Accidental Death & Dismemberment
This supplemental plan provides financial benefits for loss of life, limbs, or eyes as a result of bodily injury in an accident while covered by this plan.
All regular full-time or regular part-time employees are eligible. Dependents become eligible for coverage when the employee enrolls for family coverage in the plan.
Check current life insurance rates or please consult with your regional human resources office. Payments are made through biweekly payroll deductions.
Complete the UA Choice Supplemental Benefit Election Form and submit it to your regional human resources office. You may enroll within 30 days of the date of your employment, during open enrollment, or after a major life event.
The full benefit amount for an employee is $100,000. If, while you are covered under this plan, you should die within one year of the accident, the full benefit will be paid to the beneficiary you have designated. If you should have any of the following losses within one year of the accident, benefits will be paid as follows: loss of both eyes, feet, or hands or any combination thereof, full benefit amount; loss of one eye, foot, or hand, one-half of benefit amount; and loss of thumb and index finger of same hand, one-fourth of benefit amount.
The benefits will be paid to the beneficiary you name on the Beneficiary Designation Form. You may change your beneficiary at any time by completing a new beneficiary form.
Life insurance claims should be filed through your regional human resources office. Claims should be returned to that office for final completion and transmittal to the insurance carrier.