Long-Term Disability Insurance

We are pleased to announce that on January 1, 2019, WACOPS began a new three-year Long Term Disability insurance program with The Standard Insurance Company.   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 been a good partner with WACOPS and our successful relationship continues with a three-year commitment, lower premiums and several policy enhancements.  

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 - Death Notification

Life Insurance Claim Form - Employer Section 

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."

Questions? Please call Ed Suddock at (206) 465-1566.

We have different plans to best fit your coverage needs at affordable prices. Above 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 at (800) 362-4462.

For more information or questions, please contact:

Long-Term Disability Claim Intake Status:  (800) 368-1135  

Ed Suddock, CPCU
Insurance Broker | Seattle Business Insurance LLC | P.O. Box 599 | Mercer Island, WA  98040
Phone: (206) 285-9415 | Fax: (206) 285-9467 | Email: [email protected]

-OR-

Robin Arnold, Senior Account Administrator
Trusteed Plans Service Corporation | Administrators for Employee Benefit Plans
6901 6th Avenue I Tacoma, WA 98406 | P.O. Box 1894 I Tacoma, WA 98401-1984
Phone: (253) 564-5611 ext. 268 | Fax: (253Z) 564-5881 | Direct Phone:  (253) 882-0628
Email: [email protected]