Welcome
Benefits Proudly Offered to
Employees
Be fully prepared and confident
with LegalGUARD
Learn about legal benefits, a smart option for your protection.
Product Presented By: Nationwide® Product Administered By: LegalEASE
LegalGUARD can help ease the two biggest stresses -finding and paying for a better 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 LegalGUARD, 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 LegalGUARD member saves you time and costly legal fees. But most importantly, it gives you confidence and provides coverage for common legal matters.
With a LegalGUARD 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. LegalGUARD provides coverage for your specific legal matter so you won't be caught off guard.
Protect your family’s future, with LegalGUARD.
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 LegalGUARD Plan. LegalGUARD 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 LegalGUARD 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 LegalGUARD Plan.
- Home and Residential
- Financial and Money Matters
- Consumer
- Auto and Driving
- Family and Personal
- Civil Lawsuits
- Estate planning and wills
- Elder Law
LegalGUARD 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 LegalGUARD Plan. This plan offers the convenience of in-network and out-of-network benefits.
Plan Cost
The LegalGUARD Plan is only $19.83 per month, via payroll deduction.
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 19, and from age 19 up to 26 years if they are enrolled in an accredited school or college as full-time student(s) and are primarily dependent upon the Member for support.
PLAN COVERAGE COMPARED TO COSTS WITHOUT PLAN |
||
---|---|---|
ADVICE AND CONSULTATION |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Law Office Consultation1 |
Covered |
$0 to $400 |
Telephone Consultation1 |
Covered |
$0 to $400 |
Review of Simple Documents1 |
Covered |
$50 to $400 |
CONSUMER |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
DOCUMENT PREPARATION: |
Covered |
$75 to $250 |
Consumer Dispute2 |
Covered |
$200 to $1,000 |
Small Claims Court Representation1 |
Fully Covered up to 2 Hours with Remainder at 25% Discount |
$300 to $800 |
Mail Order or Internet Purchase Dispute1 |
Fully Covered up to 5 Hours with Remainder at 25% Discount | $300 to $500 |
Bank Fee Dispute1 |
Fully Covered up to 5 Hours with Remainder at 25% Discount | $300 to $500 |
First-Time Vehicle Buyer1 |
Fully Covered up to 5 Hours with Remainder at 25% Discount | $300 to $500 |
Vehicle Repair and Lemon Law Litigation1 |
Fully Covered up to 5 Hours with Remainder at 25% Discount | $300 to $500 |
Cell Phone Contract Dispute: |
Fully Covered up to 5 Hours with Remainder at 25% Discount | $300 to $500 |
Warranty Dispute: |
Fully Covered up to 5 Hours with Remainder at 25% Discount | $300 to $500 |
WILLS AND ESTATE |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Simple Will or Codicil For: |
Covered |
$150 to $500 |
Complex Will |
Covered | $150 to $900 |
Living Will or |
Covered |
$75 to $250 |
Living Trust Document |
Covered | $1,200 to $2,000 |
Probate of Small Estate1 |
Fully Covered up to 2 Hours with Remainder at 25% Discount |
$300 to $1200 |
HOME |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Purchase of Primary Residence |
Covered |
$350 to $900 |
Sale of Primary Residence |
Covered | $350 to $900 |
Refinancing of Primary Residence |
Covered |
$350 to $900 |
Tenant Disputes2 |
Covered |
$500 to $2,000 |
FINANCIAL |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Debt Collection Defense: Pre-Litigation Defense |
Covered |
$500 |
Debt Collection Defense: Trial Defense2 |
Covered |
$2,000 |
Bankruptcy, Chapter 7 or 132 |
Covered | $1,200 to $3,000 |
Foreclosure2 |
Covered |
$1,500 |
Tax Audit2 |
Covered | $2,000 and Above |
CIVIL |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Civil Litigation Defense2 |
Covered |
$1,500 and Above |
FAMILY |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Uncontested Separation1 |
Fully Covered up to 10 Hours with Remainder at 25% Discount | $800 |
Consent/Default Divorce1 |
Fully Covered up to 10 Hours with Remainder at 25% Discount | $500 to $1,500 |
Uncontested Divorce1 |
Fully Covered up to 10 Hours with Remainder at 25% Discount | $800 to $1,500 |
Contested Divorce1,2 |
Fully Covered up to 15 Hours with Remainder at 25% Discount | $1,500 and Above |
Prenuptial Agreement2 |
Covered | $500 to $1,500 |
Name Change |
Covered |
$150 to $400 |
Guardianship/Conservatorship2 |
Uncontested: Covered |
$500 to $1,500 |
Governmental Agency Adoptions2 |
Uncontested: Covered |
$500 to $1,500 |
Stepparent Adoptions2 |
Uncontested: Covered |
$500 to $1,500 |
Juvenile Court Proceedings |
Covered |
$1,000 to $2,500 |
CRIMINAL |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Traffic Ticket |
Covered | $500 to $1,500 |
Serious Traffic Matters (Resulting in Suspension or Revocation of License) |
Covered |
$500 to $1,500 |
Administrative Proceeding (Regarding Suspension or Revocation of License) |
Covered |
$500 to $1,500 |
Misdemeanor Defense2 |
Covered |
$1,500 to $5,000 |
ADDITIONAL BENEFITS |
LEGALGUARD PLAN COVERAGE |
TYPICAL COSTS WITHOUT PLAN |
Identity Theft Recovery Coaching3 |
Covered |
Not Applicable |
Financial Advisor3 |
Covered |
Not Applicable |
Immigration Services3 |
Covered |
Not Applicable |
Mediation3 |
Covered |
Not Applicable |
Elder Law3 |
COVERED | NOT APPLICABLE |
1Some limitations may apply.
2Subject to managed case rules.
3Additional benefits
4Discounted Rate
To obtain benefits under the Managed Case Rules:
- Members and/or Covered Family Member must secure a confirmation letter from the Member Service Center prior to proceeding with an attorney.
- The attorney must provide a written estimate of fees reflecting his or her best judgment as to the likely conduct of the case.
- We will set a maximum attorney fee that takes into account the reasonable level of reimbursement for the proceeding and the proposed litigation strategy. Fees as a result of services in excess of the maximum attorney fee are the responsibility of the Member and/or Covered Family Member.
Exclusions
This Policy excludes benefits for the following:
Definitions
Definitions
“REIMBURSEMENT ADMINISTRATOR” - means Co-ordinated Benefit Plans LLC; or its subsidiary.
“COMPLEX WILL” - means the Member has a significant net worth and will benefit from tax planning, or the estate is subject to current state or federal estate taxation; or the Member owns a business that will continue in operation after death; or the Member wants to put restrictions on what heirs may do with the property; or the Member wants 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 wants 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 the Member thinks that someone will challenge the will; or the Member wants to exclude any lawful dependents.
“CONTESTED DIVORCE” - refers to a divorce proceeding that requires more than 5 hours of attorney time, involves disputed issues and both parties are represented by an attorney.
“COVERED FAMILY MEMBER” - means the Member’s spouse and Member’s unmarried dependent children, including stepchildren, legally adopted children, children placed in the home for adoption and foster children, up to age 19, and from age 19 up to 25 years if they are enrolled in an accredited school or college as full-time student(s) and are primarily dependent upon the Member for support.
“COVERED SPOUSE” - means the Member’s lawful spouse at the time the contract is in effect.
“EFFECTIVE DATE” - means the date a Member’s coverage hereunder begins.
“CONTRACTHOLDER” - means the organization named in the declarations page.
“INTERNET PURCHASE” - A purchase of goods or services whose purchase value is over $200.00 at the time of purchase by a Member and/or Covered Family Member from a website on the worldwide web.
“LEGAL PLAN ADMINISTRATOR” – the LegalEASE Group, its affiliates, officers, directors, employees, and/or agents, including third party organizations and their affiliates, officers, directors, employees, and/or agents, hired by the LegalEASE Group to perform services under this Certificate of Coverage.
“MEMBER” - refers to the individual who is associated with the Contractholder named on the first page of this Certificate of Coverage and who has paid or a fee has been paid on his/her behalf and who meets the eligibility requirements for Covered Services as defined by the Contractholder.
“MEMBER SERVICE CENTER” - means the service location established to help make full use of the Certificate of Coverage.
“NON-PARTICIPATING ATTORNEY” - means an attorney not retained by Legal Plan Administrator who is selected and paid by the Member to provide services covered under the Legal Services Contract up to the maximum amount as shown in the Schedule of Services.
“PAID IN FULL” - means complete payment to a Participating Attorney for covered legal services.
“PARTICIPATING ATTORNEY” - means an attorney retained by the Legal Plan Administrator to provide covered legal services at the amount shown in the Schedule of Services.
“WE”, “US”, “OUR” AND “COMPANY” - means the name of the plan provider indicated on the first page of the Certificate of Coverage.
Covered Services
In consideration of payment and receipt by Us of the applicable fees, all Covered Services are available to a Member and all Covered Family Members. Except as noted below, the following Covered Services are provided to the Member when the Member uses a 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, civil or criminal, except those specifically excluded.
Initial Law Office Consultation: Up to the maximum as shown in the Schedule of Benefits for office consultations with a Participating Attorney on any personal legal problem, civil or criminal, except those specifically excluded.
Review of Simple Documents: The Participating Attorney will verbally explain the meaning or impact of any form or document, or make suggestions for changes to a form or document being drafted of up to the maximum number of pages as shown in the Schedule of Benefits. This benefit does not include a written analysis of any form or document.
Miscellaneous Law Office Services
Legal Services for any Non-Excluded Legal Matter: This benefit will cover any legal services needed by the Member or Covered Family Member for review or preparation of documents, or any other service required on any legal matters not listed as a covered benefit or exclusion under this Contract.
Consumer Matters
Document Preparation: Preparation of any of the following documents: simple deed (excluding those reviewed or prepared under the real estate service), promissory note, consumer dispute correspondence, installment sales agreement, general power of attorney, lease agreement (tenant only), time share agreement, and simple affidavit.
This service is limited to one use per year per document, except general power of attorney, which is limited to one use per year per Covered Family Member.
Consumer Dispute: Consultation or representation in a dispute relating to consumer goods and services (not involving real estate construction, landlord/tenant disputes or renovation).
This service 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 service is limited to one use per year.
Mail Order or Internet Purchase Dispute: The services of an attorney to review the nature of any mail order or Internet Purchase dispute involving the purchaser prior to the commencement of litigation. This service includes the review or preparation of dispute letters, any purchase documents and/or consultation with the attorney. If litigation is commenced in this matter, the service will cover up to the maximum shown on the Schedule of Services.
This service is limited to one purchase per year.
Bank Fee Dispute: The services of an attorney to review the nature of any (non-business related) bank fee dispute between the Member and their bank prior to the commencement of litigation. This service includes the review or preparation of dispute letters, any purchase documents and/or consultation with the attorney. If litigation is commenced in this matter, the service will cover up to the maximum shown on the Schedule of Services.
This service is limited to one dispute per year.
First-time Vehicle Buyer: The services of an attorney for the purchase of a Member’s and/or Covered Family Member’s first vehicle. This service includes the review or preparation of purchase and finance documents and/or consultation by the attorney at or before closing.
This service is limited to one vehicle purchase per year and must be the first vehicle purchase of either the Member or Covered Family Member.
Vehicle Repair and Lemon Law Litigation: Services related to the representation of a Member and/or Covered Family Member who is entitled under the applicable state “lemon” law to bring a civil lawsuit (non-business related), up to and including the trial thereof related to a defective car as defined in the applicable state law. This service does not include: (1) any lawsuit related to finances or defects that do not specifically fall under the definitions permitted in the applicable state lemon law; (2) lawsuits normally handled on a contingent fee basis; (3) any collection or related defense or action; or (4) matters for which the Member has or is required by law to have insurance.
This service is limited to one use per year.
Cell Phone Contract Dispute: Review of the cell phone contract where the Participating Attorney will verbally explain the meaning or impact of any form or document, or make suggestions for changes to a form or document being drafted of up to maximum number of pages shown on the Schedule of Services. This service does not include a written analysis of any form or document.
In the event of a dispute over the terms of the agreement between the cell phone company and the Member or any Covered Family Member, this service provides representation in a dispute relating to the cell phone contract if the Member/Covered Family Member is sued or named in a small claims court action. This service covers counseling on prosecuting a small claims court action; helping the Member/Covered Family Member prepare documents; advising on evidence, documentation and witnesses; and preparing the Member/Covered Family Member for trial. The service does not include the Participating Attorney’s attendance or representation at a small claims trial, collection activities after a judgment or any services relating to post-judgment actions.
This service is limited to one use per year.
Warranty Dispute: Review of the warranty policy or service contract where the Participating Attorney will verbally explain the meaning or impact of any form or document, or make suggestions for changes to a form or document being drafted up to the maximum number of pages shown on the Schedule of Services. This service does not include a written analysis of any form or document.
In the event of a dispute over the terms of the agreement between the warranty company and the Member or Covered Family Member, this service provides representation in a dispute relating to the warranty or service contract if the Member or Covered Family Member is sued or named in a small claims court action. This service covers counseling on prosecuting a small claims court action; helping the Member/Covered Family Member prepare documents; advising on evidence, documentation and witnesses; and preparing the Member/Covered Family Member for trial. The service does not include the Participating Attorney’s attendance or representation at a small claims trial, collection activities after a judgment or any services relating to post-judgment actions.
This service is limited to one use per year.
Estate Planning
Will or Codicil Preparation: Preparation of one simple will or codicil (an amendment to an existing will) for the Member and/or Covered Family Member, including the preparation of a simple testamentary support trust for the dependent children:
Simple Will Preparation: Participating Attorney shall prepare a simple will or codicil for Member and/or Covered Family Member and discuss the legal requirements for signing the will.
This service is limited to one use per year per Member/Covered Family Member.
Complex Will Preparation: Participating Attorney shall prepare a complex will or codicil for Member or Covered Family Member. This service shall be limited to one complex will prepared per year.
Living Will and/or Health Care Power of Attorney: Preparation of living will and/or health care power of attorney for Member and/or Covered Family Member as authorized by state law. A living will expresses an individual’s wishes as to the use or withdrawal of life support systems. A health care power of attorney appoints another to make medical decisions if the individual is unable to do so him/herself.
This service is limited to one use per year.
Living Trust Document: Preparation of living trust documents. This service does not include services related to transactions to fund the trust or transfer assets into it. This service does not include tax planning or tax advice related to the trust or the Member’s situation before and after the trust is prepared.
This service is limited to one use per year.
Probate of Small Estate: The service of an attorney for the probate of a small estate (an estate that is not subject to current state or federal estate taxation) up to the maximum as shown in Schedule of Services.
Residential Matters
Real Estate Sale, Purchase or Refinancing of Primary Residence: The services of an attorney for the purchase, sale, or refinancing of a Member’s primary residence (where Member has resided or intends to reside for twenty-seven (27) weeks or more per year). This service includes the review or preparation of closing documents and/or attendance by the Member’s attorney at closing in situations when it is customary to do so. This service does not include services performed by or for a title company, or for an attorney acting on behalf of a lending institution. Home equity loans and the sale or purchase of unimproved or rental properties are not included.
This service is limited to one closing per year.
Vacation or Investment Home Purchase, Sale or Refinancing: The services of an attorney for the purchase, sale, or refinancing of a Member’s vacation or investment residence (where Member has not resided or does not intend to reside for twenty-seven (27) weeks or more per year). This service includes the review or preparation of closing documents and/or attendance by the attorney at closing in situations when it is customary to do so. This service does not include services performed by or for a title company, or for an attorney acting on behalf of a lending institution. Home equity loans and the sale or purchase of unimproved properties are not included. This service does not include any fees or costs other than those related to the attorney’s review of the purchase/sale documents.
This service is limited to one closing per year.
Tenant Dispute: Representation of the Member and/or Covered Family Member as a tenant in a dispute with his/her landlord.
This service is limited to one use per year.
Financial Matters
Debt Collection Defense: The defense of any dispute involving personal (non-business related) debt. This service includes correspondence, negotiating with creditors to arrange a repayment schedule, assistance in limiting harassment by bill collectors, and negotiating settlement after a complaint is filed. This service does not include defense against execution of a court-ordered judgment or efforts to vacate or set aside a judgment.
This service is limited to one use per year.
Bankruptcy: Representation on behalf of the Member and/or Covered Family Member for personal (non-business related) bankruptcy protection under Chapter 7 or 13 of the Internal Revenue Code.
This service is limited to one use per year.
Foreclosure: Defense of the Member in an action to foreclose on the Member’s primary residence (where Member has resided or intends to reside twenty-seven (27) weeks or more per year.)
This service is limited to one use per year.
Tax Audit: Includes the services of an attorney (but not accounting services) during a personal (non-business related) tax audit process required by federal and state tax authorities and negotiations relating to it. This service does not include a defense against criminal charges nor the defense of civil tax litigation in any tax court.
This service is limited to one use per year.
Family Matters
Separation, Divorce, Civil Annulment: Legal representation of the Member only for up to the maximum shown on the Schedule of Services in an uncontested separation, divorce, civil annulment, consent or default divorce. An uncontested separation, divorce or civil annulment does not involve significant disputed issues and the parties resolve any issues prior to any court supervised proceeding. A consent or default divorce does not involve any disputed issues and the opposing party is not represented by counsel. The service for uncontested matters does not provide any coverage of an attorney’s fee for: (1) services in excess of the maximum shown on the Schedule of Services; the Member must pay the attorney’s fee for services in excess of the maximum; or,(2) contested matters in which case the Member must pay the attorney’s fee for services, unless this Legal Services Contract provides coverage of contested matters and the service shall be in accordance with the Schedule of Services. A contested separation, divorce or civil annulment requires more than five hours of attorney time, involves disputed issues and both parties are represented by an attorney.
This service is limited to one use per year (representation seeking or defending against interim or subsequent-to-decree order shall constitute a separate use) and applies to the Member and Covered Family Members only for actions not involving the Member as an opposing party.
Prenuptial Agreement: This service covers the preparation of an agreement by a Member and his or her fiancé/partner prior to their marriage or legal union (where allowed by law), outlining how property is to be divided in the event of separation, divorce or death of a spouse. Representation is provided only to the Member. The fiancé/partner must have separate counsel or must waive representation.
This service is limited to one use per year.
Name Change: Services required to accomplish a legal name change for a Member and/or Covered Family Member.
This service is limited to one use per year per Member/Covered Family Member.
Guardianship/Conservatorship: Services required to establish a Member and/or Covered Family Member as the guardian(s) or conservator(s) of another. This service does not include fees for a court –appointed attorney for the child/conservatee.
This service is limited to one use per year.
Government Agency/Stepparent Adoption: Legal representation for a Member and/or Covered Family Member of up to the maximum shown in the Schedule of Services in a governmental agency or stepparent adoption. An uncontested adoption does not involve significant disputed issues. This service does not include: (1) contested termination of parental rights; (2) fees for a court-appointed attorney for the child; or (3) adoptions(s) made through any agency other than a governmental agency. A contested adoption requires more than five hours of attorney time and involves disputed issues.
This service is limited to one use per year.
Juvenile Court Matters: Services related to the representation of the dependent child of a Member and/or Covered Family Member in any juvenile court proceeding, provided the child’s interest is not in conflict with the Member’s and/or Covered Family Member’s interest. This service does not cover any matter that falls outside the jurisdiction of juvenile court or any matter that may be considered a felony.
This service is limited to one use per year.
Civil Litigation Defense
Civil Litigation Defense: Services related to the representation of a Member and/or Covered Family Member who is a named defendant in a civil lawsuit (non-business related), up to and including the trial thereof. This service does not include: (1) any debt collection or family law matters; (2) lawsuits normally handled on a contingent fee basis; or (3) matters for which the Member/Covered Family Member has or is required by law to have insurance.
This service is limited to one use per year.
Incompetency Defense: Services related to the representation of a Member in the defense of any incompetency action, including court hearings when there is a proceeding to find the Member incompetent.
This service is limited to one use per year.
Criminal Defense
Traffic Tickets: Services related to the representation of the Member and/or Covered Family Member in defense of any traffic ticket except driving under influence or vehicular homicide, including court hearings, negotiation with the prosecutor, trial, and counseling and preparing Member for self-representation at any hearings if chosen.
This service is limited to one use per year.
Serious Traffic Matters: Services related to the representation of a Member and/or Covered Family Member who is charged by governing authorities with moving traffic violation(s) and conviction could result in suspension or revocation of Member’s and/or Covered Family Member’s drivers’ license.
This service is limited to one use per year.
Administrative Proceeding: Services related to the representation of a Member and/or Covered Family Member in an administrative proceeding relating to the suspension or revocation of driving privileges.
This service is limited to one use per year.
Misdemeanor Defense: Defense of a Member and/or Covered Family Member in connection with criminal misdemeanor charges (not associated with any felony charge).
This service is limited to one use per year.
Obtaining Services
Reimbursement for Services
- Members must call the Member Services Center to confirm eligibility and coverage prior to consulting with any attorney. 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 coverage.
- To obtain services under the Managed Case Rules:
- Members and/or Covered Family Member must secure a confirmation letter from the Member Service Center prior to proceeding with an attorney.
- The attorney must provide a written estimate of fees reflecting his or her best judgment as to the likely conduct of the case.
- We will set a maximum attorney fee that takes into account the reasonable level of reimbursement for the proceeding and the proposed litigation strategy. Fees as a result of services in excess of the maximum attorney fee are the responsibility of the Member and/or Covered Family Member.
-
Members actively receiving services under this Legal Services Contract must remain enrolled and continue to pay fees hereunder. All services will be subject to subrogation and coordination of benefit rules.
-
Upon completion of a Covered Service, the Member and/or Covered Family Member will be required by the Participating Attorney to sign a confirmation of completion. Failure to sign the confirmation may result in denial of the reimbursement and the Member/ Covered Family Member will be responsible for all legal fees.
-
If the Member and/or Covered Family Member pays for pre-authorized services provided by a Non-Participating Attorney, the Member must submit a reimbursement form (provided by Member Service Center) accompanied by an original itemized bill, proof of payment and supporting documentation sufficient to demonstrate the work completed in the matter within sixty (60) days after incurring the legal fees. Services provided to the Member and/or Covered Family Member for Covered Services are subject to the maximum as shown in the Schedule of Services.
Disputes Between Member and Covered Family Member
In the event that the Member and one of the Covered Family Members are involved as adversaries in a dispute that is a Covered Service, only the Member 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
This Policy excludes benefits for the following:
General Provisions
Attorney-Client Relationship
All attorneys are subject to the authority of the State Supreme Court and the State Bar of the state where they are licensed to practice. The Member’s relationship with an attorney is privileged and strictly confidential. We will not interfere in the attorney-client relationship, nor in the attorney’s independent exercise of his or her professional judgment. Attorneys are not certified specialists.
The Member shall authorize the Participating Attorney to provide the Legal Plan Administrator with information and supporting documentation on the number and type of services provided to the Member.
By using legal services that are provided under this Certificate of Coverage, the Members agree that neither We, nor the Contractholder, nor any other person involved in the marketing or administration of the group contract, shall have any liability for the acts, errors or omissions of an attorney providing services, in whole or in part.
Non-Participating Attorney Services
If the Member already has an attorney, the Member may prefer to use her/him as a Non-Participating Attorney. To do so, the Member must first contact the Member Service Center and notify the representative of his/her intention to use a Non-Participating Attorney for a Covered Service. The Member Service Center will send the Member a form to request reimbursement. The Member’s reimbursement will be based on the reimbursement schedule as shown in the Schedule of Services. If a Member already has an attorney at the time he/she becomes a Member, the Legal Plan Administrator can offer to negotiate with the attorney on behalf of the Member, but will not guarantee the Plan Discounted Rate will be accepted by the attorney or offered by the Legal Plan Administrator.
Legal Terminology
The Member or Covered Family Member may call the Member Service Center to obtain a definition or explanation of any term used herein.
Coverage Territory
The coverage territory includes the United States and United States territories.
Refund Provision
In the event that the payment mode is other than monthly and the group contract is terminated or the Member elects to terminate the coverage, a pro-rata refund will be made in accordance with the laws of the Contractholder’s state.
Termination and Cancellation of Coverage
Coverage provided to the Member shall terminate upon the first of the following to occur:
- Cancellation or termination of the group contract;
- If applicable, the Member fails to re-enroll;
- The Member is no longer associated with Contractholder; or
- The Member fails to remit payment 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:
- The Member’s coverage is cancelled or terminated; or
- The family member ceases to qualify as a Covered Family Member as defined.
When coverage for a Member and/or Covered Family Member terminates and a matter is unresolved when coverage terminated, then any further legal work between said Member and/or Covered Family Member and the Participating Attorney shall be outside the scope and coverage of the Certificate of Coverage. The Participating Attorney shall not be obligated to provide any services under the Certificate of Coverage and any further legal services shall be based upon an independent and separate fee agreement entered into, if at all, between the former Member and/or Covered Family Member and the attorney. If such an agreement is not entered into, then the Participating Attorney may withdraw from any further representation in accordance with applicable law and State Bar standards.
Portability
The Member may continue coverage under this Legal Services Contract by electing the option of portability when the Member no longer qualifies as an employee of the Contractholder or as a member of the group to which this Legal Services Contract is issued. The Member must apply for portability within sixty (60) days of this disqualifying event and make arrangements for payment. Portability coverage will take effect, subject to receipt of the initial payment, as of the date the Member’s coverage under this group Legal Services Contract terminates. Credit will be given for any applicable Waiting Period based on the number of months coverage was in force for the Member under this Legal Services Contract.
Conformed to Statute
Any terms of the Legal Services Contract that are in conflict with the statutes of the jurisdiction where issued, are amended to conform to the statutes.
Assignment of Benefits
The benefits provided under this Legal Services Contract are not assignable.
Network
- 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
- 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
A legal plan backed by a strong partnership.
Access
The Live/Phone Concierge Matching Service
Begin the search for a provider by simply calling in and letting our concierge service do the work for you. The process to match you to an attorney based on your area of need and preferences typically takes less than 2 business days. Some legal needs may take longer depending upon geography and complexity of the matter at hand.
1(888) 41604313 reference "Wayfair"
- Specialists are available from 8AM to 8:30PM, EST to help you determine what type of attorney you need, where you need an attorney, what dates or deadlines are important and any preferences you may have. Specialists can also answer questions about your plan benefits.
- Our teams contact providers in your preferred locations to confirm availability and ensure they can assist with the specifics of your legal issue before you even go to their office.
- On average, we speak to seven attorneys before we find the right match.
Sit back and relax knowing we're working on your behalf. The main objectives of the Live Concierge Matching Service are to reduce the stress that can be caused by looking for an provider on your own and save you the time it can take locating the correct type of attorney that has availability to assist you with your legal need.