School of Medicine Health Sciences Compensation Plan Insurance Information
While most UC-sponsored health and welfare and retirement programs are the same for faculty as they are for staff, there are also insurance programs related to Health Sciences Compensation (HSC) plans that are specifically for eligible faculty members.
School of Medicine Faculty members who participate in a Health Sciences Compensation (HSC) Plan may be eligible for coverage under the HSC insurance programs. These plans cover a component of salary (i.e., “HSC” and “BYC"), which is not considered “covered compensation” for purposes of the University of California Retirement Plans and Health and Welfare Programs.
These HSC insurance plans include:
HSC Group Life/AD&D Benefits*
- Summary Plan Description
Carrier: Assurant, Policy #25793
- Basic Life/AD&D Coverage Highlights
- Voluntary Life/AD&D Coverage Highlights
- Voluntary Life/AD&D Forms
- Conversion Options - contact the UCSF HR/Benefits Office, 415-476-1400,
HSC Long-term Disability Insurance
- Summary Plan Description
Carrier: Hartford, Policy #GLT023243
Questions
Basic Life/AD&D Coverage Highlights
- Automatic/employer-paid
- Life Benefit: 2 x annual “Y” covered compensation ($200,000 maximum coverage)
- AD&D Benefit: 2 x annual “Y” covered compensation ($200,000 maximum coverage)
Voluntary Life/AD&D Coverage Highlights
- Enroll during ‘Period of Initial Eligibility’ or approval of Statement of Health application/employee-paid (complete forms below to enroll)
- Life Benefit: 1, 2, 3, or 4 x annual “Y” covered compensation
- Up to $100,000 per multiple ($400,000 maximum coverage)
- AD&D Benefit: Same as voluntary Life benefit election
- Rates for Voluntary Life/AD&D Coverage
*In the case of accidental death, beneficiaries are entitled to both Life and AD&D covered amounts
Voluntary Life/AD&D Forms
- Rates for Voluntary Life/AD&D Coverage
- Life/AD&D Enrollment Form
(includes Beneficiary Designation) - Statement of Health Application Form
- Authorization for Release of PHI
- Send completed forms to ‘SOM Academic Affairs’, Box 0410
HSC Long term Disability Plan Highlights
- Automatic/employer-paid
- 90-day waiting period
- Benefit: 60% of “Y” monthly salary component up to $10,000 monthly
Contact Information
- Academic Personnel Coordinator (department) for Summary Plan Descriptions, information and enrollment materials, options, procedures
- Academic Affairs (SM) for data entry of new/changes in enrollments; send completed forms to Box 0410; for questions contact (415) 476-4237
- UCSF HR/Benefits Office for claims/counseling contact (415) 476-1400,