Life Insurance And Accidental
Death Or Dismemberment Insurance
What Is My Life Insurance Coverage?
Aetna has been designated
by the Trustees to provide group life insurance benefits for
any active participant who is eligible for coverage under
the Welfare Fund. If you are an active participant and you
die from any cause, your designated beneficiary will be paid
$50,000.
Life Insurance and Accidental Death or Dismemberment
Insurance are not available to retired participants,
participants on return-to-work status and any active
participant not eligible for coverage in the Welfare Fund.
Can I Continue Life Insurance If I Fail To Remain
Covered Under The Group Plan?
If your Welfare Fund coverage terminates, you may apply,
without medical examination or other evidence of
insurability, for an individual life insurance policy
through Metropolitan Life Insurance Company. Your
application for conversion must be made within 31 days after
the termination of your insurance. Contact the Fund Office
for complete details.
Your group life insurance is payable if you die within
the 31-day period following termination of insurance,
whether or not you have applied for conversion to an
individual policy.
What Is The Accidental Death Or Dismemberment
Insurance?
If, while you are insured, you are injured in a
non-employment related accident and the accident is the sole
cause of the injury, the injury is the sole cause of the
covered loss and the covered loss occurs within one year of
the date of accident, you or your beneficiary will receive
the following benefits:
|
Covered Loss Benefit Loss of Life, your
beneficiary will receive |
$20,000 |
|
Loss of Both Hands, or Both Feet, or
Sight of Both Eyes, you will receive |
$50,000 |
|
Loss of any combination of Hand, Foot
and Sight of One Eye, you will receive |
$50,000 |
|
Loss of One Hand, One Foot, or Sight of
One Eye, you will receive |
$25,000 |
|
Loss of Thumb and Index Finger of same
Hand, you will receive |
$12,500 |
|
Loss of Speech and Hearing, you will
receive |
$50,000 |
|
Loss of Speech or Loss of Hearing in
Both Ears, you will receive |
$25,000 |
|
Quadriplegia, you will receive |
$50,000 |
|
Paraplegia, you will receive |
$25,000 |
|
Hemiplegia, you will receive |
$25,000 |
The loss must result from and
occur within one year of the accident.
Accidental dismemberment benefits are payable to the
participant, but life insurance and accidental death
benefits will be paid to your designated beneficiary.
Only one of the above amounts, the largest, will be paid
on an Accidental Death or Dismemberment claim which results
from one accident.
The benefit for Accidental Death is in addition to your
basic life insurance benefit.
Exclusions
Accidental Death or Dismemberment insurance benefits will
not be paid for any covered loss which in any way resulted
from, or was caused or contributed to by any of the
following means:
- an Occupational Injury; or
- physical or mental illness, diagnosis of or
treatment for the illness; or
- an infection, unless it is caused by an external
wound that can be seen and which was sustained in an
accident; or
- suicide or attempted suicide; or
- injuring oneself on purpose; or
- the use of any drug or medicine; or
- a war, or a warlike action in time of peace,
including terrorist acts; or
- committing or trying to commit a felony or other
serious crime or an assault; or
- any poison or gas, voluntarily taken, administered
or absorbed; or
- service in the armed forces of any country or
international authority, except the United States
National Guard; or
- operating, learning to operate, or serving as a
member of a crew of an aircraft; or while in any
aircraft operated by or under any military authority
(other than the Military Airlift Command); or while in
any aircraft being used for a test or experimental
purposes; or while in any aircraft used or designed for
use beyond the Earth’s atmosphere; or while in any
aircraft for the purpose of descent from such aircraft
while in flight (except for self preservation).
It is essential that you keep your beneficiary
information current. Contact the Fund Office if you wish to
change or update your beneficiary information.
Failure to do so can delay or prevent payment of
your group life and accidental death insurance benefits or
result in payment which is not what you wished.
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