Benefit Summary
Voluntary AD&D
Insurance*
AFSCME Local 2076
Health and Welfare
Benefit Plans
BENEFITS FOR UNION
MEMBERS ONLY
As a Union member you may purchase $100,000 of Voluntary AD&D insurance for yourself. You may also purchase $50,000 of Voluntary AD&D on your spouse. Your children may be covered by $10,000 of Voluntary AD&D insurance. The rate table below shows the per pay period cost.
No other insurance amounts are available.
The following benefits are optional benefits, available to Union members only. Premium payments are collected through payroll deduction. Enrollment forms are required.
Basic Trust Fund Benefits
Basic benefits1 are provided free to all bargaining unit employees. Additional benefits including dependant benefits are available to Union Members. Enrollment forms are required for the Basic Life, AD&D, Vision, Short-Term, or Long-Term Disability plans.
Optional Benefit Plans
Cost per Pay Period
Amount of Coverage
| Employee | $100,000 | $1.62 |
| Spouse | $50,000 | $0.81 |
| Child | $10,000 | $0.21 |
- •Delta Dental – DHMO dental/dependent coverage
- •Delta Dental PPO Dental Plan
- •Voluntary Short-Term and Long-Term Disability
Insurance - •Voluntary Life Insurance
- •Voluntary AD&D Insurance
- •Voluntary VSP Vision Benefits/dependent coverage
- •Voluntary insurance plans from AFLAC
- •Voluntary Roth IRA
- •Pre-paid legal services
- •Supplemental Union benefits such as:
Travel Services
Mortgage Programs
Scholarships - •Discount cards and tickets to area theme parks
Basic Benefits
Life Insurance Benefit
- •$15,000 Union member coverage
AD&D Insurance Benefit
- •$15,000 Union member coverage
Dental HMO
- •Employee only
- •Enrollment form required
Short-Term Disability
- •7-day waiting period – accident or sickness (Union)
- •50% of pay up to a maximum of $175 per week
- •90-day benefit period
- •Benefit paid after sick leave is exhausted
Long-Term Disability
- •90-day waiting period
- •50% of pay up to a maximum of $600 per month
- •Benefit payable up to a maximum age of 65 years
- •Benefit paid after sick leave is exhausted
Vision Plan
- •Exam, lenses, and contacts: Once every 12 months
- •Frames: Once every 24 months
- •Union Member: $0 Exam – $0 Material Copay
Voluntary Term
Life Insurance*
Union Members may purchase additional Life Insurance Coverage in Increments of $10,000. Cost is per $10,000 unit and varies by age.
AGE
Under 30
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75+
COST
$0.28
$0.37
$0.46
$0.69
$1.11
$1.75
$2.77
$3.51
$5.86
$10.02
$17.59
Employee Coverage:
Maximum purchase is $500,000. Guarantee Issue if enrolling when first eligible is $250,000.
Rates
Spouse Coverage:
Maximum purchase is 100% of employee coverage, up to $250,000 Guarantee Issue if enrolling when first eligible is $50,000.
Rate tables are included for the supplemental dental, vision, voluntary life insurance, AD&D insurance, and disability plans. All rates are on a per pay period basis. An application must be submitted for all plans. Eligibility requirements may be waived if enrolling within thirty (30) days of employment.
Child/Children Coverage:
Maximum purchase is $10,000 in $2,000 increments. Cost is $0.07 per $2,000 increment.
PO BOX 1358
Ventura, CA 93002
Phone: (844) 533-2956
Fax: (805) 653-2032
Life Benefit payable reduces by 50% for members age 70 and older
1Eligibility for benefits in this Trust Fund is based upon you receiving regular pay from the County of Orange. If you are off payroll your benefits cease.
*Available to Union Members ONLY
Voluntary Short-Term
Disability Insurance*
Optional Benefits for
AFSCME Members:
| Benefit | Union Members | Non-Union Members |
| Life Insurance | $15,000 | $15,000 |
| Voluntary Life Insurance* | Available up to $500,000 | Not available |
| Voluntary Dependent Life Insurance* |
Available up to $250,000 | Not available |
| AD&D Insurance | $15,000 | $15,000 |
| Voluntary AD&D Insurance* | Available up to $100,000 | Not available |
| Voluntary Dependent AD&D Insurance* | Available up to $50,000 | Not available |
| Dental HMO | Dependent coverage available |
No dependent coverage available |
| Dental PPO* | Member & dependent coverage | Not available |
| Short-Term Disability | 7-day waiting period | 7-day waiting period |
| Upgraded Short-Term Disability* |
Available | Not available |
| Long-Term Disability | 50% of pay, $600 per month maximum | 50% of pay, $600 per month maximum |
| Upgraded Long-Term Disability* |
60% of pay, $2,000 per month maximum | Not available |
| Vision Plan | Dependent coverage available |
No dependent coverage available |
As a Union member, you may upgrade the basic Short-Term Disability plan. The voluntary plan offers the following coverage:
Vision Benefit Plans*
- •60% of weekly pay, up to a maximum of
$500 per week - •7-day waiting period for accident and sickness
- •90-day benefit period
- •Benefit paid after sick leave is exhausted
As a Union member your vision benefits are provided at no cost to you. If you so desire, you may purchase vision coverage for your spouse and children. The vision plan benefits are as follows:
Voluntary Long-Term
Disability Insurance*
- •Exam, lenses, and contacts: Once every 12 months
- •Frames: Once every 24 months
- •Union Member: $0 Exam – $0 Material Copay
As a Union member, you may upgrade the basic Long-Term Disability plan. The voluntary plan offers the following coverage:
Cost per Pay Period
| Single | Free |
| 2-Party | $4.19 |
| Family | $9.29 |
- •60% of monthly pay, up to a maximum of $2,000 per month
- •Benefit payable as long as you are disabled, up to maximum age of 65 years
- •90-day waiting period
- •Benefit paid after sick leave is exhausted
As a member you may enroll in either the Short-Term or Long-Term plan, or both plans. A personal health statement enrollment form is required to determine eligibility. Eligibility requirements may be waived if enrolling within the first thirty (30) days of employment.
Delta Dental Plans
Cost per Pay Period
Delta Dental PPO Plan
DeltaCare
DHMO Plan
Family
Composition
| Single | Free | $27.02 |
| EE + Spouse | $8.27* | $62.28 |
| EE + 1 Child | $7.67* | $62.28 |
| Family | $15.94* | $107.93 |
Voluntary Disability Rates
Cost per Pay Period
| Short-Term Benefit* | $10.32 |
| Long-Term Benefit* | $13.62 |
*Available to Union Members ONLY
| Benefit | Union Members | Non-Union Members |
| Life Insurance | ||
| Voluntary Life Insurance* | ||
| Voluntary Dependent Life Insurance* |
||
| AD&D Insurance | ||
| Voluntary AD&D Insurance* | ||
| Voluntary Dependent AD&D Insurance* | ||
| Dental HMO | ||
| Dental HMO Dependent Coverage | ||
| Dental PPO* | ||
| Short-Term Disability | ||
| Upgraded Short-Term Disability* |
||
| Long-Term Disability | ||
| Upgraded Long-Term Disability* |
||
| Vision Plan |
Voluntary Short-Term
Disability Insurance*
Optional Benefits for
AFSCME Members:
As a Union member, you may upgrade the basic Short-Term Disability plan. The voluntary plan offers the following coverage:
Vision Benefit Plans*
- •60% of weekly pay, up to a maximum of
$500 per week - •7-day waiting period for accident and sickness
- •90-day benefit period
- •Benefit paid after sick leave is exhausted
As a Union member your vision benefits are provided at no cost to you. If you so desire, you may purchase vision coverage for your spouse and children. The vision plan benefits are as follows:
Voluntary Long-Term
Disability Insurance*
- •Exam, lenses, and contacts: Once every 12 months
- •Frames: Once every 24 months
- •Union Member: $0 Exam – $0 Material Copay
As a Union member, you may upgrade the basic Long-Term Disability plan. The voluntary plan offers the following coverage:
Cost per Pay Period
| Single | Free |
| 2-Party | $4.19 |
| Family | $9.29 |
- •60% of monthly pay, up to a maximum of $2,000 per month
- •Benefit payable as long as you are disabled, up to maximum age of 65 years
- •90-day waiting period
- •Benefit paid after sick leave is exhausted
As a member you may enroll in either the Short-Term or Long-Term plan, or both plans. A personal health statement enrollment form is required to determine eligibility. Eligibility requirements may be waived if enrolling within the first thirty (30) days of employment.
Delta Dental Plans
Cost per Pay Period
Delta Dental PPO Plan
DeltaCare
DHMO Plan
Family
Composition
| Single | Free | $27.02 |
| EE + Spouse | $8.27* | $62.28 |
| EE + 1 Child | $7.67* | $62.28 |
| Family | $15.94* | $107.93 |
Voluntary Disability Rates
Cost per Pay Period
| Short-Term Benefit* | $10.32 |
| Long-Term Benefit* | $13.62 |
*Available to Union Members ONLY