Accidental Death & Dismemberment
With this coverage, you will receive:
- Up to $500,000 in benefits
- Around-the-clock, anywhere in the world coverage
- Premiums as low as $2.67 a month
Accidental Death & Dismemberment Brochure
Accidental Death & Dismemberment Application
Accidental Death & Dismemberment Application for CA
Accidental Death & Dismemberment Application for FL
Accidental Death & Dismemberment Application for MO
Accidental Death & Dismemberment Application for VA
Accidental Death & Dismemberment Claim Form
Accidental Death & Dismemberment Change of Beneficiary Form
1200 E Glen Avenue
Peoria Heights, IL 61616
800.342.6501
nysscpa.org
This plan is underwritten by The United States Life Insurance Company in the City of New York, NAIC No. 70106, domiciled in the state of New York with a principal place of business of 70 Pine Street, New York, NY 10270. It is currently authorized to transact business in all states plus DC, except PR. This summary is a brief description of benefits only and is subject to the terms, conditions, exclusions and limitations of Group Policy No. G-195,987, Form No. G-19000. Coverage may vary or may not be available in all states.
The underwriting risks, financial and contractual obligations and support functions associated with products issued by The United States Life Insurance Company in the City of New York (United States Life) are its responsibility.