Life and AD&D
The Voluntary Life insurance plan offered with our group policy includes both Life and Accidental Death and Dismemberment (AD&D) insurance. Life insurance provides a financial benefit to designated beneficiaries in the event of an insured's death. AD&D insurance provides specified benefits for a covered accidental bodily injury that directly causes dismemberment (e.g., the loss of a hand, foot, or eye). In the event that death occurs from a covered accident, both the Life and the AD&D benefit would be payable.
|Insurance Carrier||The Standard Insurance Company|
|Policy Term||January 1 to December 31|
|Premium Payment||Monthly via Credit Card or ACH, no invoice of premium|
|Effective Date||January 1, 2015|
|Hours Requirement||Minimum 30 hours per week of cantorial work for a single employer|
|Insurance Benefit||Minimum $10,000 up to $500,000 maximum|
|Spouse, Dependent Coverage||Yes, optional|
|Enrollment and Change Form||Required to enroll|
|AutoPay Enrollment Form||Required to enroll|
|Medical History Statement Form||Required to enroll after the first 31 days of ACC membership and/or benefit amounts above $150,000|
|New Enrollment Kit||New enrollees, fill out all forms|
Eligibility ACC members who work 30 hours or more per week for a single employer are eligible to enroll.
New ACC members must enroll within the first 31 days of ACC membership for guarantee issue of up to a $150,000 benefit. Increments above $150,000 to a maximum of $500,000 benefit require a Medical History Statement Form and are subject to insurance carrier approval. The minimum amount that can be elected is $10,000.
Existing ACC members may enroll at any time. Insurance is available in increments of $10,000, up to the maximum benefit of $500,000. Submission of a Medical History Statement Form is required and is subject to insurance carrier approval.
Please read the Benefits At a Glance and Summary Plan Description for the Voluntary Life and AD&D insurance, complete the required enrollment forms and return to Group Benefit Associates in Chicago (contact information below.) To remain eligible for these benefits, you must be working a minimum of 30 hours per week. Please notify GBA if your eligibility should change in the future.
For specific information regarding policy benefits, enrollment, and premiums, contact the ACC's third party insurance administrator, Group Benefit Associates (GBA). All enrollment forms are to be returned to Group Benefit Associates to be considered:
|Group Benefit Associates (GBA)|
|Address||1701 E. Lake Avenue, Suite 400
Glenview, IL 60025
|Hours||Mon-Fri 9am-5pm Central|
For general information about the ACC's group insurance offerings:
Insurance Plan Administrator: firstname.lastname@example.org
American Conference of Cantors
For more about the American Conference of Cantors' Long Term Disability and Life insurance carrier, visit The Standard Insurance Company.