Arcesium

Arcesium

Learn How to Enroll in the LegalEASE Plan
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To enroll, please visit your online enrollment platform, ADP.

Questions? Contact Us.
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We’re here when you need us.

 

Enrollment Questions:

To learn more about LegalEASE and the legal benefits you will get,

Learn more about legal insurance!   Call: 1(800) 248-9000, reference "Arcesium"

 

Learn more about legal insurance!   Or message us by clicking here.

 

Member Services:

Learn more about legal insurance!   Call: 1(888) 416-4313, reference "Arcesium"

 

Learn more about legal insurance!   Or message us by clicking here.

Welcome

 

NEW! LegalEASE Attorney Matching Portal

LegalEASE is expanding our online solution options to members. Introducing the newest online self-service portal, LAMP. Now available to access. Learn more 

Benefits Proudly Offered to Arcesium Employees

 

Be fully prepared and confident

 with LegalEASE

Learn about legal benefits, a smart option for your protection.

LegalEASE can help ease the two biggest stresses -finding and paying for an attorney.

Nobody likes to be caught off guard, especially when it comes to legal matters. Life can be complicated. Finding a good attorney doesn’t have to be. With LegalEASE, it’s easy to choose the best attorney, because you get assistance from highly trained and qualified personal specialists who review the details of local attorneys and help you find your best source for legal advice. Being a LegalEASE member saves you time and costly legal fees. But most importantly, it gives you confidence and provides coverage for common legal matters.

With a LegalEASE plan, you get:

  • An attorney with expertise specific to your legal matter
  • Access to a national network of attorneys with exceptional experience that are matched to meet your needs
  • Coverage for in and out-of-network
  • Concierge help finding a better attorney and navigating common individual or family legal issues
  • Hours of financial counseling and coaching

We all make some sort of plan in life. But have you ever considered the possibility of a legal problem?

You've graduated from college and are planning for your future - where to get hired, which company will put you on the path to success. Whether to be single or date or settle down, and with the right person. Legal problems can be unexpected and interrupt your plans. LegalEASE provides coverage for your specific legal matter so you won't be caught off guard.

Protect your family’s future, with LegalEASE.

You work hard to make the right choices for your loved ones, especially when it comes to legal and financial matters. Get the peace of mind you want and the protection you need with a LegalEASE Plan. LegalEASE offers valuable benefits to shield your family and savings from unexpected legal issues.                              

According to the American Bar Association, more than 70 percent of U.S. households will have the need for a lawyer in the next 12 months. And the same study found most consumers feel uncertain about how to tell a good lawyer from a bad one. With LegalEASE you have access to a national network of credentialed attorneys and the help you need to find the best attorney for your legal matter with its concierge service.

Coverage

The Value of a LegalEASE Benefits Plan.

Being a LegalEASE benefits plan member saves you time and costly legal fees. But most importantly, it gives you confidence and provides coverage for:
  • Home and Residential
  • Financial and Money Matters
  • Consumer
  • Auto and Driving
  • Family and Personal 
  • Civil Lawsuits
  • Estate planning and wills

LegalEASE Benefits Plan Coverage

Benefits are designed to meet the typical needs of an employee and their family. There are no deductibles to worry about for covered services. Benefits cover the attorney’s time. Other costs such as filing fees or court costs are not covered. Listed below are the types of matters that are covered by the LegalEASE benefits plan. This plan offers the convenience of in-network and out-of-network benefits. Many of the below areas are fully covered in-network.

Plan Cost

The LegalEASE Plan is $8.96 per pay-period, via payroll deduction, based on a 24 pay-period deduction schedule. 

Who's Covered? 

The Member’s spouse or Domestic Partner and Member’s unmarried dependent children, including stepchildren, legally adopted children, children placed in the home for adoption and foster children, up to age 26

Schedule of Benefits

Advice and Consultation

 LegalEASE Plan Coverage

Participating Attorney

 LegalEASE Plan Coverage

Non-Participating Attorney

LegalEASE Helpline

Covered

Not Applicable

Initial Law Office Consultation
one hour per calendar year

Covered

Not Applicable

Review of Simple Documents
Review of documentation up to pages

Covered

Not Applicable

Miscellaneous Services

 LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Discounted Legal Services for any non-excluded legal matter
25% discount on Participating
Attorney’s hourly rates
Not Applicable

Consumer Matters

 LegalEASE Plan Coverage

Participating Attorney

 LegalEASE Plan Coverage

Non-Participating Attorney

Document Preparation:

  • Simple Deed
  • Promissory Note
  • Consumer Dispute Correspondence
  • Installment Sales Agreement
  • Simple Affidavit
  • General Power of Attorney:
    • Member & Family Member
  • Lease Agreement - Tenant only
  • Time Share Agreement

Covered

 

  • $65
  • $55
  • $55
  • $55
  • $55
  • $55
  • $65
  • $55

Consumer Dispute

Covered

$595

Small Claims Court Reprsentation

Covered up to 2 hours with remainder at 25% discount

$120

 Estate Planning

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Will or Codicil for:

  • Member
  • Spouse
  • Family Member

Covered

$80

Living Will/Health Care or Advance Directive

Covered

$55

Health Care or Medical Power of Attorney

Covered

$55

Probate of Small Estate

Covered up to 2 hours with remainder at 25% discount

$120

Elder Law

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Elder Parent Will Preparation Covered $80
Elder Parent Living Will/Health Care or Advance Directive Covered $55
Elder Parent Durable Financial Power of Attorney $45/Co-Pay Not Applicable
Elder Parent Health Care or Medical Power of Attorney $45/Co-Pay Not Applicable
Residential Matters

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Purchase of Primary Residence Covered $490
Sale of Primary Residence Covered $365
Refinancing of Primary Residence Covered $385
Tenant Dispute Paid in Full subject to Managed Case Rules* $1,700 maximum subject to Managed Case Rules*

Financial Matters

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Debt Collection Defense

  •  Pre-litigation defense activities
  •  Trial defense

Covered

 
  • $425
  • $850

Bankruptcy (Chapter 7 or 13)

Covered
$935

Foreclosure

Covered
$680

Tax Audit

Covered subject to Managed Case Rules*
$1,700 maximum subject to Managed Case Rules*

Family Matters

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Prenuptial Agreement Covered $680
Name Change Covered $255

Uncontested Guardianship/Conservatorship

Covered

$365

Uncontested Governmental Agency Adoptions

Covered

$365

Uncontested Stepparent Adoptions

Covered

$365

Juvenile Court Proceedings

Covered

$470

Civil MattersDefense

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Civil Litigation Defense

Covered

$1,700 maximum subject to Managed Case Rules*
Discounted Contingency Fees 10% discount on state maximum, or a maximum of 29% pre-trial, 36% at trial, or 40% in an appeal Not Applicable
Mediation 10% discount on Mediator’s hourly rates Not Applicable

Criminal Defense

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Traffic Ticket
Covered
$215

Serious Traffic Matters (resulting in suspension or revocation of license)

Covered

$425

Administrative Proceeding  (regarding suspension or revocation of license)

Covered

$255

Additional Benefits

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Financial Advisor Covered Not Applicable
Identity Theft Recovery Assistance Covered Not Applicable

Small Business Owner Advice and Representation

LegalEASE Plan Coverage

Participating Attorney

LegalEASE Plan Coverage

Non-Participating Attorney

Incorporation Advice and Filing
 
Covered up to
5 hours with
remainder at 25%
discount
$425

Limitations apply.

* Managed Case Rules

In cases requiring more attorney time than covered by the standard Participating Attorney maximum fee, Managed Case Rules may be used to approve additional coverage beyond the standard Participating Attorney maximum fees. They are also used to ensure that Non-Participating Attorney fees are reasonable and customary. Managed Case Rules provide protection for You by limiting or preventing additional charges that You would otherwise be responsible for. Managed Case Rules may be enacted prior to or after the initial consultation. Managed Case Rules require the following:
1. You should contact the Member Service Center prior to proceeding with an attorney. If You understand from the attorney that there may be additional charges beyond the covered charges under the Policy call the Member Service Center. If You do not contact the Member Service Center prior to proceeding with the attorney, then You may be responsible for those additional charges beyond the covered charges under the Policy, even on a Paid In Full benefit.
2. If it is determined that the complexity of the case may require additional hours beyond the standard Participating Attorney maximum, or that the Non-Participating Attorney charges are higher than reasonable and customary fees, the attorney must provide a written estimate of fees reflecting his or her best judgment as to the likely cost of legal services based on the expected conduct of the case.
3. We will set a maximum attorney fee that takes into consideration the reasonable level of reimbursement of the proceeding and the proposed litigation strategy. Fees as a result of services in excess of the maximum attorney fee are Your responsibility.

 

Exclusions

The following benefits are excluded:
 Appellate court proceedings. Class actions. Interventions. Malpractice proceedings. Actions in which punitive damages are being sought. Derivative actions and amicus curiae filings.
The preparation and filing of:
individual, partnership or estate tax returns, appellate or administrative proceedings related to tax returns, litigation before the U.S. Tax Court, U.S. Court of Claims or any other federal, state or other courts with respect to tax matters.
Legal services that are fully paid for or provided at no cost by any governmental agency, organization or insurance company.
Matters that the attorney deems frivolous, spurious, harassing, or unethical or otherwise prohibited by the Model Rules of Professional Conduct of the state in which the attorney is licensed.
Costs associated with covered legal services. This includes, but not limited to, the following:
all fines, court costs, penalties, sanctions, expert witness fees, bonds, bail bonds, attorney fees awarded as part of a judgment, exhibits, deposition costs, filing fees, transcripts, postage, telephone, photocopying, recording fees, messengers, judgments, jury fees, court reporter fees, investigative costs, mediator or arbitrator fees. This also includes all other incidental and out-of-pocket legal and litigation costs.
Any services on behalf of a Covered Family Member against Your interests.
Any dispute or proceeding against the following persons or entities, their officers, directors, employees, or agents:
any person or entity involved in the sale, marketing, administration or other processes related to the Policy; Legal Plan Administrator or its subsidiaries; Claims Administrator or its subsidiaries; Policyholder; Your employer; Virginia Surety Company, Inc. and it’s parents, subsidiaries or any affiliated or successor company, plan underwriter or reinsurer; Plan Sponsor; or any Participating and/or Non-Participating Attorney
if the dispute or proceeding pertains to services provided under the Policy.
The Policy does not allow benefits listed under the Covered Services section to be combined for one legal matter.
Where there are specific hours or dollar amounts provided in the Policy, or where a maximum is set under the Managed Case Rules, You will be responsible for all attorney fees incurred which exceed the maximum. Additional exclusions related to each benefit are included in the Covered Services.
Matters relating to: securities, trademark or patent matters; business or commercial interests, including, but not limited to the following:
professional, partnership and/or corporate matters; matters arising out of Your/Covered Family Member’s role as an officer or director of an organization; matters involving the law or laws of jurisdictions other than the United States and its territories, except as specifically described under Covered Services; any matters involving a government (domestic or foreign) entity or agency except as specifically described under Covered Services; farm related issues.
Matters involving commercial or rental property transactions, including the purchase, sale or lease of investment or income-producing property. A multi-family residence, whether or not used by You/Covered Family Member as the primary residence, is deemed an investment or income-producing property.
Any employment-related matter. This includes, but is not limited to the following:
any dispute involving
• Your employer or its affiliates,
• their officers or directors,
• Your employee benefit plans,
• credit unions,
• programs or arrangements sponsored by an employer, or cases involving:
• workers’ compensation,
• unemployment compensation,
• sex harassment, and
• age discrimination.
Except for consultation, the Policy will not provide benefits in connection with pre-existing matters. Pre-existing matters include any matter where You/Covered Family Member are on notice:
as to a pending legal dispute or has previously contacted an attorney except when prior coverage under another Legal Plan provided by the Policyholder can be demonstrated.

 

Definitions

Definitions
 
“CLAIMS ADMINISTRATOR” - means LegalEASE; or its subsidiary.
“COMPLEX WILL” – means: You have a significant net worth and will benefit from tax planning, or the estate is subject to current state or federal estate taxation; or You own a business that will continue in operation after death; or You want to put restrictions on what heirs may do with the property; or You want to leave money to someone in a trust because the person cannot manage his or her own affairs (such as a mentally handicapped child), or You want the property to be managed by a trustee for a period of time past the child’s age of majority, to age 25 or 30, for example; or You think that someone will challenge the will; or You want to exclude any lawful dependents.
The inclusion of a pour-over provision in a will does not, by itself, make a will complex.
“COVERED FAMILY MEMBER” – means Your spouse/domestic partner and Your or Your spouse/domestic partner's dependent children, including stepchildren, legally adopted children, children placed in the home for adoption, foster children, and children who are under sole legal guardianship of You or spouse/domestic partner up to age 26.
“COVERED SPOUSE” - means Your lawful spouse or Domestic Partner at the time the coverage is in effect.
“DOMESTIC PARTNER” – means Your domestic/civil union partner as defined by the jurisdiction in which You primarily resides.
“EFFECTIVE DATE” - means the date Your coverage hereunder begins.
“HEALTH CARE OR MEDICAL POWER OF ATTORNEY” – A legal document that allows an individual to appoint another person to make medical decisions in the event the individual is unable to do so him/her self.
“LEGAL PLAN ADMINISTRATOR” – LegalEASE, its affiliates, officers, directors, employees, and/or agents, including third party organizations and their affiliates, officers, directors, employees, and/or agents, hired by LegalEASE to perform services under the Policy.
“LIVING WILL/HEALTH CARE OR ADVANCE DIRECTIVE” – A legal document that outlines an individual’s preferences for medical treatment. This document takes effect when the individual becomes incapacitated and can no longer express his or her wishes.
“MEMBER” - refers to the individual who is associated with the Policyholder and/or Plan Sponsor, has either paid a premium or had a premium paid on his or her behalf, and meets the eligibility requirements for Covered Services as defined by the Policyholder.
“MEMBER SERVICE CENTER” - means the service location established to assist You/Covered Family Members in making full use of the coverage.
“NON-PARTICIPATING ATTORNEY” - means an attorney not contracted by the Legal Plan Administrator who:
• is selected and
• paid by the You
to provide covered legal services.
Covered legal services are provided up to the maximum amount shown under the Non-Participating Attorney column of the Schedule.
“PAID IN FULL” - means complete payment in full to a Participating Attorney for covered legal services.
“PARTICIPATING ATTORNEY” - means an attorney contracted by the Legal Plan Administrator to provide covered legal services. Covered legal services are provided up to the amount shown under the Participating Attorney column of the Schedule.
“PLAN SPONSOR” - means an organization other than the Policyholder or the Your employer that makes coverage hereunder available.
“POLICY” - means the Group Legal Expense Insurance Policy and the Certificate of Coverage.
“POLICYHOLDER” - means the organization named in the declarations page.
“SMALL BUSINESS” – An ongoing business: comprised of no more than 10 employees or independent contractors, including You and/or Covered Spouse and which produced less than $500,000.00 in total annual revenue in the previous full calendar year.
“SURFACE WEB” – means the portion of the World Wide Web that is readily available to the general public and searchable via standard web search engines.
“WE”, “US”, “OUR” AND “COMPANY” - means Virginia Surety Company, Inc.
“YOU” AND “YOUR” – means Member.
 
Covered Services
 
In consideration of payment and receipt by Us of the applicable premium, all Covered Services are available to You and all Covered Family Members, except as specifically noted below. The following Covered Services are provided when You use a Participating Attorney. The Schedule chart shows the reimbursement schedule when You use a Non-Participating Attorney.
 
Advice and Consultation
LegalEASE Helpline:
Advice and consultation by telephone with a Participating Attorney. Services are available during normal business hours. Calls can relate to any personal legal matter, except those specifically excluded.
Initial Law Office Consultation:
Office consultations with an attorney on any personal legal problem, except those specifically excluded.
Review of Simple Documents:
This benefit includes:
(a) attorney review,
(b) verbal explanations of the meaning or impact of any form or document, or
(c) suggestions for changes to a form or proposed document being drafted
of up to the maximum number of pages as shown in the Schedule.
This benefit does not include a written analysis of any form or document.
 
Miscellaneous Law Office Services
Discounted Legal Services for any Non-Excluded Legal Matter:
This benefit will cover any legal services to:
(a) review and/or prepare documents, or
(b) any other service required on any legal matters not listed as a Covered Service or Exclusion.
This benefit may be used to extend the coverage for any other service shown in the Schedule beyond the limits of coverage.
 
Consumer Matters
Document Preparation:
Preparation of any of the following documents:
• Simple Deed (excluding those reviewed or prepared under the real estate benefit) This benefit is limited to one use per year per Member/Covered Family Member. 
• Promissory Note: This benefit is limited to one per year per Member/Covered Family Member.
• Consumer Dispute Correspondence: This benefit is limited to one use per year per Member/Covered Family Member. 
• Installment Sales Agreement: This benefit is limited to one use per year per Member/Covered Family Member.
• Simple Affidavit: This benefit is limited to one use per year per Member/Covered Family Member. 
• General Power of Attorney: This benefit is limited to one use per year per Member/Covered Family Member and can be used for a General, Limited, and/or Durable Financial Power of Attorney. 
• Lease Agreement (for You/Covered Family Member as a tenant only). This benefit is limited to one use per year per Member/Covered Family Member. 
• Time Share Agreement: This benefit is limited to one use per year per Member/Covered Family Member.
Consumer Dispute:
Consultation or representation in a dispute relating to consumer goods and services (not directly or indirectly related to
(a) real estate construction or renovation, or
(b) landlord/tenant disputes).
This benefit is limited to one use per year.
Small Claims Court Representation:
Consultation and/or representation for a consumer dispute filed in small claims court. (Attorney may not be permitted to attend court hearings in some jurisdictions).
This benefit is limited to one use per year.
 
Estate Planning
Will or Codicil Preparation:
Preparation of one will or codicil (an amendment to an existing will), including the preparation of a simple testamentary support trust for the dependent children:
Will Preparation: Attorney shall prepare a will or codicil and discuss the legal requirements for signing the will. This benefit does not cover Complex Wills. For a definition of Complex Wills, please see the Definitions section.
This benefit is limited to one use per year per Member/Covered Family Member.
Living Will/Health Care or Advance Directive/Health Care or Medical Power of Attorney:
This benefit covers the preparation of up to 2 of any of the following documents as defined in the Definitions section per Member/Covered Family Member:
(a) Living Will
(b) Health Care Directive
(c) Advance Directive
(d) Health Care Power of Attorney
(e) Medical Power of Attorney
The titles of the above documents may vary by state. When state law allows the information contained in any two or more of the above mentioned documents to be combined into one document, then the benefit covers the preparation of both documents, and can be combined to increase the total allowed benefit.
This benefit is limited to one use per year per Member/Covered Family Member.
Probate of Small Estate:
The service of an attorney for the probate of a small estate up to the maximum as shown in the Schedule. The estate must not be subject to current state or federal estate taxation. This benefit does not apply when there are applicable state-mandated attorney fees.
 
Elder Matters
Elder Parent Will Preparation:
Each Eligible Parent may receive one Simple Will per year at no charge. The attorney will prepare the document and discuss the legal requirements for signing the will. This benefit does not cover Complex Wills. For a definition of Complex Wills, please see the Definitions section.
Elder Parent Living Will/Health Care or Advance Directive:
Each Eligible Parent may request one Living Will/Health Care or Advance Directive per year at no charge. For a definition of Living Will/Health Care or Advance Directive, please see the Definitions section. The attorney will prepare the documents as authorized by state law and discuss the legal requirements for signing the Living Will/Health Care or Advance Directive. The titles of the above documents may vary by state. When state law allows the information contained in any two or more of these documents to be combined into one document, then the benefit covers the preparation of both documents, and can be combined to increase the total allowed benefit.
Elder Parent Durable Financial Power of Attorney:
Each Eligible Parent may request one Durable Financial Power of Attorney per year at the co-pay rate shown in the Schedule. For a definition of Durable Financial Power of Attorney, please see the Definitions section. The attorney will prepare the documents as authorized by state law and discuss the legal requirements for signing the Durable Financial Power of Attorney. The titles of the above documents may vary by state.
This benefit is limited to one use per year.
Elder Parent Health Care or Medical Power of Attorney:
Each Eligible Parent may request one Health Care or Medical Power of Attorney per year at the co-pay rate shown in the Schedule. For a definition of Health Care or Medical Power of Attorney, please see the Definitions section. The attorney will prepare the documents as authorized by state law and discuss the legal requirements for signing the Health Care or Medical Power of Attorney. The titles of the above documents may vary by state. When state law allows the information contained in any two or more these documents to be combined into one document, then the benefit covers the preparation of only one document and can not be combined to increase the total allowed benefit.
This benefit is limited to one use per year.
 
Residential Matters
Real Estate Sale, Purchase or Refinancing of Primary Residence:
The services of an attorney for the sale, or purchase or refinancing of a primary residence (where You have resided or intends to reside for twenty-seven (27) weeks or more per year).
This service includes:
(a) the review and/or preparation of closing documents and/or
(b) attendance by the attorney at closing in situations when it is customary for the attorney to do so.
This benefit does not include:
(a) services performed by or for a title company, or
(b) for an attorney acting on behalf of a lending institution.
Home equity loans and the sale or purchase of rental properties are not included.
This benefit does not include any fees or costs other than those related to the attorney’s review of the purchase/sale documents.
This benefit is limited to one closing per year.
Tenant Dispute:
Representation of You as a tenant in a dispute with Your landlord. This benefit does not include representation for a tenant in a dispute with other tenants.
This benefit is limited to one use per year.
 
Financial Matters
Debt Collection Defense:
The defense of any dispute involving personal (non-business related) debt.
This benefit includes:
(a) correspondence,
(b) negotiating with creditors to arrange a repayment schedule,
(c) assistance in limiting harassment by bill collectors, and
(d) negotiating settlement after a complaint is filed.
This service does not include:
(a) defense against execution of a court-ordered judgment or
(b) efforts to vacate or set aside a judgment.
This benefit is limited to one use per year.
Bankruptcy:
Representation on Your behalf for personal bankruptcy protection under Chapter 7 or 13 of the Internal Revenue Code. This benefit does not include business related bankruptcy.
This benefit is limited to one use per year.
Foreclosure:
Defense of You in an action to foreclose on Your primary residence (where You have resided or intends to reside twenty-seven (27) weeks or more per year.)
This benefit is limited to one use per year.
Tax Audit:
This benefit includes:
(a) the services of an attorney (but not accounting services) during a personal (non-business related) tax audit required by federal and
(b) state tax authorities and negotiations relating to it.
This benefit does not include a defense against criminal charges nor the defense of civil tax litigation in any tax court.
This benefit is limited to one use per year.
 
Family Matters
Prenuptial Agreement:
This service covers the preparation of an agreement by You and Your fiancé/partner prior to Your marriage or legal union (where allowed by law), outlining how property is to be divided in the event of:
(a) separation,
(b) divorce or
(c) death of a spouse.
Representation is provided only to You. The fiancé/partner must have separate counsel or must waive representation.
This benefit is limited to one use per year.
Name Change:
Services required to accomplish a legal name change for You/Covered Family Member.
This benefit is limited to one use per year per Member/Covered Family Member.
Uncontested Guardianship/Conservatorship:
Services required to establish You/Covered Family Member as the guardian(s) or conservator(s) of another. This benefit does not include fees for a court-appointed attorney for the child/conservatee. This benefit does not include contested matters.
This benefit is limited to one use per year.
Uncontested Government Agency/Stepparent Adoption:
Legal representation up to the maximum shown in the Schedule in an uncontested:
(a) governmental agency or
(b) stepparent adoption.
An uncontested adoption does not involve significant disputed issues.
This benefit does not include:
(a) contested termination of parental rights;
(b) fees for a court-appointed attorney for the child; or
(c) adoptions(s) made through any agency other than a governmental agency.
A contested adoption requires:
(a) more than five hours of attorney time and
(b) involves disputed issues.
This benefit is limited to one use per year.
Juvenile Court Proceeding:
Services related to the representation of Your/Covered Family Member’s dependent child in any juvenile court proceeding, provided the child’s interest is not in conflict with Your and/or Covered Family Member’s interest. This benefit does not cover any matter that falls outside the jurisdiction of juvenile court.
This benefit is limited to one use per year.
 
Civil Matters
Civil Litigation Defense:
Services related to representation when You are named as defendant in a filed civil lawsuit (non-business related), up to and including the trial thereof. This benefit does not include: (a) any debt collection or family law matters; (b) lawsuits normally handled on a contingent fee basis; or (c) matters for which You have or are required by law to have insurance.
This benefit is limited to one use per year.
Discounted Contingency Fees:
Participating Attorneys will handle the matter at a maximum percentage of the gross award. It is Your responsibility to pay this fee and all costs.
(a) When state laws set contingency fees: Lesser of 10 % less than state law maximum fee or the Participating Attorney’s usual fee.
(b) When state laws do not set contingency fee: Maximum of 29 % if settled before trial, 36 % if trial is conducted, or 40 % after an appellate brief is filed.
Contingency rate discount applies in those cases where attorneys customarily take a case on a contingency fee, (an agreed upon portion of any recovery), depending on the outcome of the case.
Mediation:
The services of an attorney for representation at a mediation. This benefit does not include the cost of the mediator’s services.
 
Traffic and Administrative Matters
Traffic Ticket:
Services related to representing You in defense of any traffic ticket except driving under influence or vehicular homicide, including:
(a) court hearings,
(b) negotiation with the prosecutor,
(c) trial, and
(d) counseling and preparing You for self-representation at any hearings if chosen.
This benefit does not cover violations related to a commercial driver’s license. This benefit does not apply to Driving Under the Influence (DUI) or Driving While Intoxicated (DWI) violations/citations.
This benefit is limited to one use per year.
Serious Traffic Matter:
Services related to representing You when You are:
(a) charged by governing authorities with moving traffic violation(s) and
(b) conviction could result in suspension or revocation of a state-issued license permitting a person to drive a motor vehicle.
This benefit does not cover violations related to a commercial driver’s license. This benefit does not apply to Driving Under the Influence (DUI) or Driving While Intoxicated (DWI) violations/citations. This benefit can not include expungements of misdemeanor convictions. This benefit does not include adjustments to probation or parole.
This benefit is limited to one use per year.
Administrative Proceeding:
Services related to representing You in an administrative proceeding relating to the:
(a) suspension or
(b) revocation
of driving privileges.
This benefit does not cover suspension or revocation of a commercial driver’s license.
This benefit is limited to one use per year.
 
The following is a list of Covered Services available, in addition to the services described in your Certificate of Coverage.
 
FINANCIAL ADVISOR
Coverage includes a financial counseling Service for Member, and Covered Family Members.
Financial Helpline
Consultation with legal or financial professionals by toll-free telephone during normal business hours. Calls can relate to investment strategies, debt matters, budgeting or any personal financial planning question.
 
IDENTITY THEFT PREVENTION/RECOVERY ASSISTANCE
Coverage includes a basic Identity Theft HelpLine Service as well as a comprehensive Online Identity Theft Prevention and Assistance Service for Member, and Covered Family Members.
Advice and Consultation
Telephone consultations (10 per year) with a Trained Identity Theft Recovery Specialist.
Additional Benefits
a) Personal Recovery Kit – designed to walk a victim of identity theft step-by-step through the process of recovery (designed to be utilized in conjunction with the consultations with the Recovery Specialist).
b) Recovery Letter preparation by plan attorney – a plan attorney will draft the simple affidavits to submit to specific agencies and organizations needed to establish the theft of your identity and prevent further loss of your identity and credit rating.
c) Review of necessary recovery legal documents (up to 6 pages each).
 
Obtaining Benefits
 
Claim for Benefits
1. You should call the Member Service Center to confirm the potentially applicable benefit(s) prior to consulting with any attorney. You/Covered Family Member must provide all information requested with respect to the circumstances of an insured event or service provided. The Member Service Center will assign a Participating Attorney to provide services relative to the matter. Failure to notify the Member Service Center within thirty (30) days following consultation with an attorney may result in a denial of benefits, if such failure to provide timely notice has prejudiced Us in any way. Failure to provide notice within thirty (30) days will not invalidate or reduce an otherwise valid claim if it is shown not to be reasonably possible to give such notice within 30 days and that notice was given as soon as reasonably possible thereafter. Coverage applies to covered events which occur while the coverage is in effect. Any covered event which occurs prior to the effective date of coverage will be considered excluded and no benefits will apply.
You may reach the Member Service Center at:
5151 San Felipe, Suite 2300
Houston, TX 77056
888-416-4313
2. To confirm coverage for matters to which Managed Case Rules apply reference Managed Case Rules in the Schedule.
3. Members and/or Covered Family Members who are requesting services must remain enrolled and continue to pay premium hereunder.
4. Upon completion of a Covered Service, You/Covered Family Member may be required by the Participating Attorney to sign a confirmation of completion. Failure to sign the confirmation may result in denial of the claim and You/Covered Family Member will be responsible for all legal fees.
5. If You/Covered Family Member pay for pre-authorized services provided by a Non-Participating Attorney, You must:
(a) submit a reimbursement form (provided by Member Service Center) accompanied by an original itemized bill,
(b) proof of payment and
(c) supporting documentation
sufficient to demonstrate the work completed in the matter within sixty (60) days after incurring the legal fees. Benefits provided to You/Covered Family Member for Covered Services are subject to the maximum as shown in the Schedule.
6. Payment by Us for Covered Services does not preclude the attorney (whether Participating or Non-Participating) from seeking and recovering attorney’s fees from an opposing party, where authorized by:
(a) law,
(b) court rule, or
(c) contract
at the attorney’s customary or prevailing rate.
If You/Covered Family Member receive reimbursement of attorney’s fees, then You/Covered Family Member agree to reimburse Us for payments issued.
Disputes Between Member and Covered Family Member
In the event that Your and one of the Covered Family Members are involved as adversaries in a dispute that is a Covered Service, only You will be covered.
If two or more Covered Family Members are involved in a dispute that is otherwise covered, no coverage will be provided.
If two Members are involved as adversaries in a dispute that is a Covered Service, separate coverage for each Member will be provided.
 
Exclusions
 
The following benefits are excluded:
 Appellate court proceedings. Class actions. Interventions. Malpractice proceedings. Actions in which punitive damages are being sought. Derivative actions and amicus curiae filings.
The preparation and filing of:
individual, partnership or estate tax returns, appellate or administrative proceedings related to tax returns, litigation before the U.S. Tax Court, U.S. Court of Claims or any other federal, state or other courts with respect to tax matters.
Legal services that are fully paid for or provided at no cost by any governmental agency, organization or insurance company.
Matters that the attorney deems frivolous, spurious, harassing, or unethical or otherwise prohibited by the Model Rules of Professional Conduct of the state in which the attorney is licensed.
Costs associated with covered legal services. This includes, but not limited to, the following:
all fines, court costs, penalties, sanctions, expert witness fees, bonds, bail bonds, attorney fees awarded as part of a judgment, exhibits, deposition costs, filing fees, transcripts, postage, telephone, photocopying, recording fees, messengers, judgments, jury fees, court reporter fees, investigative costs, mediator or arbitrator fees. This also includes all other incidental and out-of-pocket legal and litigation costs.
Any services on behalf of a Covered Family Member against Your interests.
Any dispute or proceeding against the following persons or entities, their officers, directors, employees, or agents:
any person or entity involved in the sale, marketing, administration or other processes related to the Policy; Legal Plan Administrator or its subsidiaries; Claims Administrator or its subsidiaries; Policyholder; Your employer; Virginia Surety Company, Inc. and it’s parents, subsidiaries or any affiliated or successor company, plan underwriter or reinsurer; Plan Sponsor; or any Participating and/or Non-Participating Attorney
if the dispute or proceeding pertains to services provided under the Policy.
The Policy does not allow benefits listed under the Covered Services section to be combined for one legal matter.
Where there are specific hours or dollar amounts provided in the Policy, or where a maximum is set under the Managed Case Rules, You will be responsible for all attorney fees incurred which exceed the maximum. Additional exclusions related to each benefit are included in the Covered Services.
Matters relating to: securities, trademark or patent matters; business or commercial interests, including, but not limited to the following:
professional, partnership and/or corporate matters; matters arising out of Your/Covered Family Member’s role as an officer or director of an organization; matters involving the law or laws of jurisdictions other than the United States and its territories, except as specifically described under Covered Services; any matters involving a government (domestic or foreign) entity or agency except as specifically described under Covered Services; farm related issues.
Matters involving commercial or rental property transactions, including the purchase, sale or lease of investment or income-producing property. A multi-family residence, whether or not used by You/Covered Family Member as the primary residence, is deemed an investment or income-producing property.
Any employment-related matter. This includes, but is not limited to the following:
any dispute involving
• Your employer or its affiliates,
• their officers or directors,
• Your employee benefit plans,
• credit unions,
• programs or arrangements sponsored by an employer, or cases involving:
• workers’ compensation,
• unemployment compensation,
• sex harassment, and
• age discrimination.
Except for consultation, the Policy will not provide benefits in connection with pre-existing matters. Pre-existing matters include any matter where You/Covered Family Member are on notice:
as to a pending legal dispute or has previously contacted an attorney except when prior coverage under another Legal Plan provided by the Policyholder can be demonstrated.
 
General Provisions
 
Attorney-Client Relationship
All attorneys are subject to the authority of the state Supreme Court and the state bar association of the state(s) where they are licensed to practice. You have the unrestricted right to choose an attorney. Your relationship with an attorney is privileged and strictly confidential. We will not interfere in:
(a) the attorney-client relationship or
(b) in the attorney’s independent exercise of his or her professional judgment.
Participating Attorneys are not certified specialists. Participating Attorneys are not agents or employees of either the Legal Plan Administrator or Us.
You shall authorize the Participating Attorney to provide the Legal Plan Administrator with:
(a) information and
(b) supporting documentation
on the number and type of services provided to You.
By using legal services benefits that are provided under the Policy, You agree that neither:
(a) We,
(b) the Policyholder,
(c) nor any other person
involved in the marketing or administration of the Policy, shall have any liability for the:
(a) acts,
(b) errors or omissions
of an attorney providing services, in whole or in part.
Non-Participating Attorney Services
If You already have an attorney, You may prefer to use her/him as a Non-Participating Attorney. To do so, You must first contact the Member Service Center and notify the representative of Your intention to use a Non-Participating Attorney for a Covered Service. The Member Service Center will send You a claim form which must be completed and returned in order to request reimbursement. Your reimbursement will be based on the reimbursement schedule shown under the Non-Participating Attorney column of the Schedule. If You have a Non-Participating Attorney You would prefer to work with, the Legal Plan Administrator may elect to offer to negotiate with the attorney on Your behalf but cannot guarantee the Non-Participating Attorney will accept the Plan Discounted Rate.
Subrogation and Coordination of Benefits
All benefits will be subject to subrogation and coordination of benefit rules. For the purpose of subrogation, We may require You/Covered Family Member to assign all rights of recovery of legal fees to the extent that payment is made by Us. If an assignment is sought, You/Covered Family Member must cooperate in providing the assignment.
The Policy coordinates benefits as follows: when a claim is made, the primary plan pays its regular benefit first. A plan is primary when it:
1. covers Policyholder’s employee as insured rather than as a dependent
2. covers a child as dependent of the parent whose birthday occurs earliest in the calendar year, except when:
(a) parents are separated or divorced and parent with custody is not remarried: benefit of parent with custody is primary
(b) parents are divorced and parent with custody is remarried, the order of determination is:
(i) parent with custody
(ii) step-parent
(iii) parent without custody
(c) a court decree establishes financial responsibility for a child’s legal expenses: then that parent’s plan is primary
If none of the above applies, the plan that has covered the insured the longest is primary, except if the insured is laid off or retired.
If You are entitled to receive legal services or reimbursement for legal services from any other person or organization, Our coverage will be excess.
Payment by Us for legal services under the Policy does not preclude Your attorney from seeking and recovering attorney fees from an opposing party, where authorized by law, court rule or contract, at the attorney’s usual and customary or prevailing rate. If You receive reimbursement of attorney’s fees, then You will reimburse Us for payments made under the Policy.
Legal Terminology
You or Covered Family Member may call the Member Service Center to obtain a definition or explanation of any term used herein.
Coverage Period
The coverage period is automatically renewable upon receipt of appropriate premium unless terminated in accordance with the terms hereof.
Premium Refund Provision
In the event that:
(a) the premium mode is other than monthly and
(b) the Group Policy is terminated or
(c) You elect to terminate the coverage,
a pro-rata premium refund will be made in accordance with the insurance laws of the Policyholder’s state.
Termination and Cancellation of Coverage
Coverage provided to the Member shall terminate upon the first of the following to occur:
(a) Cancellation or termination of the Group Policy;
(b) If applicable, the Member fails to re-enroll;
(c) The Member is no longer associated with Policyholder; or
(d) The Member fails to remit premium when due, subject to the statutory grace period.
Coverage provided to a Covered Family Member of a Member shall terminate upon the first of the following to occur:
(a) The Member’s coverage is cancelled or terminated; or
(b) The family member ceases to qualify as a Covered Family Member as defined in the Definitions section.
When coverage for a Member/Covered Family Member terminates Covered Services that would begin after the date such coverage ends will not be covered. However, Covered Services will continue until completed for any matter that is unresolved when coverage terminated for an additional ninety (90) days, then any further legal work between said Member/Covered Family Member and the Participating Attorney shall be outside the scope and coverage of the Policy. The Participating Attorney shall not be obligated to provide any benefits under the Policy and any further legal services shall be based upon an independent and separate fee agreement entered into, if at all, between the former Member/Covered Family Member and the attorney.
After the Group Policy has been in effect for sixty (60) days or more, it may be cancelled for one of the following reasons:
(a) Nonpayment of premium by Policyholder for covered Members;
(b) Discovery of fraud or material misrepresentation in the obtaining of the Group Policy or in the presentation of claim thereunder;
(c) Discovery of an act or omission, or a violation of any Group Policy condition; that substantially and materially increases the hazard insured against, and which occurred subsequent to inception of the current Group Policy period;
(d) A determination by the superintendent that continuation of the present premium volume of the Company would jeopardize the solvency or be hazardous to the interests of Policyholders of the Company, its creditors or the public;
(e) A determination by the superintendent that the continuation of the Group Policy would violate, or would place the Company in violation of, any provision of this chapter;
The Company shall provide written notice of cancellation to the Policyholder at least sixty (60) days prior to the effective date of such cancellation. If the Company cancels for non-payment of premium, the Company shall provide written notice of cancellation to the Policyholder at least fifteen (15) days prior to the effective date of such cancellation and the amount due. All notices shall state the reason for cancellation. The Policyholder is responsible for notifying the Members of cancellation.
The Policyholder may cancel for any reason by providing thirty (30) days written notice to Us.
Non-Renewal of Group Policy
The Company shall provide written notice of non-renewal to the Policyholder at least forty-five (45) days, but no more than sixty (60) days, prior to the effective date of such non-renewal.
Illegal Activity, Misrepresentation and Fraud
No misrepresentation shall avoid any contract of insurance or defeat recovery, thereunder, unless such misrepresentation was material. No misrepresentation shall be deemed material unless knowledge by the insurer of the facts misrepresented would have led to a refusal by the insurer to make such contract. We will not provide coverage if doing so would be in violation of any United States economic or trade sanction.
Premium Remittance
The Policyholder shall remit premium to the Company no later than the 10th calendar day following the month for which Group Policy coverage is provided.
Grace Period
The Group Policy provides the Policyholder a grace period of thirty-one (31) days after the premium for covered Members’ due date to remit the premium that is due and unpaid. During the grace period, the Group Policy will continue in effect. If the premium for covered Members remains unpaid at the end of the grace period, the Policy will terminate. Termination will be effective at 12:01 a.m. on the thirty-second (32nd) day following the due date for which premium for covered Members remains unpaid. The Policyholder shall remain liable for the pro-rata portion of all premiums that accrue for the period the Group Policy is in effect. Failure to remit premiums when due to the Us shall not constitute nonpayment of premium by You, if the Policyholder or sponsoring entity received Your premium in a timely manner and We have authorized the them to collect premiums from You.
Grievances
Should You have a dispute concerning Your coverage, payment or about a reimbursement, You should first contact LegalEASE Member Service Center at 888-416-4313. If the dispute is not resolved, You may contact Virginia Surety Company at 1-800-209-6206.
Nothing in this plan shall be construed to prevent You from making a complaint to the appropriate Appellate Division or other body designated by the Appellate Division to investigate complaints in accordance with Judiciary Law section 90, or to the appropriate disciplinary body in the state where the legal service is being provided.
Change in Premium
We shall provide the Policyholder written notice of any change in premium thirty (30) days prior to the anniversary date of the Group Policy. Any such change shall apply to the Policyholder on the anniversary date of the Group Policy. The Policyholder is responsible for notifying the Members of the change in premium.
Conformed to Statute
Any terms herein that conflict with the statutes of the jurisdiction where issued are amended to conform to the statutes.
Assignment of Benefits
The benefits provided herein are not assignable.
Entire Contract
The Group Policy, including the endorsements, if any, constitutes the entire contract of insurance.

 

Network

About the Network of Attorneys
When going in for surgery, you don’t want a surgeon that has a poor track record or only a couple years experience. We feel that a legal need is just as important.
 
Help Focus Infrastructure
When it comes to finding an attorney, an employee can waste days looking for the right one, even with a legal plan. Our process has a Help Focus Infrastructure. We focus on our relationships with our Providers to help us help your employees, faster. Our Attorney Match Technology and dialogue with attorneys and members ensures the right help the first time. Matching an employee to the right help expedites solutions while saving time and stress.
 
Standards and Qualifications
The credentialing standards that we utilize to vet our providers is the most stringent in the country. We focus on years of experience, as well as insurance and discipline, as well as penalty of perjury submissions with extensive back ground checks.
 
Under the Provider Network, your employees will receive legal help from professionals with many of these service characteristics:
  • Experience in the Legal Matter Needed
  • Quality Time Spent in Consultations
  • Years of Legal Training and Experience
  • Up-to-date Legal Training Each Year
  • Lawyers Who are Service-Oriented
  • Lawyers Who Have a Solid Local Reputation in their Communities
  • Exceptional Backgrounds
  • Years of Courtroom and Trial Experience
Provider Standards of Care
The Network Provider shall strive to provide the highest quality of legal representation and service to Plan Members.
 
Plan Providers agree to the following:
  • To comply at all times with the Rules of Civil Procedure and Criminal Procedure and the Rules of Professional Conduct applicable to the jurisdiction.
  • To return member's calls promptly, within one business day, and communicate with members such that a member and the member's family do not voice substantiated concerns over promptness or frequency of your or your firm's communication.
  • To not enter continuances, adjournments, or the like without the member's comfort and consent.
  • To not arrange for substitutions or stand-ins unless the member has been previously advised and that the member understands that you remain responsible for the case and to contact you if there is any concern or if proceedings do not go as planned.
  • To always respect a member, their needs and family.
  • To maintain a professional office, in staffing and appearance.
  • To fully explain yourself such that a member has an understanding for the reasons behind your recommendations and suggestions, even if a member may not hire your firm.
  • To not complete any additional work that will result in a fee to the member, where not covered by the member's plan, until a fee arrangement is fully understood by the member and there is a written agreement.
  • To help each member individually and ensure that everything you do is in the interest of the member.
  • To notify LegalEASE if there is or may be the possibility of a conflict of interest or violation of ethical codes.
  • To notify LegalEASE if there may be a misunderstanding or potential service issue where there may be a complaint without breaking any client confidences.
  • To direct any grievances or concerns, such as process procedure or billing, to Legal Access and not a member.
  • To not refer any member to another attorney without the knowledge and consent of Legal Access if you cannot assist.
  • To take responsibility and uphold the highest standards of customer service delivered by any and all firm staff or employees that have interaction with members.
  • To communicate and cooperate with LegalEASE on any concern, inquiry or issue and return any communication from Legal Access within one business day.

 

 

About

We are here to serve you...

 

We believe people deserve to have a sense of safety and security, a peace of mind, when it comes to being protected in legal matters that they may not be the experts in. To have access to legal professionals that can ease and solve their legal burdens. We are here to serve you.

 

How we do it is by providing an in-depth pool of resources to accommodate all your legal needs. Legal Access and LegalEASE have broad experiences with employees in small, medium and large companies in the public and private sectors, local, state and federal government offices, unions, employee assistance plans, work-life companies, and organizations, when it comes to solving your legal matters.

 

What we do is provide value by creating unparalleled access to a network of skilled attorneys to cover your legal needs with options in convenient plans. We are a diversified employee benefits company engaged in administration, network development, technology management and insurance, based in Houston, Texas. Since 1971, we have grown from five attorneys in Los Angeles providing services to a modest amount of companies into a company with the strongest attorney network across America. We provide assistance to members over half of a million times each year throughout the United States and the world.

 

Legal Access Companies consists of several companies and brands to best meet customer needs, including but not limited to: Legal Plans USA, Legal Access Plans, LegalEASE, and LAMG. Legal Access Plans has a wide array of products across several market segements, including worksite, employee assistance and worklife. LegalEASE is the group's primary insurance brand and focuses primarily in the worksite market. LegalEASE products are underwritten and presented by Virginia Surety Company, part of the Warranty Group.