Features and Benefits Comparison
CAPF, CSFEWBC, and CPFHBT general information taken from websites and Plan Documents.
| Features/Benefits | CAPF | CSFA – Standard Ins. Plan | CPFHBT "PYI" |
| Cost | $19.50 Per Month (level cost).
Group and Individual Plans No dues or fee |
$20.00 Per Month (level cost) Group Plan Plus – $6.75 per month for CSFA dues |
$27.00 Per Month (level cost). Group Plan Plus – $8.36 per month for CPF dues |
| Percentage of Wages Protected |
100% of wages for Catastrophic Disabilities for up to 30 months. 70% of wages Industrial causes. (75% with deductible income) 80% of wages Non-Industrial causes. (No reductions for Workers' Compensation permanent disability settlements.) Maximum Benefit $10,000 per month. |
The lesser of: 70% of your Predisability Earnings; and Maximum benefit of $9,000 per month. |
66 2/3 % of base wages to a maximum of $10,000 monthly benefits for Industrial disability. Cash pay-off after 5 years and claim is over. 66 2/3 % of base wages to a maximum of $10,000 monthly benefits for Non-Industrial disability. |
| Waiting Period | 30 calendar days – Earlier reduced benefits may be payable based on lack of sick/personal leave down to zero days. $750 Minimum Benefit (see Minimum Benefits below) after 60 days, freeze of sick/personal leave after 60 days. No benefits are payable if working full-time, light or modified duty. | Non-Industrial: 30 calendar days
Industrial: 60 calendar days |
Benefits payable when employer establishes no-pay status. No benefits are payable if working full-time, light or modified duty. |
| Benefit Period | Lifetime Coverage of Sickness, Accident, & Pregnancy | Safety Members:
Non-Safety Members:
ADEA Grading |
A) Age 65 coverage (Non-Industrial causes). B) Five year coverage with $60,000 lump-sum payment (Industrial causes). C) By signing a release of liability form, member is eligible for a $3,000 bonus plus $200 for each month of integration within the first 24 months of claim. |
| Freeze of Sick Leave Options | After 60 days, you may use 50% sick/personal leave and receive a 50% benefit from the Plan or use 100% of sick/personal leave and get $750 per month. | After 60 days or 100% back door integration – 100% of base pay through use of sick/personal leave pay and LTD benefit. | None (All sick/personal leave must be used before any benefits are payable.) |
| Sick Leave Integration Benefit | After 60 days, you may use 50% sick/personal leave and receive a 50% benefit from the Plan. | See Freeze of Sick Leave Options. | None. |
| Cost of Living Benefit (COLA) | 4% compounded per year (years 2-7) thereafter, CPI increase to age 65 and then benefits continued lifetime. |
Based on increases in CPI-W, up to 5% compounded annually to age 65. |
None |
| Stress & Substance Abuse | Three (3) months per occurrence, six (6) month lifetime benefit. A Participant must return to work for one (1) year between claims. | Benefits limited to 12 months. No limit if confined to a medical facility. | Twenty-four (24) months. |
| Musculoskeletal & Connective Tissue Disorders | Fully covered, no restrictions lifetime – Industrial & Non-Industrial causes | 24 months, lifetime limitation on back and its surrounding soft tissue, sprains, strains of joint or muscles, and connective tissue disorders. Numerous conditions are limited to 24 months. | See items A, B, & C above. |
| Benefits Payable During Challenged Workers' Comp. Cases |
After 60 calendar days – 70% of wages or Maximum Benefit of $10,000 per month (repayable only if settled in your favor). | After 60 days – 70% of wages or maximum benefit of $9,000 monthly (Up to 70% repayable if determined to be Industrial disability). | After no-pay status has been established 66 2/3% of wages or maximum benefit of $6,000 (Up to 66 2/3% repayable if determined to be Industrial). |
| Waiver of Dues | Waiver of Dues after no-pay status | After 60 days. | After no-pay status. |
| Minimum Monthly Benefit |
$750 per month – paid in addition to sick/personal leave after 60 calendar days ($500 per month if Industrial caused). | $500 per month paid in addition to sick/personal leave after 60 days plus $200 per month for medical benefit. $50 per month if job related |
None |
| Survivorship Benefit | Nine (9) months additional benefits to dependent beneficiary. | After 180 days of continuous disability, eligible dependents will receive a lump sum benefit equal to six (6) times the member's last LTD monthly benefit, after reductions by deductible income. |
Twenty-four (24) month continuation of benefits if member was eligible for disability benefits at time of death. |
| Death Benefit | $15,000 Death Benefit on- or off-duty natural, accidental or terminal illness (Payable and delivered usually within 24 hours of notification). | $15,000 (CSFEWBC Self Funded) | $50,000 accidental death only. Not paid on natural deaths. |
| Ownership of Plan | Owned, operated and managed by Participants through a Board of Directors (non-profit and non-political California Corporation) since 1985. |
Sponsored by CSFEWBC, Insured by Standard Insurance Co. | Operated and managed by the CPF "PYI" Health Benefits Trust. |
For Illustration only. Please see Plan Documents for full description.






