state of florida€¦ · your paychecks. choose from more than 15,000 attorneys nationwide. receive...

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Live worry free. Legal matters, both planned and unplanned, are part of life. Enrolling in the Hyatt Legal Plan gives you the financial and emotional peace of mind to know you will be covered for expected and unexpected legal events. The Hyatt Legal Plan provides you, your spouse and dependents with fully covered legal services from attorneys experienced in estate planning documents, civil suits, adoption, identity theft issues and much more. Sign up for a convenient payroll deduction of just $17.25 a month, and save hundreds over typical attorney fees...with no deductibles, no co-pays, no claim forms or usage limits when using a Network Attorney. We’ll automatically deduct the cost from your paychecks. Choose from more than 15,000 attorneys nationwide. Receive fully covered legal advice and representation for a wide range of legal matters. You can consult with your attorney on the phone or in person. You can also use an out-of-network attorney and get reimbursed for covered services according to a set fee schedule.* It’s easy to access the right attorney. Online. By Phone. In Person. Once you’re enrolled, simply go to members.legalplans.com or download our Mobile App. You can also call Hyatt Legal Plans toll - free at 1-800-821-6400 Monday through Friday from 8 a.m. to 8 p.m. EST. A representative will confirm your plan eligibility and give you a case number and the address and phone number of the appropriate attorney(s) near you. Service is just a click or call away. *You will be responsible to pay the difference, if any, between the plan’s payment and the out-of-network attorney’s charge for services. Protect yourself with affordable Hyatt Group Legal Services. State of Florida

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Page 1: State of Florida€¦ · your paychecks. Choose from more than 15,000 attorneys nationwide. Receive fully covered legal advice and representation for a wide range of legal matters

Live worry free.

Legal matters, both planned and unplanned, are part of life. Enrolling in the Hyatt Legal Plan gives you the financial and emotional peace of mind to know

you will be covered for expected and unexpected legal events.

The Hyatt Legal Plan provides you, your spouse and dependents with fully covered legal services from attorneys experienced in estate planning documents,

civil suits, adoption, identity theft issues and much more. Sign up for a convenient payroll deduction of just $17.25 a month, and save hundreds over typical

attorney fees...with no deductibles, no co-pays, no claim forms or usage limits when using a Network Attorney. We’ll automatically deduct the cost from

your paychecks.

Choose from more than 15,000 attorneys nationwide. Receive fully covered legal advice and representation for a wide range of legal matters. You can consult with your attorney on the phone or in person. You

can also use an out-of-network attorney and get reimbursed for covered services according to a set fee schedule.*

It’s easy to access the right attorney. Online. By Phone. In Person.Once you’re enrolled, simply go to members.legalplans.com or download our Mobile App. You can also call Hyatt Legal Plans toll - free at 1-800-821-6400

Monday through Friday from 8 a.m. to 8 p.m. EST. A representative will confirm your plan eligibility and give you a case number and the address and phone

number of the appropriate attorney(s) near you. Service is just a click or call away.

*You will be responsible to pay the difference, if any, between the plan’s payment and the out-of-network attorney’s charge for services.

Protect yourself with affordable Hyatt Group Legal Services.

State of Florida

Page 2: State of Florida€¦ · your paychecks. Choose from more than 15,000 attorneys nationwide. Receive fully covered legal advice and representation for a wide range of legal matters

Court AppearancesAdministrative HearingsCivil Litigation Defense

Consumer Protection MattersIncompetency DefenseJuvenile Court Defense

Personal Property ProtectionRestoration of Driving Privileges

Traffic Ticket Defense (excludes DUI)

Document Review & Preparation

Affidavits, DeedsDemand Letters

Elder Law MattersMortgages

Promissory NotesReview of Personal Legal Documents

Small Claims Assistance

Family MattersAdoption

Domestic Violence ProtectionGuardianship

Name ChangePrenuptial Agreement

Immigration Immigration Assistance

Identity Theft MattersIdentity Theft Defense

Financial MattersDebt Collection DefenseForeclosure DefenseNegotiation with CreditorsRepayment ScheduleRepossessionPersonal BankruptcyTax Audits

WillsLiving WillsPowers of AttorneyTrustsWills, Codicils

Real Estate MattersBoundary or Title DisputesEviction and Tenant Problems (for tenants)Home Equity Loans (primary, secondary or vacation home)Property Tax AssessmentSale, Purchase or Refinancing (primary, secondary or vacation home)Security Deposit Assistance (for tenants)Zoning Applications

High quality legal services without the high fees.

Group Legal Plans are provided by Hyatt Legal Plans, Inc., a MetLife company, Cleveland, Ohio. In certain states, Group legal plans are provided through insurance coverage underwritten by Metropolitan Property and Casualty Company and Affiliates, Warwick, Rhode Island. Please see your plan description for complete details. No service (including consultations) will be provided for: employment-related matters, including company or statutory benefits, matters involving the employer, MetLife® and affiliates, and plan attorneys, matters in which there is a conflict of interest between the employee and spouse or dependents in which case services are excluded for the spouse and dependents, appeals and class actions, farm and business matters, including rental issues when the participant is the landlord, patent, trademark and copyright matters, costs and fines, frivolous or unethical matters, matters for which an attorney-client relationship exists prior to the participant becoming eligible for plan benefits. [ML2] L0219511903[exp0420][All States][DC,PR]

Peace of mind for you and your family.For more information, visit info.legalplans.com and enter access code: 6350005

TOP TEN REASONS TO ENROLL

1. It’s like having an attorney on retainer

2. The legal plan can save you money

3. Covers a wide variety of legal matters

4. Nationwide attorney network.

5. Unlimited access

6. Easy to use

7. Freedom to choose any Attorney, Anywhere, Anytime.®

8. Superior customer service

9. Relieves your stress

10. Convenient payroll deduction

Page 3: State of Florida€¦ · your paychecks. Choose from more than 15,000 attorneys nationwide. Receive fully covered legal advice and representation for a wide range of legal matters

STATE OF FLORIDA

HYATT LEGAL PLANS ENROLLMENT FORM Please complete and return this form to your Post Tax Benefits Coordinator

Name (please print): Last First M.I

Mailing Address: (please list the address that you would like to receive your Hyatt Legal Plans information)

City: __________________________________ State:_______________ Zip Code: ________________

Social Security Number: Employee ID#: _______________________

Date of Hire: _______/_______/_______ Contact #: ( )

State Agency:

Agency for Persons with Disabilities (APD) Department of Economic Opportunities (DEO)

Agency for State Technology (AST) Department of Revenue (DOR)

Department of Children and Families (DCF) Department of Transportation (DOT)

Department of Agriculture (DACS)

Authorization I wish to ACCEPT enrollment in the Hyatt Legal Plan and authorize, now or hereafter, the appropriate deductions to be taken from my wages for this plan. I understand my enrollment is effective for one full year, and cannot be cancelled until the next open enrollment period.

Employee’s Signature: __________Date:

Required for processing

Miscellaneous Deduction Code - 0257 Monthly Premium: $17.25 Bi-Weekly Premium: $7.96