 2021 to continue offering the benefits of our Long Term Disability Insurance Program. The monthly rates are $61.30 for the Premier Plan and $82.05 for the Premier Plus Plan.  These rates are guaranteed throughout the three-year term. The monthly rate for Firefighter's remain unchanged.  

The Standard Insurance Company has a variety of different plans to best fit your coverage needs at affordable prices. Below you will find tabs and links to certificates, applications, claims forms, FAQs, and other information. For disability claims on injuries that occurred prior to January 1st, 2016, please contact CIGNA directly at (800) 362-4462.

 BENEFIT SUMMARIES - "BENEFITS AT A GLANCE"

Click on the links below.

Premier Plan

Premier Plus Plan

Firefighters

ENROLLMENT AND BENEFICIARY FORMS

Enrollment and Change Form

Medical History Statement

Medical History Statement - On Line Form

Beneficiary Designation and Change Form

LONG TERM DISABILITY CLAIM FORMS

The Claims Process - Frequently Asked Questions

Long Term Disability Claim - Complete Claim Packet

LONG TERM DISABILITY - CLAIM PACKET COMPONET PARTS

Employee Section Claim Form

Employer Section Claim Form

Physician Section Claim Form

LIFE INSURANCE CLAIM FORMS

Life Insurance Claim Form - Beneficiary Section

TERMINAL ILLNESS / ACCELERATED LIFE INSURANCE BENEFIT FORMS

Accelerated Life Insurance Benefit - Claim Form 

Accelerated Life Insurance Benefit - Disclosure Statement 

LONG TERM DISABILITY | GROUP TO INDIVIDUAL COVERAGE CONVERSION FORMS

Long Term Disability Conversion Application

Long Term Disability - Conversion Packet

 "The Long Term Disability, Life and Accidental Death and Dismemberment coverage and associated services are provided by The Standard Insurance Company and it's affiliated entities."

For more information or questions about your claim status, please call (800) 368-1135.

Robin Arnold, Senior Account Administrator
Trusteed Plans Service Corporation | Administrators for Employee Benefit Plans
6901 6th Avenue | Tacoma, WA 98406 | P.O. Box 1894 I Tacoma, WA 98401-1984
Phone: (253) 564-5611 ext. 268 |Direct Phone:  (253) 882-0628 | Email: [email protected]