Insurance Claims
Accidental Dismemberment
Plan pays a percentage of the AD&D coverage, for the accidental loss of sight, hand, foot, speech and hearing.
How Do I Get Started
In order to process a claim, we will need the following forms:
Once all paper work have been obtained, mail the package to us:
City Employees Club of Los Angeles
Attn: Claims Dept
311 S. Spring St. Suite 1300
Los Angeles, CA 90013
Do You Have Your Forms Yet?
Benefit Payable
Depending on the permanent loss you have suffered, the policy pays 25% to 100% of the benefit amount.
| 100% |
75% |
50% |
25% |
| Quadriplegia |
Paraplegia |
Hemiplegia |
Loss of Thumb & Index |
| Loss of two eyes |
|
Loss of one eye |
|
| Loss of two hands |
|
Loss of one hand |
|
| Loss of two feet |
|
Loss of one foot |
|
| Loss of speech & hearing |
|
Loss of speech |
|
| Loss of hand and foot or eye |
|
Loss of hearing |
|
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
The United States Life Insurance Company usually pays the accidental benefit in one or two months after receiving
the claim form completed along with the Medical Records. This is the case for the 98% of the dismemberment claims.
