Revised:
3/15/06
NEW JERSEY STATE
POLICEMEN’S BENEVOLENT ASSOCIATION, INC
LEGAL PROTECTION PLAN
I.
INTRODUCTION
A.
The New Jersey State PBA Legal Protection Plan (“LPP”)
is a member-funded benefit sponsored by the New
Jersey State PBA (“PBA”) solely for its members.
The LPP provides for the cost of legal defense and
related expenses in criminal, civil and
administrative proceedings of PBA members who choose
to participate in the Plan. The LPP is operated
pursuant to rules and conditions promulgated by the
PBA and its appropriate officials. The cost for
participation is $132, and no deductible by members
is required. Coverage under the LPP is not
effective until the member’s Delegate transmits the
member’s payment to the LPP.
B.
The LPP Program provides reimbursement for “Legal
Defense Costs” which arise from a matter occurring
while the member is enrolled in the LPP Program, and
only applies to claims that are first made during
the Policy Period. The action or proceeding
resulting in “Legal Defense Costs” must have
occurred on or after the member’s Retroactive Date,
if any, and must arise out of the performance of the
participant’s law enforcement duties during the term
of the member’s policy period.
C.
A “claim” by a member for reimbursement under the
LPP will be deemed to have been made when notice of
such claim is received and recorded by the member’s
local, or by Protection Management Company,
whichever comes first.
II.
DEFINITIONS
A.
The
“LPP” whenever used, shall mean the New Jersey State
Policemen’s Benevolent Association, Inc. Legal
Protection Plan.
B.
“Member” whenever used shall mean a person who is a
licensed or certified peace officer and a member of the
PBA who has paid the annual fee required for this member
benefit. “Member” includes members covered under an
expired policy who reapply within thirty (30) days after
the inception of this policy.
C.
“Legal Defense Costs”, whenever used, shall include:
1.
All
expenses incurred and all costs taxed against the member
in any action or proceeding as described in Members
Benefits Sections A, B and C, and which do not exceed
the stated limits, and
2.
Premiums on appeal bonds required in any such action or
proceeding.
D.
“Aggregate Limit”, whenever used, shall mean the total
payment allowable under the plan for the plan period,
inclusive of costs, expenses, and attorneys fees;
E.
“Per Claim Limit”, whenever used, shall mean the total
payments to be made by the LPP for a claim, inclusive of
costs, expenses and attorneys fees;
F.
“Basic Extended Reporting Period”, whenever used, shall
mean a period of 120 days beyond the expiration of
coverage for a Policy Period;
G.
“Supplemental Coverage Program”, whenever used, shall
mean a LPP program for additional coverage beyond that
otherwise provided in the LPP pursuant to the provisions
of Article VIII herein;
H.
“Policy Period”, whenever used, shall mean a period of
365 continuous days, or any applicable portion thereof,
following the first date of enrollment;
I.
“Retroactive Date”, whenever used, shall mean the date
upon which the member shall be deemed to have coverage
under the LPP Program.
III.
STATEMENT
OF MEMBER BENEFITS
Reimbursement of “Legal Defense Costs”
1.
The
LPP will pay the “legal defense costs” incurred by a
member which are reasonable and necessary and which the
member is legally obligated to pay for the defense of
any action brought against the member arising out of the
following activities:
a)
Disciplinary
& Administrative Proceedings
Any
administrative action or proceeding involving dismissal,
suspension, demotion, loss or reduction of salary,
change of assignment, or other professional rights,
duties or responsibilities involving the issuance,
suspension, cancellation or revocation of any
credential, certification, or license issued by federal,
state or local authorities, which credential is required
for law enforcement personnel; or involving
administrative sanctions against a member by any law
enforcement authority related to or arising from a
member’s employment as a peace officer.
The LPP will provide
reimbursement of legal defense costs and expenses for
the above proceedings up to a maximum of $20,000.
b)
Civil
or Criminal Proceedings
Any
criminal or civil action or proceeding against a member
arising out of the activities of a member as a peace
officer, and arising from, relating to, or otherwise
occurring in the course and scope of employment; the LPP
will also pay the premium for bail bonds required of the
member arising out of the activities of the member’s
professional capacity, in the course and scope of
employment, as hereinafter defined, not to exceed $1,000
per bail bond, but without obligation to apply for or
furnish such bond.
Reimbursement for legal defense costs and expenses for
civil and criminal proceedings shall only be made by the
LPP after the member seeks coverage of same from his
employer or other available sources, and rejection of
same is received by the member.
Effective March 15, 2006, the LPP shall provide
additional coverage to a covered member in an aggregate
amount up to $40,000 for any civil or criminal matter
involving a successor trial resulting from a hung jury;
a successor civil or criminal, state or federal
proceeding resulting from the same or similar charges
previously adjudicated; or a successful civil or
criminal proceeding resulting in a mistrial.
Notwithstanding any other provision to the contrary,
legal defense costs for a successor proceeding resulting
from a hung jury pursuant to this provision shall be
paid retroactive to March 1, 2003 or thereafter at the
then applicable coverage.
The LPP will provide
reimbursement of legal defense costs and expenses for
the above proceedings up to a maximum of $40,000.
c)
Target of a Criminal Investigation
The
LPP will reimburse a member who is a “target” of a
criminal investigation arising out of the scope of the
member’s duties as a peace officer.
The LPP will provide
reimbursement of legal defense costs and expenses for
the above proceedings up to a maximum of $2,500.
IV.
ATTORNEYS
The LPP shall maintain a list of attorneys who may be
selected by the member to provide necessary legal
defense. No attorney is obligated to accept a case and
the member agrees to cooperate with any attorney so
selected. The member may choose to change attorneys in
the course of representation upon request to the LPP,
which shall not unreasonably be denied.
The LPP retains sole authority to select, appoint and
terminate attorneys participating in the Plan, and to
determine the terms of their retention. Attorneys shall
be included in the LPP upon demonstration of experience
and/or expertise in the representation of law
enforcement officers. The LPP shall entertain requests
by members for the addition or deletion of attorneys to
the Plan.
V.
EXCLUSIONS
The LPP does not provide coverage for:
A.
Activities of the member not carried on, or arising
from, the member’s professional activities in the course
and scope of employment as a peace officer, and which
involve a civil or criminal claim.
B.
Activities of the member carried on in a private
security related business or professional endeavor.
C.
Obligations for which the member or any carrier may be
liable under Worker’s Compensation, Unemployment,
Disability benefits or similar laws.
D.
Activities of any member while acting as an elected or
appointed member of any peer review process or
similarity constituted body.
E.
Any written or oral reprimand, counseling letter, or any
other action that does not involve loss of salary, rank,
or time.
F.
Any member found to also be a member of any other
organization or union that serves as a bargaining
representative for law enforcement officers.
G.
Claims which a member knew or reasonably should have
known might exist at the time of his/her initial
participation in the LPP.
H.
Dismissals during or at the conclusion of a probationary
employment period.
VI.
OTHER CONDITIONS
A.
Limits of Coverage
1.
Under
Member Benefits A, B and C:
a)
The Aggregate Limit is the
most the LPP will pay.
b)
Subject to (a) above, the
Per Claim Limit is the most the LPP will pay for all
“legal defense costs” covered by the Plan
c)
Subject to (b) above, the
Bail Bond Limit is the most the LPP will pay under the
Plan.
B.
Notice of Event Warranting LPP Coverage
Whenever a member participating in the LPP asserts that
an event or occurrence has occurred warranting LPP
coverage, written notice in a manner required by the LPP
shall be given by or on behalf of the member to the LPP
as soon as practicable. Such notice shall contain
particulars sufficient to identify the member and also
other information describing the time, place and
circumstances of the occurrence.
Members must confirm that efforts to resolve the matter
were initiated but were unsuccessful.
C.
Assistance and Cooperation of the Member
The Member shall cooperate with the LPP toward the
resolution of any claim.
D. Insurance or Other Sources of Coverage
If any valid and collectible insurance or coverage is
available to the member for reimbursement of legal
defense costs as defined herein, the LPP shall not
apply. These sources include, but are not limited to,
insurance coverage or benefits provided by other groups
or associations, insurance coverage or benefits provided
by self-insurance, trusts, pools, risk retention groups,
captive insurance companies, or any other insurance plan
or agreement of risk assumption.
E.
Subrogation
The LPP is funded by fees paid by its participating
members. In order to keep costs as low as possible, the
LPP shall be subrogated to all the member’s right of
recovery against any person, agency, organization,
political subdivision, or any other entity for costs
incurred herein and the member and his attorney shall
cooperate with the LPP to do whatever else is necessary
to secure such rights.
F.
Reservation
The LPP reserves the right to amend or modify any
provision of the foregoing if it believes it is in the
best interests of the Plan and participating members.
VII. APPEALS
Any member contesting a denial of coverage under this
Plan or the member benefits contained herein may submit
a request for review by the LPP Committee. The member
shall provide a written explanation of the reason why
denial of benefits under the LPP was improper.
Admission to and exhaustion of this procedure is a
prerequisite to any suit contesting member benefits
provided herein.
VII.
CANCELLATION/TERMINATION OF LPP
1.
Participation in this program may be canceled by the
member for any reason by surrender thereof to the LPP or
by mailing to the LPP written notice, by certified mail,
return receipt requested, stating when thereafter the
cancellation shall be effective. The LPP reserves the
right to terminate, amend or modify the Plan at any
time, upon 60 days’ notice to the affected members.
If a member cancels participation, the LPP shall provide
a pro rata credit to the Local Association in the
following circumstances:
a)
Retirees:
When a member retires that local will be able to receive
an $11 credit per month, providing that at least three
(3) months remain until the end of the Policy Period.
No credits will be issued if there is less than 3 months
remaining in the Policy Period. Furthermore, these
credits will expire 12 months from the next Policy
Period.
b)
All Other Active
Members: A
Local Association is permitted to exchange membership
for a member during the Policy Period provided that they
pay an administrative charge of $1 per month per
member. If that member has already incurred LPP costs
in the same Policy Period, they will not be eligible to
participate in the exchange.
2.
The LPP provides a Basic
Extended Reporting Period without additional charge.
a)
This period starts with the
end of the policy period and lasts for One hundred
twenty (120) days.
b)
The Basic Extended Report
Period does not apply to claims that are covered under
any subsequent insurance purchased by the member, or
that would be covered but for exhaustion of the amount
of the fund applicable to such claims, or for any member
found to be a member of any other organization or union
that serves as a bargaining representative for law
enforcement officers.
3.
The LPP shall offer a
Supplemental Coverage Program that starts with the end
of the Policy Period and lasts for five years for any
claim made following a covered member’s retirement,
disability, or death, for any occurrence arising during
a covered member’s active employment, provided that the
Supplemental Coverage Program is purchased by a covered
member, at the then current cost of basic LPP coverage,
within 120 days of the conditions referenced herein. |