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​​​Law Enforcement Officer Benefits

Claims Process for Disability/Hospital Benefits 

Obtain a claim form from your employer. You, your doctor, and your current employer (if applicable) must complete the claim form and submit it to the disability/hospital benefits administrator:  
Hartford Life Insurance Company
ATTN: Association/Affinity Markets Disability
Post Office Box 2999
Hartford, Connecticut 06104-2999
Call (888) 232-5340 toll free Mon-Fri 8 a.m. - 5 p.m. EST
Fax (866) 913-4044
Policy Number AGP-1673  
The administrator will pay you directly, not the hospital or doctor.
 
Separate Insurance Benefits Plan Death Benefits
 
Service Status/Situation​ Amount of Benefit
If your death occurs while you are in active service:
$5,000 paid to your surviving spouse unless you designated a different beneficiary. The amount is increased by $2,100 if your death is line-of-duty related.
If your death occurs after you are retired from active service: $4,000 paid to your surviving spouse unless you designated a different beneficiary

Claims Process for Death Benefits

Your survivors should submit a copy of the final certificate of death to the death benefits administrator:

N.C. Department of State Treasurer
Retirement Systems Division
3200 Atlantic Avenue
Raleigh, NC 27604
Call (877) 627-3287
Fax (919) 855-5800

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