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| Benefit
Plans > Legal Services |
Protect
Your Family & Your Money
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| LegalRx
Plan |

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| See
how MANY ways you’ll use
the plan! |
| Call
toll-free any time you need
advice on legal matters such
as these: |
| Family
issues: separation,
juvenile court, adoption,
etc. |
| Estate
matters: wills,
living will, power of
attorney, etc. |
| Consumer
protection: document
preparation, debt
collection, contract
disputes, etc. |
| Documents:
review and preparation
of contracts, leases, etc. |
| IRS
issues: IRS
audit protection, collection
defense, etc. |
| Driver's
issues: tickets,
license suspension, etc. |
| Identity
theft services: prevention,
recovery, referrals, etc. |
| And
more! |
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EASY-TO-USE
Call
toll-free for an immediate response to your
questions and concerns.
PRIVATE
All
use of your plan is 100% confidential. |
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| Eligibility
Requirements: You
may enroll at any time. You do NOT have to be
enrolled in any other plan in order to join the LegalRx
Plan. You must be an eligible
employee. |
| SAMBA
LegalRx Plan |
$8
BI-WEEKLY
|
| What
is SAMBA LegalRx®?
It
is a legal insurance policy that provides
access to attorneys for advice and
reimbursement of legal costs, including
toll-free telephone legal advice and
reimbursement for Network Attorney visits
and representation for wills, adoptions,
consumer protection, tenant protection
issues and identity theft. A more detailed
description of SAMBA LegalRx® is listed
below.
With
the SAMBA LegalRx plan you can take
advantage of the many levels of service and
benefits we offer. From our online Law Guide
to Do-It-Yourself Legal Documents to
telephone attorneys, even in-office visits
and representation for covered matters,
SAMBA LegalRx has the coverage you need to
meet your legal needs.
If
you have questions about how the SAMBA
LegalRx plan can work for you call our
Customer Care Center at 800-378-9167 between
8:00 a.m. and 5:30 p.m. Central time and a
Customer Care Counselor will answer any
questions you may have. To ensure the best
care possible, be sure to let the Customer
Care Counselor know you are inquiring about
SAMBA LegalRx.
To
enroll in the plan or inquire about
eligibility matters, contact a SAMBA Member
Services Representative at (800) 638-6589
between 8:00 a.m. and 4:00 p.m. Eastern time
Monday through Friday, except holidays. You
may also download the enrollment
form from our web site.
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Specific
Coverage Listing:
Benefits
and Coverages
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Network
Attorney
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Non-Network
Attorney
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Telephone
Legal Services
Telephone
Legal Advice |
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Members
receive toll-free telephone advice on how
the law relates to their personal legal
matters and which actions may be taken.
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Paid-in-full |
N/A |
| Follow-up
Calls/Correspondence |
 |
 |
|
Plan
members receive legal services through
follow-up calls and correspondence to third
parties related to their personal legal
matters.
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Paid-in-full |
N/A |
| Document
Preparation |
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|
Plan
members receive assistance with the
preparation of the following documents:
- Special
powers of attorney and revocations
- Childcare
authorizations
- Challenge
to denial of credit
- Bad
check notice
- Promissory
notes and affidavits related to
their personal property
- Bills
of sale related to their personal
property
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Paid-in-full |
N/A |
| Document
Review |
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|
Plan
members receive legal services to review
legal documents, up to four pages, related
to their personal legal matter, except those
related to trusts of real estate property
transfers.
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Paid-in-full |
N/A |
| Standard
Will and Telephone Legal Assistance |
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Plan
members receive, upon their request, from a
telephone network attorney, legal
assistance, which includes the preparation
and review of:
- Standard
will documents including
testamentary support trusts for
minor children
- Durable
powers of attorney
- Health
care powers of attorney and
revocation
- Living
wills, advanced health care
directives
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Paid-in-full |
N/A |
Value
Added Benefits
Identity
Theft Services |
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Plan
members will receive toll-free access to an
identity theft case manager who will:
- Explain
what identity theft is and how to
prevent it
- Provide
resources to minimize and recover
from identity theft
- Explain
relevant plan coverages and provide
attorney referral
- Monitor
and follow-up on the situation
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Paid-in-full |
N/A |
| Immigration
Assistance |
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|
Plan
members receive toll-free telephone access
to an immigration case manager who will
provide educational materials, explain the
immigration benefit and monitor and assist
plan members as they deal with immigration
issues.
Members also receive toll-free telephone
advice from a law firm that will be
available for plan member immigration
issues. They will receive assistance with
the following:
- General
immigration process education and
guidelines
- Advice
on filing applications or petitions,
including which forms should or
should not be filed.
- Laws
and regulations governing various
types of immigration benefits,
including asylum, adjustment of
status, business visas and
employment authorizations.
- Advice
and information to individuals
facing deportation and removal
proceedings.
- Breaking
issues in immigration law including
changes in the law and programs for
immigration benefits.
For
immigration matters that can't be handled
over the phone, or if a plan member needs to
see a state-specific attorney, our Network
Attorneys will offer up a reduced rate of up
to 25% off their normal rates for specific
review, preparation or representation-based
immigration services. The Network Attorneys
will bill the plan member directly.
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Paid-in-full |
N/A |
| Online
Legal Resources |
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|
Law
Guide
The Law Guide is a legal resource to inform
members about the law, identify options, and
prepare them for handling a legal situation.
Even if members need help from an attorney,
they can save valuable time and money by
being better informed about the law before
they begin.
Document
Library
LegalRx
includes more than 170 documents at no
additional charge. You also receive access
to more than 100 consumer and
business-related documents at a 20%
discount.
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Paid-in-full |
N/A |
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Contingency
Fees |
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Capped
contingency fee rates at 25% for the initial
trial/settlement and 30% on appeals.
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25%/30% |
N/A |
| Reduced
Fee Benefit for Non-Covered Matters |
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Reduced
rates of at least 25% for in-office legal
needs such as representation and other legal
issues for non-covered matters when using a
Network Attorney.
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25% |
N/A |
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Insurance Benefits -
Available
following a 90-day waiting period
| |
Network
Attorney
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Non-Network
Attorney
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Online
Legal Resources
Uncontested
Court Adoption Proceedings* |
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Legal
services rendered to the named insured
and/or his/her insured spouse in court
proceedings to become adoptive parent(s)
Uncontested
proceedings
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Advice,
negotiations, office work, and
court representation |
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Paid-in-full |
$300** |
| Uncontested
Guardianship/Conservatorship* |
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|
Legal
services rendered to members in court
proceedings for appointing a guardian or
conservator
Uncontested
proceedings
|
Advice,
negotiations, office work, and
court representation |
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Paid-in-full |
$300** |
| Juvenile
Court Proceedings* (except traffic
matters) |
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|
Legal
defense of an insured child in juvenile
court proceedings
Legal
defense of parental responsibilities in
juvenile court proceedings
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Advice,
negotiations, office work, and
court or administrative hearing
representation |
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Paid-in-full |
$600** |
| Name
Change Proceedings* |
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Advice,
negotiations, office work, and
court representation |
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Paid-in-full |
$240** |
| Will(s)
and Durable Powers of Attorney* |
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Individual
Standard Will
|
Includes
testamentary support trust
provisions for dependent
children and the powers of
attorney that are required and
prepared at the same time as the
will |
|
Paid-in-full |
$125 |
|
Husband
and Wife Standard Wills*
|
Includes
testamentary support trust
provisions for dependent
children and the powers of
attorney that are required and
prepared at the same time as the
will(s) |
|
Paid-in-full |
$150 |
|
Individual
Complex Will Subsidy*
|
Includes
at least one of the following:
distribution of assets outside
of the nuclear family,
provisions to minimize estate
taxation, a trust other than a
support trust. Services for
estate and tax planning
unrelated to the trust document
are not covered under this
benefit. |
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$125 |
$125 |
|
Husband
and Wife Complex Will Subsidy*
|
Includes
at least one of the following:
distribution of assets outside
of the nuclear family,
provisions to minimize estate
taxation, a trust other than a
support trust. Services for
estate and tax planning
unrelated to the trust document
are not covered under this
benefit. |
|
$150 |
$150 |
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Codicil
(amendment to a Will)*
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Attachment
to a single document
Amendment(s) to spousal
documents (2) |
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Paid-in-full
Paid-in-full |
$40
$60 |
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Living
Will*
|
Single
document
Spousal document (2) |
|
Paid-in-full
Paid-in-full |
$35
$50 |
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Powers
of Attorney*
|
Legal
services involving the creation
of a document giving another
individual the right to make
decisions on your behalf should
you become mentally or
physically incapacitated. |
|
Paid-in-full |
$90 |
| Consumer
Protection* |
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|
Legal
disputes about written or implied contracts
involving the acquisition, lease, use or
financing of goods and services, including
debt collection defense
|
Advice,
negotiations, office work prior
to a lawsuit being filed
Advice, negotiations, office
work, and court representation
after a lawsuit is filed |
|
Paid-in-full
Paid-in-full
|
$240**
$1,800***
|
| Tenant
Protection* |
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|
Legal
disputes with your landlord about your
rights as a tenant of your primary
residence, including eviction defense
|
Advice,
negotiations, office work prior
to a lawsuit being filed
Advice, negotiations, office
work, and court representation
after a lawsuit is filed |
|
Paid-in-full
Paid-in-full
|
$240**
$1,800***
|
| Driving
Privilege Protection--without DWI* |
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|
Legal
defense against traffic misdemeanor charges
which could directly result in the
suspension or revocation of driving
privilege (except when charged with or
related to driving while impaired by, or
under the influence of, drugs or alcohol)
|
Legal
services and court representation
prior to trial
Court representation at trial |
|
Paid-in-full
Paid-in-full |
$400**
$1,200*** |
|
Legal
disputes involving the suspension or
revocation of your driving privilege in
administrative proceedings and/or legal
representation involving the reinstatement
of your driving privilege in administrative
proceedings (except in relation to driving
while impaired by, or under the influence
of, drugs or alcohol)
|
Advice,
negotiations, and office work
prior to administrative hearing
Representation at administrative
hearing |
|
Paid-in-full
Paid-in-full |
$240**
$720** |
| IRS
Audit Protection* |
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|
Legal
services involving personal tax Internal
Revenue Service audits for which you receive
written notice while your certificate of
insurance is in effect and which relate to
your personal tax return
|
Advice
consultation and negotiation
Representation at an IRS audit |
|
$420*
$900* |
$420**
$900** |
| IRS
Collection Defense* |
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|
Legal
services involving personal tax Internal
Revenue Service collection actions for which
you receive written notice while your
Certificate of Insurance is in effect and
which relate to your personal tax return.
|
Legal
Services and court
representation prior to trial
Court representation at trial as
a defendant
|
|
$1,800*
$1,200** |
$1,800**
$1,200*** |
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| * |
Requires a
90-day waiting period |
| ** |
Indemnity
benefits are paid at $60 per hour up to the
stated amounts. |
| *** |
Most trial
indemnity benefits are reimbursed for up to
three days of trial reimbursed at $200 per
half-day of trial at a maximum of $1,200
unless otherwise noted. |
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| LegalRx
- Exclusions
We do not provide
coverage for:
- Legal services for matters against us, the
policyholder, and/or the plan sponsor.
- Legal services arising out of your profession,
business interests, investment interests,
occupation, employment, workers or unemployment
compensation, relocation required by an
employer, patents or copyrights.
- Legal services for the benefit of a person other
than you or legal services for other than the
named insured against the interests of another
insured under the same Certificate.
- Costs related to title insurance, title search,
title abstracting and any costs other than
attorney fees.
- Legal representation in class actions,
interventions, judgments or court appeal
proceedings.
- Legal representation deemed by us to be lacking
merit or representation that is, in the judgment
of the providing attorney, in violation of
attorney ethics rules.
- Legal services related to any court action which
is or can be brought in Small Claims Court or in
a similar court of limited jurisdiction.
- Legal disputes involving insurance contracts or
related to structural damage(s),
noise, visual or other intangible hindrances
arising out of or affecting real estate
property.
- Legal disputes arising out of the inheritance
law or involving contracts related to family law
matters or Qualified Domestic Relations Orders.
- Legal services which are eligible to be paid by
another party, allowed to be paid by law,
involving punitive damage(s) claims, or other
matters normally handled by contingency fee.
- Matters which are not expressly listed under the
Benefits Section of this policy or occur prior
to the end of the waiting period.
Reduced Fee Legal
Services cannot be provided for:
Exclusions 1-4, and 6 listed above.
Immigration matters, Non-covered immigration matters are
available for a reduced fee. Depending on the matter,
attorneys will provide reduced fees up to 25%.
Telephone Legal Access Services cannot be
provided for:
Exclusions 1-4 listed above.
Matters which, in the opinion of the Telephone Legal
Access Law Firm, may not ethically or appropriately be
handled over the telephone.
Matters which require, in your and/or the Telephone
Legal Access Law Firm's opinion, your personal presence
in an attorney's office or your direct and personal
representation by another attorney;
Members outside the jurisdiction of the United States of
America or Canada.
Insurance products are underwritten by ARAG®
Insurance Company of Des Moines, Iowa. GuideOne®
Mutual Insurance Company of West Des Moines, Iowa or
GuideOne Specialty Mutual Insurance of West Des Moines,
Iowa. Additional services may be provided by ARAG LLC,
ARAG Services LLC or Advisory Communication Systems Inc.
Some products are only available through membership in
the ARAG Association LC. This information is for
illustrative purposes only and is not a contract. This
information is intended to provide a general review of
the plan described. Only the insurance policy can give
actual terms, coverages, amounts, conditions and
exclusions.
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