Group Accidental Death & Dismemberment Insurance

You and your dependents will become insured on the date specified by New York Life Insurance Company provided the initial premium contribution is paid when due, and you and your dependents are performing the normal activities of a person in good health of like age (NC Residents: a person of like age) on that date. Dependent insurance will not take effect unless your insurance is in effect on a premium paying basis, and any person who is not performing his or her normal activities as required will not become insured until the date he or she is performing such activities, provided such date is within three months of the date insurance would have been effective and the person is still eligible. (Payment of a premium contribution for insurance does not mean there is any coverage in force before the effective date as specified by New York Life Insurance Company.)

If you are an ACP member, Physician Affiliate or Non-Physician Affiliate under age 70 and a resident of the U.S. (except VT and WA) or Puerto Rico, you may apply for the Accidental Death & Dismemberment Insurance.

No benefit will be payable for any loss that occurs during or is due or related to: military service; your incarceration for or your participation in (except as a victim) an illegal occupation/activity or the commission of a crime; your voluntary intake of drugs, narcotics or alcohol (unless taken as prescribed by a physician); any declared or undeclared war or act thereof; or operating, riding in or descending from any aircraft except when riding as a passenger on a licensed, non- military aircraft; a physical or mental sickness or medical/surgical treatment thereof; or suicide or intentionally self-inflicted injury while sane or insane.

Benefits are payable for loss of life; two limbs; movement of both upper and lower limbs (quadriplegia); sight of both eyes; both speech and hearing; or one limb and sight of one eye (FULL PRINCIPAL SUM). Also covers partial losses with proportional benefits.

Yes, including Common Carrier Benefit (additional 25% if accident occurs as passenger on licensed common carrier), Repatriation Benefit (up to $25,000 for transportation of body), Rehabilitation Benefit (up to $5,000 for training), Seat Belt Benefit (additional amount up to $25,000 or 10% of Principal Sum), Education Benefit (up to $5,000 annually for up to 4 years for dependent children), and Surviving Spouse Benefit (1% of deceased’s Principal Sum monthly for up to 12 months).

Coverage ranges from $25,000 to $500,000 in Principal Sum amounts: $25,000, $100,000, $200,000, $300,000, $400,000, and $500,000.

For member only coverage: $25,000 costs $30/year, $100,000 costs $60/year, $200,000 costs $120/year, $300,000 costs $180/year, $400,000 costs $240/year, $500,000 costs $300/year. Family coverage options available at higher rates.

Your insurance remains in force unless you fail to pay premium contributions when due, the insured person enters full–time active duty in the Armed Forces, or the Policy is terminated. At age 70, coverage reduces to $25,000 maximum.

No benefit will be payable for any loss that occurs during or is due or related to: military service; the insured person’s incarceration for or participation in (except as a victim) an illegal occupation/activity or the commission of a crime; the insured person’s voluntary intake of drugs, narcotics or alcohol (unless as prescribed by a physician); any declared or undeclared war or act thereof; or operating, riding in or descending from any aircraft except when riding as a passenger; or for any loss that is due or related to: a physical or mental sickness or medical/surgical treatment thereof, or suicide or intentionally self–inflicted injury while sane or insane. In addition, when you reach age 70, coverage reduces to $25,000.

If you’re not completely satisfied with the terms of your Certificate of Insurance, you may return it, without claim, within 30 days. Your coverage will be invalidated, and you will be sent a full refund, no questions asked.