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Voluntary Life Insurance

The HealthCare Fund offers optional Voluntary Life Insurance for Providers and their family at a cost, through Guardian X Legaci.

Voluntary Life Insurance Coverage

All providers enrolled in the Health Care Reimbursement Fund in 2025 receive Basic Group Term Life Insurance Benefits at no cost to them.

The Health Care Fund will offer enrolled providers the chance to purchase additional coverage for themselves and to purchase coverage for their family members through the Voluntary Life Insurance benefit from Guardian x Legaci—our Basic Life insurance provider.

The program allows you to purchase coverage with no medical questions asked. This is called “guaranteed issue.” Here are the guaranteed issue amounts available:

Important: In order to purchase coverage for your spouse and or children, you must purchase Voluntary Life coverage for yourself. You may only purchase insurance for family members added to your Health Care Fund account.

 

 

Type Minimum Benefit (you may purchase) Guaranteed Issue Amount Maximum Benefit (you may purchase)
Provider $10,000 Up to $200,000 $500,000
Spouse** $5,000 Up to $50,000 $250,000
Children $5,000 Up to $10,000 $10,000

*More than one child can be added to the coverage.
**Providers may only elect up to 50% of their provider voluntary coverage amount for their spouse.

How to Purchase Coverage

To purchase Voluntary Life coverage, complete a voluntary life application (English/Spanish) and send it to the Fund.

Beneficiary Designation: With dependent voluntary life policies, the beneficiary will automatically default to the provider. If you wish to designate someone else as the beneficiary of a spouse or dependent voluntary life policy, you will need to fill out the Beneficiary Form below. When filling out the beneficiary form please use group number 079268.

Note: Providers must pay for Voluntary Life insurance. It is not paid for by the Health Care Fund. This means that providers will have the option to Port or Convert the policy if they lose eligibility in the Health Care Fund and continue their voluntary life insurance policy. (New rates and rules may apply- Contact Guardian X Legaci for more information).

Voluntary Life Application Form

Voluntary Life Application (English)
PDF • Voluntary Life Form
Voluntary Life Application (Spanish)
PDF • Voluntary Life Form

Beneficiary Designation/Change Form

Beneficiary Designation/Change Form (English)
PDF • Beneficiary Form
Beneficiary Designation/Change Form (Spanish)
PDF • Beneficiary Form

Voluntary Life Rate Sheets

Voluntary Rate Sheet (English)
PDF • Voluntary Rate Sheet
Voluntary Rate Sheet (Spanish)
PDF • Voluntary Rate Sheet

Voluntary Life Insurance Benefits FAQs

When will Voluntary Life Insurance be available?

Open enrollment for enrolled providers is 5/15/2025 – 6/30/2025. Coverage effective date is 7/1/2025.

Who will be the Voluntary Life Insurance provider?

Guardian X Legaci. The customer service number is (661) 542-4477.

What are the benefits I will receive for Voluntary Life Insurance?

Providers have the option to purchase Voluntary Life benefits for themselves, up to $500,000, with a guaranteed issue amount of $200,000.

They may also purchase up to $200,000 for their spouse with a guaranteed issue amount of $50,000.

Lastly, providers may purchase up to $50,000 for their children, with a guaranteed amount of $10,000.

Do I need to apply for Voluntary Life Insurance?

Yes, you need to apply for the Voluntary Life Insurance program. See application forms above.

Is there a cost associated with Voluntary Life Insurance?

Yes. Providers will pay 100% of the policy costs. The amount is dependent on the amount of coverage you elect.

Do these benefits cover spouse and/or dependents?

The CCPU Health Care Fund allows you to add spouse and dependents to Voluntary Life Insurance benefits.

Remember, in order to cover your spouse and/or dependents, you must also purchase Voluntary coverage for yourself (the childcare provider)

How much coverage can I select for my spouse/registered domestic partner?

Providers may select up to 50% of their own voluntary life benefit amount for their spouse’s benefit amount. For example, if a provider selects a benefit amount of $100,000 for themselves, the most they can select for their spouse is $50,000.

Am I eligible for CCPU Heathcare Reimbursement Fund benefits?

Answer these simple questions to determine your potential program eligibility.

CCPU Health Care Fund

By signing up, you agree to our privacy policy and terms of use.

To complete your application online, you’ll need proof of coverage for your health plan (a document showing your name as the policyholder, the name of your insurance plan, the coverage period, and the amount you pay for coverage).

If you don’t have an account for the CCPU Health Care Fund portal, you can sign up now with your email address and mobile phone number.

Questions? Call (833) 714-6028 or email [email protected].