Behavioral Health Benefit to First Responders

//Behavioral Health Benefit to First Responders

Behavioral Health Benefit to First Responders

2017-09-20T11:02:51+00:00September 20th, 2017|From the President|Comments Off on Behavioral Health Benefit to First Responders

A behavioral health benefit for South Carolina law enforcement has long been a legislative priority for the Fraternal Order of Police.  Since the original South Carolina Supreme Court ruling in 2012, the Fraternal Order of Police has lobbied with the State Legislature to specifically address the issue.

As of October 1, 2016, the State of South Carolina has provided all Sworn Law Enforcement Officers, all Volunteer and Career Firefighters and Emergency Medical Responders funds to help those suffering from stress related incident based behavioral health issues.  The funds are to provide coverage for any out of pocket expenses for those receiving treatment and to provide training and prevention opportunities to help save, protect, and retain our First Responders in South Carolina. The policy language and claim process are outlined below:

MENTAL STRESS MANAGEMENT BENEFIT

If an Insured Person suffers psychiatric or mental stress illness as a direct result of either being actively engaged in a single emergency incident or repeated active engagement in emergency incidents, a Mental Stress Management Benefit, in accordance with Section IV of this Policy, subject to the Maximum Benefit Amount shown on the Policy Schedule of Benefits $15,000 is available. The Insured Person must be receiving care by a Physician properly licensed to provide such care and the care must be appropriate for the condition causing the psychiatric or mental stress.

Policies are underwritten by AXIS Insurance Company. See the actual policy language or your Provident Agency representative for specific provisions and details of availability. Coverage is subject to exclusions and limitations, and may not be available in all US states and jurisdictions. Product availability and plan design features, including eligibility requirements, descriptions of benefits, exclusions or limitations may vary depending on local country or US state laws. These policies are administered by Provident Agency, Inc. and in California, Provident of Pennsylvania Insurance Agency of Pittsburg, PA.

This insurance provides limited benefits, which are insurance products with reduced benefits, intended to supplement comprehensive health insurance plans. This insurance is not an alternative to comprehensive coverage. It does not provide major medical or comprehensive medical coverage and is not designed to replace major medical insurance. Further, this insurance is not minimum essential benefits as set forth under the Patient Protection and Affordable Care Act.

The First Responder Assistance Program is not insurance and is provided through Provident Agency, Inc. by Bensinger, DuPont & Associates, Morneau Shepell.

CLAIM PROCESS

Once an Insured Person has a standing appointment with a licensed provider please contact Benefits Director Zorrina Harmon via email:

or mailing address: PO Box 211725, Columbia SC 29221.

A claim form (First Notice of Claim) must be completed by the Insured Person. A licensed provider may complete the form on behalf of the Insured or contact Zorrina Harmon for clarification on payment methods and options. If any persons have questions or concerns, please call 803-807-1099.

Critical Incident Assistance Fund Flyer in PDF

Critical Incident Assistance Fund FAQ in PDF

Confidential Request for Reimbursement Form

 

Video

Overview of program (12:43)

Interviews of officers (12:20)

 

More information is available on our previous post.

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John Blackmon

A retired law enforcement officer who now serves as the President of the Fraternal Order of Police Tri-County Lodge #3.
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