Look Out for Your Club Membership Card Once your application is processed, your Club Membership card will be mailed directly to you. Your Club Membership ID is your key to unlocking a world of new Club benefit and savings! SEAL WITH TAPE BEFORE MAILING - DO NO STAPLE NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES EMPLOYEES CLUB OF CALIFORNIA 311 S SPRING ST STE 1300 LOS ANGELES CA 90013-9844 POSTAGE WILL BE PAID BY ADDRESSEE FIRST-CLASS MAIL PERMIT NO. 62722 LOS ANGELES CA BUSINESS REPLY MAIL Eligibility Requirements for Life Insurance You are eligible to apply for this coverage if you are an active member of the Employees Club of California in good standing; a full time employee working 40 hours per week for the City of Los Angeles or the Department of Water and Power; also must be eligible (except for Electrical Craft Workers) for the City Retirement System or the Department of Water and Power Pension plan. You must elect Life Hay-Day plan within 60 days of becoming a new Member. Term Life Insurance Effective Date for Term Life Insurance: You will be insured on the last day of the pay period for which your payroll deduction is taken, provided the required premium is paid. You must be actively at work on the date insurance is to take effect. If you are not, insurance will take effect on the day you return to work. Date Insurance Ends for Term Life Insurance: As long as you continue to pay premiums, you continue to be a member, the group policy remains in effect, continue to be in an eligible class, and insurance does not end for your class, your coverage will not end. Exclusions for Term Life Insurance: If you commit suicide within 2 years from the date Life Insurance takes effect, we will not pay such insurance and our liability will be limited as follows: Any premium paid by you will be returned to the beneficiary and any premium paid by the policyholder will be returned to the policyholder. Accidental Death & Dismemberment (AD&D) Insurance Effective Date for AD&D Insurance: You will be insured for Accidental Death and Dismemberment on the date stated in writing by MetLife, provided the required premium is paid. You must be actively at work on the date your insurance is to take effect. If you are not, insurance will take effect on the day you resume such work. Dependent spouse and children are eligible for the AD&D coverage but not the Group Term Life plan. Date Insurance Ends for AD&D Insurance: As long as you remain a member in good standing, continue to pay premiums, the group policy remains in effect, and insurance does not end for your class, your coverage will not end. If you retire, coverage under this Accidental Death and Dismemberment plan will end, and at which time you are eligible for Retiree AD&D coverage. In addition, with respect to spouses, as long as marriage does not end by divorce or annulment, coverage will continue. With respect to domestic partners, as long as the person remains the domestic partner of the member, coverage will continue. Exclusions for AD&D Insurance: No benefits will be paid for any loss caused or contributed to by: Suicide or attempted suicide; intentionally self-inflicted injury; service in the armed forces of any country or international authority. However, service in reserve forces does not constitute service in the armed forces, unless in connection with such reserve service an individual is on active military duty as determined by the applicable military authority other than weekend or summer training. For purposes of this provision reserve forces are defined as reserve forces of any branch of the military of the United States or of any other country or international authority, including but not limited to the National Guard of the United States or the national guard of any other country; a physical or mental illness or infirmity, or the diagnosis or treatment of such; infection, other than infection occurring in an external accidental wound; voluntary intake or use by any means of any drug, medication or sedative unless taken as prescribed by a physician; or an “over the counter” drug, medication or sedative taken as directed; alcohol in combination with any drug, medication, or sedative; or poison, gas, or fumes; or committing or attempting to commit a felony; war, declared or undeclared; or act of war, insurrection, rebellion or riot. We will not pay benefits for any loss if the injured party is intoxicated at time of the incident and is the operator of a vehicle or other device involved in the incident. These Plans are underwritten by Metropolitan Life Insurance Company, New York, NY. This brochure is a brief description of benefits only. Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods, and terms for keeping them in force. Please contact your plan administrator for more information and complete costs and details. These plans are only available in CA. Metropolitan Life Insurance Company, New York, NY Policy Number 165584-1-G L0619516069[exp0621][CA] Cheap Tickets. Insane Service. Affordable Insurance. MEMBERSHIP APPLICATION EMPLOYEES CLUB OF CALIFORNIA JOIN THE CLUB • Group-rated Term Life and AD&D Insurance • Discount tickets up to 55% off • Partner discounts • Special events Club Members SAVE BIG!! Employees Club of California 120 West 2nd Street • Los Angeles, CA 90012 (888) 777-1744 • www.EmployeesClub.com The Employees Club of California is a membership program of LACEA Insurance Services, Inc. (CA DOI Lic. #0B98000). LACEA Insurance Services, Inc. is a licensed insurance agency offering insurance benefits to qualified Club members. LACEA Insurance Services, Inc. is not directly affiliated with Metropolitan Life Insurance Company. EMPLOYEES CLUB OF CALIFORNIA www.EmployeesClub.com Cheap Tickets. Insane Service. Affordable Insurance. City & DWP ® • Buy-one-get one free offer • Member exclusive events • Food & restaurants • Shopping • Travel • Movie theaters • Sporting events Enjoy the cheapest discount tickets in California and save up to 55% at local restaurants, shops, attractions, travel, and more! EACH MONTH YOU CAN EASILY SAVE $175 • Attractions • Theme parks • Business services • Special events • Car rentals • Theatricals • Merchandise • Water parks • Ski lift tickets OVER 75,000 DISCOUNTS! ® ®
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YOU CAN EASILY SAVE $175 BUSINESS REPLY MAIL › LACEA › forms › membership › 180… · city employees club of los angeles 311 s spring st ste 1300 los angeles ca 90013-9844
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Look Out for Your Club Membership CardOnce your application is processed, your Club Membership card will be mailed directly to you. Your Club Membership ID is your key to unlocking a world of new Club benefit and savings!
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Eligibility Requirements for Life InsuranceYou are eligible to apply for this coverage if you are an active member of the Employees Club of California in good standing; a full time employee working 40 hours per week for the City of Los Angeles or the Department of Water and Power; also must be eligible (except for Electrical Craft Workers) for the City Retirement System or the Department of Water and Power Pension plan.
You must elect Life Hay-Day plan within 60 days of becoming a new Member.
Term Life InsuranceEffective Date for Term Life Insurance: You will be insured on the last day of the pay period for which your payroll deduction is taken, provided the required premium is paid. You must be actively at work on the date insurance is to take effect. If you are not, insurance will take effect on the day you return to work.
Date Insurance Ends for Term Life Insurance: As long as you continue to pay premiums, you continue to be a member, the group policy remains in effect, continue to be in an eligible class, and insurance does not end for your class, your coverage will not end.
Exclusions for Term Life Insurance: If you commit suicide within 2 years from the date Life Insurance takes effect, we will not pay such insurance and our liability will be limited as follows: Any premium paid by you will be returned to the beneficiary and any premium paid by the policyholder will be returned to the policyholder.
Accidental Death & Dismemberment (AD&D) InsuranceEffective Date for AD&D Insurance: You will be insured for Accidental Death and Dismemberment on the date stated in writing by MetLife, provided the required premium is paid. You must be actively at work on the date your insurance is to take effect. If you are not, insurance will take effect on the day you resume such work. Dependent spouse and children are eligible for the AD&D coverage but not the Group Term Life plan.
Date Insurance Ends for AD&D Insurance: As long as you remain a member in good standing, continue to pay premiums, the group policy remains in effect, and insurance does not end for your class, your coverage will not end. If you retire, coverage under this Accidental Death and Dismemberment plan will end, and at which time you are eligible for Retiree AD&D coverage. In addition, with respect to spouses, as long as marriage does not end by divorce or annulment, coverage will continue. With respect to domestic partners, as long as the person remains the domestic partner of the member, coverage will continue.
Exclusions for AD&D Insurance: No benefits will be paid for any loss caused or contributed to by: Suicide or attempted suicide; intentionally self-inflicted injury; service in the armed forces of any country or international authority. However, service in reserve forces does not constitute service in the armed forces, unless in connection with such reserve service an individual is on active military duty as determined by the applicable military authority other than weekend or summer training. For purposes of this provision reserve forces are defined as reserve forces of any branch of the military of the United States or of any other country or international authority, including but not limited to the National Guard of the United States or the national guard of any other country; a physical or mental illness or infirmity, or the diagnosis or treatment of such; infection, other than infection occurring in an external accidental wound; voluntary intake or use by any means of any drug, medication or sedative unless taken as prescribed by a physician; or an “over the counter” drug, medication or sedative taken as directed; alcohol in combination with any drug, medication, or sedative; or poison, gas, or fumes; or committing or attempting to commit a felony; war, declared or undeclared; or act of war, insurrection, rebellion or riot. We will not pay benefits for any loss if the injured party is intoxicated at time of the incident and is the operator of a vehicle or other device involved in the incident.
These Plans are underwritten by Metropolitan Life Insurance Company, New York, NY.
This brochure is a brief description of benefits only.
Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods, and terms for keeping them in force. Please contact your plan administrator for more information and complete costs and details.
These plans are only available in CA.
Metropolitan Life Insurance Company, New York, NYPolicy Number 165584-1-G L0619516069[exp0621][CA] Cheap Tickets. Insane Service. Affordable Insurance.
MEMBERSHIP APPLICATION
EMPLOYEES CLUB OF CALIFORNIA
JOIN THE CLUB
• Group-rated Term Life and AD&D Insurance
• Discount tickets up to 55% off• Partner discounts• Special events
Club Members
SAVE BIG!!
Employees Club of California
120 West 2nd Street • Los Angeles, CA 90012(888) 777-1744 • www.EmployeesClub.com
The Employees Club of California is a membership program of LACEA Insurance Services, Inc. (CA DOI Lic. #0B98000). LACEA Insurance Services, Inc. is a licensed insurance agency offering insurance benefits to qualified Club members. LACEA Insurance Services, Inc. is not directly affiliated with Metropolitan Life Insurance Company.
• Food & restaurants• Shopping• Travel• Movie theaters• Sporting events
Enjoy the cheapest discount tickets in California and save up to 55% at local restaurants, shops, attractions, travel, and more!
EACH MONTH
YOU CAN EASILY
SAVE $175
• Attractions• Theme parks• Business services• Special events• Car rentals• Theatricals • Merchandise • Water parks • Ski lift tickets
OVER 75,000 DISCOUNTS!
®
®
Soc
ial
Sec
urity
N
umbe
r
Membership ApplicationMembership in the Employees Club of California (The Club) is available to employees of the City of Los Angeles and the Dept. of Water and Power (DWP).When you become a member of the Club, you will have exclusive access to amazing membership benefits (like discount tickets and special events). Go to our website, www.EmployeesClub.com for all the details.
JOINTODAY
Call the Club toll free:(888) 777-1744
Visit the club store:120 W. 2nd StreetLos Angeles, CA 90012• FREE validated parking at
Joe’s Parking behind the Club Store. Parking entrance located at 220 S. Spring St., Los Angeles, CA 90012.
Business hours8 a.m. to 4:30 p.m., Mon. – Fri.
Harle
m P
l.
W. 2nd St.
3rd St.
Mai
n St
.
Spri
ng S
t.
City Hall
Caltrans/DOT
LAMall
City HallEast
LAPD
Headquarters
1st Street
Temple St.
Los
Ange
les
St.
N
ClubStore
City HallSouth
Join the Employees Club of CaliforniaThe Club is your passport to hundreds of dollars in savings on movie tickets, theme parks, entertainment, and destinations. You’ll automatically receive all Club membership benefits for a payroll deduction of only $6.00 per month.
Find out more about the Club and all its benefits at www.EmployeesClub.com
Club Members Enjoy:
UP TO 55% OFFDiscount Tickets to movies and attractions like...• AMC Theaters
• Regal/Edwards/UA
• Knott’s Berry Farm
•...and many more.
Club Store 24/7 online access for:• Exciting sporting and special event tickets
• Online ordering of discount tickets: no waiting in line!
Over 75,000 Discounts, including:• Free Notary Service (Contact the Club to make an appointment)