Accidental Death & Dismemberment Plan

Accidental Death & Dismemberment Plan  

Overview

Accidents. Television and newspapers report them every day. But what if one happened to you? Would your family have the financial resources to survive the crisis? If you travel a great deal in your work … or if you are subject to possible injury on the job … you may need the MOAA Group Accidental Death & Dismemberment Insurance Plan. It helps protect you and your insured family members by providing accident protection that covers you year round … anywhere in the world.

 

Acceptance is guaranteed for eligible members and dependents.
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How It Works

Forms

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

 

Beneficiary Form

Tell Me More

ELIGIBILITY

As a member of the Military Officers Association of America (MOAA) under age 70, you are eligible to apply for this Group Accidental Death & Dismemberment (AD&D) coverage for yourself, your lawful spouse under age 70, and unmarried dependent children under age 19 (26 if a full-time student). To become insured, an application must be submitted and the required premium contribution must be paid.

This coverage is available to residents of the United States (except VT, WA and territories).

 

WHAT YOU CAN CHOOSE

Your Group AD&D benefit options can deliver the extra cash benefits your loved ones would need if you fell victim to a sudden accident.

 

You may select a Principal Sum ranging from $50,000 to $500,000 (in units of $50,000) for yourself–at economical group rates. You have a choice of two Plans–the Member Only Plan or the Family Plan. The Member Only Plan pays benefits for covered accidental death or injury for you alone. The Family Plan is designed to cover all of your eligible dependents for benefit amounts based on a percentage of your Principal Sum.

 

If you choose the Family Plan, benefits for your spouse will equal 50% of your base Principal Sum and each child will be covered for 10% of your base Principal Sum. If you have no eligible children, your spouse’s benefit increases to 60%. If you do not have an eligible spouse, each child would be covered for 15% of your base Principal Sum. The MOAA AD&D Plan stands as an important safety net to help MOAA families rebuild their lives after a covered accident. But it delivers more than basic protection. MOAA also negotiated a broad package of additional benefits— automatically included in your coverage.

 

An individual may not be insured under one or more AD&D Group Policies underwritten by New York Life for a total amount of AD&D coverage that exceeds current over-insurance standards.

 

Acceptance is guaranteed to all eligible MOAA members and their eligible family members. No medical exam is required. No health questions asked.

 

  • YOUR COST

    CURRENT 2021 MONTHLY PREMIUM CONTRIBUTIONS:

    Monthly rates are shown for comparison purposes only.
    When the coverage is put in force, you will be billed on an annual basis.

    Member Only*
    (Under Age 70)
    Family Plan**
    (Under Age 70)
    Member/Spouse/Child
    $50,000………$2.83 $50,000 / $25,000 / $5,000……....$3.75
    $100,000…….$5.67 $100,000 / $50,000 / $10,000……..$7.50
    $150,000…….$8.50 $150,000 / $75.000 / $15,000……$11.25
    $200,000…...$11.33 $200,000 / $100,000 / $20,000…..$15.00
    $250,000…...$14.17 $250,000 / $125,000 / $25,000…..$18.75
    $300,000…...$17.00 $300,000 / $150,000 / $30,000…..$22.50
    $350,000…...$19.83 $350,000 / $175,000 / $35,000…..$26.25
    $400,000…...$22.67 $400,000 / $200,000 / $40,000…..$30.00
    $450,000…...$25.50 $450,000 / $225,000 / $45,000…..$33.75
    $500,000…...$28.33 $500,000 / $250,000 / $50,000…..$37.50

     

    Coverage Amounts Available After Age 69* (For Renewal Only)

    Insured Person Member
    under age 70
    (Original Principal Sum)
    Member age
    70 -74
    (Principal Sum Available)
    Member age
    75-79
    (Principal Sum Available)
    Member age 80 or older
    (Principal Sum Available)
    Member $50,000 $25,000 $12,500 $6,250
    Spouse $25,000 $12,500 $6,250 $3,125
    Child $5,000 $2,500 $1,250 $625
    Member $100,000 $50,000 $25,000 $12,500
    Spouse $50,000 $25,000 $12,500 $6,250
    Child $10,000 $5,000 $2,500 $1,250
    Member $150,000 $75,000 $37,500 $18,750
    Spouse $75,000 $37,500 $18,750 $9,375
    Child $15,000 $7,500 $3,750 $1,875
    Member $200,000 $100,000 $50,000 $25,000
    Spouse $100,000 $50,000 $25,000 $12,500
    Child $20,000 $10,000 $5,000 $2,500
    Member $250,000 $125,000 $62,500 $25,000
    Spouse $125,000 $62,500 $31,250 $12,500
    Child $25,000 $12, 500 $6,250 $2,500
    Member $300,000 $150,000 $75,000 $25,000
    Spouse $150,000 $75,000 $37,500 $12,500
    Child $30,000 $15,000 $7,500 $2,500
    Member $350,000 $175,000 $87,500 $25,000
    Spouse $175,000 $87,500 $43,750 $12,500
    Child $35,000 $17,500 $8,750 $2,500
    Member $400,000 $200,000 $100,000 $25,000
    Spouse $200,000 $100,000 $50,000 $12,500
    Child $40,000 $20,000 $10,000 $2,500
    Member $450,000 $225,000 $112,500 $25,000
    Spouse $225,000 $112,500 $56,250 $12,500
    Child $45,000 $22,500 $11,250 $2,500
    Member $500,000 $250,000 $125,000 $25,000
    Spouse $250,000 $125,000 $62,500 $12,500
    Child $50,000 $25,000 $12,500 $2,500

    * Amounts of Insurance After Age 69: On the premium due date on or immediately after the date the member reaches ages 70, 75 and 80, the Principal Sum in force reduces 50%, with similar reductions to Spouse and Child Principal Sums under the Family Plan. The Member Principal Sum available at age 80 may not exceed $25,000. Premiums do not reduce. Benefit option amounts are not guaranteed and are subject to change by agreement between New York Life and MOAA.

    **Under the Family Plan, if on the date of the accident no dependent spouse is covered, dependent child coverage increases to 15% (instead of 10%) of the Member Principal Sum; if on the date of accident, spouse only is covered under the Family Plan, the spouse coverage increases to 60% of the Member Principal Sum (instead of 50%).

  • PLAN FEATURES

    PLAN FEATURES

    This MOAA-endorsed AD&D plan includes an innovative Civil Aircraft Benefit. If you hold a current valid certificate of competency authorizing performance of a pilot's duties and have logged at least 1,000 flight hours as a pilot in command, and you suffer a covered loss while acting as a pilot or crew member of a civil aircraft, 25% of your Principal Sum is payable. Please refer to the Exclusions and Limitations section for more details.

    The Following Benefits are Payable IN ADDITION to Any Other Benefit Payable Under the Plan.

    DOUBLE BENEFITS (up to an additional $500,000) if the insured person is killed or suffers any covered loss in an accident on an airplane, taxi, train, subway, bus, cruise ship, or other common carrier licensed and registered for the transportation of passengers.

    UP TO AN ADDITIONAL $150,000 MILITARY AIR TRAVEL BENEFIT if the insured suffers a covered loss while riding as a passenger in a military transport aircraft operated by Air Mobility Command while serving in the Reserves or if recalled to active duty service. The benefit payable is the lesser of the Principal Sum or $150,000.

    UP TO $30,000 SPOUSE SUPPORT BENEFIT if you and your covered spouse are in a covered accident and the death of either is a covered loss, the surviving spouse will receive an additional monthly benefit of 1% of the deceased person’s Principal Sum for up to six consecutive months, up to $5,000 per month. The benefit is payable until the earlier of six months, or the survivor's spouse's death.

    UP TO $50,000 SEAT BELT BENEFIT if the insured is involved in an automobile accident in which he/she was properly wearing a seat belt and dies within 365 days as a result of that accident. The lesser of $50,000 or 50% of the Principal Sum is payable. The Certificate outlines certain limitations to this benefit.

    UP TO $25,000 AIR BAG BENEFIT pays the lesser of $25,000 or 10% of the Principal Sum if the Seat Belt Benefit is payable and the vehicle involved was equipped with a properly functioning air bag.

    UP TO $30,000 BURN BENEFIT if the insured suffers disfiguring burns covering at least 5% of his/her body in a covered accident (pays 10% of the Principal Sum up to $30,000).

    UP TO $10,000 REHABILITATION BENEFIT if you’re injured in a covered accident and require rehabilitation. Benefits will be equal to actual rehabilitation expenses up to the lesser of $10,000 or 10% of the Principal Sum. Rehabilitation expenses must be incurred within 2 years after the accident.

    UP TO $10,000 EDUCATION BENEFIT for your eligible children is payable if the benefit for the member’s loss of life is payable and there are surviving insured dependents who are enrolled, or enroll within 365 days of the member’s death, in an institution of higher learning. The benefit payable will equal the actual cost of tuition up to the lesser of: 2% of the Member’s Principal Sum, or; $2,500 for children, $4,000 for spouse. The benefit is payable annually for up to four years, while the dependent is a student, as defined. If no insured dependent qualifies, 2% of the Member's Principal Sum is payable.

    UP TO $5,000 HOME OR AUTO ADJUSTMENT BENEFIT to modify your home or car to accommodate for a physical disability resulting from a covered accident. The benefit will be the lesser of 5% of the insured’s Principal Sum or $5,000. Please refer to the Certificate of Insurance for certain limitations and conditions.

    UP TO $2,500 DAY CARE BENEFIT to help your spouse cover the expense of daycare for your dependent children under age 13 and enrolled in a Day Care Program on the date of loss, in the year following your fatal accident. Pays the lesser of: 5% of your Principal Sum; $2,500; or the actual amount of day care costs for a year. The benefit is payable each year per child who qualifies, and no more than four such benefits are payable per child. If you do not have any children in day care, an additional $500 will be paid.

    UP TO $5,000 ELDER CARE BENEFIT is payable if a covered accident results in the insured’s death and that insured’s elderly relative (other than a spouse) was dependent on the insured for support and maintenance; a benefit equal to the lesser of 5% of the Principal Sum or $5,000 will be payable.

    UP TO $25,000 TO BRING YOU HOME IN CASE OF A FATAL ACCIDENT paid to cover actual expenses up to the lesser of 25% of the Principal Sum or $25,000 to return the deceased home for burial or cremation if the death results from a covered accident outside the insured’s state of residence.

Contact Us

We're here to help! Please contact us in whatever manner is most convenient for you.

 

 Address
Mercer Consumer
12421 Meredith Drive
Urbandale, IA 50398
 Phone
1-800-247-2192
 Hours
 M-F 7:30a-7p CT
 Email
moaa.service@mercer.com
 Insurance Company Address
New York Life Insurance Company
51 Madison Avenue
New York, NY 10010
 Website
http://www.mercer-web.com/products/nyl/nyl.html

FAQS

Answers about the plan, including eligibility, options, enrollment, customer service and more.
  • Who is eligible for this insurance?

    As a member of MOAA under age 70, you are eligible to apply for coverage for yourself, your lawful spouse under age 70, and unmarried dependent children under age 19 (26 if a full-time student). To become insured, an application must be submitted and the required premium contribution must be paid.

    This coverage is available to residents of the United States (except VT, WA and territories).

  • When does the coverage end?

    Insurance will terminate on the occurrence of the earliest of these conditions: if premium contributions due are not paid when due; if the Group Policy is terminated or modified by the Policyholder or New York Life Insurance Company to end insurance for the group of insureds to which the insured belongs; for any insured person, if the Principal Sum for that insured has been paid; for dependent spouse and/or child coverage, if member coverage ends, except that such dependent coverage may be continued if the member’s Principal Sum has been paid; for a dependent spouse, when he/she is no longer a lawful married spouse; for a dependent child, upon reaching age 19 (26 if a full-time student) or when such child becomes married, or is no longer financially dependent on the member. A member’s surviving spouse and children may continue coverage if it was in force at the time of the member’s death, as described in the Certificate of Insurance.
  • When is the coverage effective?

    Coverage for you and your eligible dependents will become effective on the first of the month following approval of your enrollment form as specified by New York Life Insurance Company provided the initial contribution has been paid within 31 days of the date you are billed. (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.)
  • What if I have second thoughts after I apply?

    When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan. If you are 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!
  • What company underwrites this plan?

    This plan is underwritten by New York Life Insurance Company, under Group Policy No. G-29325-0, on Policy Form GMR-FACE/G-29325-0.

    About New York Life Insurance Company

  • Are there any exclusions?

    Yes. Please refer to Tell Me More page under the heading Exclusions and Limitations for a listing.
  • Will I need to meet with a salesman?

    Issuance of this certificate is handled by mail. You can review the materials in the privacy of your home and purchase your insurance directly through the mail without meeting with a salesman. You can, of course, talk to a licensed representative if you'd like. Please call toll-free 1-800-247-2192.

Your Association is compensated in connection with this sponsored group plan to provide and maintain this valuable membership benefit.

 

Underwritten by New York Life Insurance Company, under Group Policy No. G-29325-0, on Policy Form GMR-FACE/G-29325-0.

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About New York Life Insurance Company.

Mercer's Role & Compensation

Details of Mercer disclosure of the compensation.