Accidental Death and Dismemberment insurance is available to all benefit-eligible faculty and staff. Purchasing coverage for your family members is also an option.
Retiree coverage is available to eligible retirees who enrolled in the plan prior to retiring, and coverage amounts reduce based on age.
For contact information for plan providers or healthcare providers, please visit our plan contacts page for more information.
About the Plan
For active employees, Accidental Death and Dismemberment insurance is 100% employee-paid and is available in increments of $25,000 up to a maximum of $150,000. You may also purchase coverage for your family as a percentage of your own coverage.
For retirees, Accidental Death and Dismemberment insurance is 100% retiree-paid. Coverage is available in increments of $10,000 up to a maximum of $50,000.
☑ Eligibility
Accidental Death and Dismemberment insurance is available to benefit-eligible faculty and staff. You may also purchase coverage for your family at a percentage of your own coverage.
Retiree coverage is available to eligible retirees who enrolled in the plan prior to retiring. Coverage amounts are reduced based upon age as of January 1 for the plan year. See "Reduction Amount for Retirees" section for additional information.
? Premiums
For Active Employees
Monthly premium cost for active employees, by coverage level per amount listed:
- Self only
- $25,000 coverage: $0.35
- $50,000 coverage: $0.70
- $75,000 coverage: $1.05
- $100,000 coverage: $1.40
- $125,000 coverage: $1.75
- $150,000 coverage: $2.10
- Self and dependents
- $25,000 coverage: $0.50
- $50,000 coverage: $1.00
- $75,000 coverage: $1.50
- $100,000 coverage: $2.00
- $125,000 coverage: $2.50
- $150,000 coverage: $3.00
For Retirees
Monthly premium cost for eligible retirees, by coverage level per amount listed:
- Self only
- $10,000 coverage: $0.35
- $25,000 coverage: $0.875
- $50,000 coverage: $1.75
- Self and dependents
- $10,000 coverage: $0.47
- $25,000 coverage: $1.175
- $50,000 coverage: $2.35
➖ Reduction in Amount for Retirees
Coverage amounts are reduced for retirees based upon age as of January 1 for the plan year.
- $50,000 at retirement:
- Age 70-74 (as of Jan. 1): $25,000
- Age 75-80* (as of Jan. 1): $10,000
- $25,000 at retirement:
- Age 70-74 (as of Jan. 1): $25,000
- Age 75-80* (as of Jan. 1): $10,000
- $10,000 at retirement:
- Age 70-74 (as of Jan. 1): $10,000
- Age 75-80* (as of Jan. 1): $10,000
- View all available Summary Plan Descriptions (SPDs)
- Beneficiary Designation Form
- for active faculty and staff; to be used for Basic Life, Supplementary Life, AD&D, and Pre-Retirement Death beneficiary designations.
- Retiree Beneficiary Designation Information, part of the Retiree Benefits Enrollment/Change Form
- for retirees; to be used for Basic Life, Additional Life, and AD&D
- Proof of Relationship Requirement form
- View full plan contract information
* In the event of a difference between this webpage and the plan document or summary plan description, the plan document and plan description prevail.
Reviewed 2022-08-11
