Secure your family’s future for the long haul with the AIA Trust Group 10-Year Level Term Life Insurance Plan
Having adequate life insurance protection for your family is an important part of your family’s future financial security. You can help to secure your family’s future by locking in a benefit amount and rate for 10 years through the AIA Trust Group 10-Year Level Term Life Insurance Plan.
According to LIMRA International, 35 million households have no life insurance protection at all. Chances are that you could be too.
Look around your home and your practice…do you believe you have the amount of life insurance in place to replace your income, maintain your family’s lifestyle, and provide for their future if you’re no longer there?
If you’re not sure, life insurance coverage should equal 5-10 times your income. If your current coverage doesn’t fit within these general guidelines, then you may want to consider the AIA Trust Group 10-Year Level Term Life Insurance Plan.
With the plan, you can lock in your benefit amount and your rate for 10 years – making it easy to plan for and to maintain within your budget.
Plus, you pay an affordable, members-only group rate. See the Rates and Terms link below for details.
Provides Up to $1 Million in Coverage
As an active AIA member under age 65, you may qualify for 10-Year Level Term Life coverage. And if you’re under age 50, you qualify for the 20-Year Level Term Life coverage. You must also reside in the United States (except for territories and Puerto Rico) and perform the normal activities of a person in good health of like age.
Offers Family Coverage Too
You may select benefits from $100,000 up to $1 million in $10,000 increments for your lawful spouse too (not to exceed your coverage). Your spouse must be under age 65 for the 10-Year Plan and under age 50 for the 20-Year Plan. And you can cover each of your children (unmarried dependent children age 15 days to 25 years) for $5,000.Note: The aggregate maximum amount of life Insurance in force for all New York Life AIA group life insurance policies may not exceed $2,000,000 per insured individual. In order to become insured, individuals must provide satisfactory evidence of insurability and the required premium must be paid within 31 days after being billed. A dependent who is also a member is eligible for either member or dependent coverage, but not both. If both the member and spouse are covered as members, neither may insure the other as spouse. If both parents are insured as members, only one may request child coverage.
Rates Guaranteed for 10 Years
Your rates are guaranteed not to increase for 10 full years.
Locks in Your Benefit Amount for 10 or 20 Years
With this plan, the benefit amount you select and are approved for coverage will stay constant until the term ends or you reach the termination age (75 for 10-Year Term Life coverage),whichever occurs first.
Offers Volume Discounts on Higher Benefits
You qualify for a volume discount for coverage amounts of $250,000 through $499,900 and an even greater discount for amounts of $500,000 to $1,000,000. These discounts help you save money!
Coverage Can Continue at End of Term
At the end of the 10- Year period, coverage can continue in force on a non-guaranteed basis without evidence of insurability. Or, if you are under age 65, you may apply for a subsequent 10-Year period of a guaranteed level rate at your then-current age, subject to submission of satisfactory medical evidence.
Provides a “Living Benefit”
Terminally ill insureds can collect Accelerated “Living” Death Benefits — up to 50% of your life insurance benefits — if you are diagnosed with less than 12 months to live (24 months for residents of Illinois).The request must be made at least 12 months prior to the insured person’s scheduled coverage termination age. The amount of insurance payable to the designated beneficiary after the insured’s death will be reduced by this payment. Premium contributions do not reduce.To qualify, you must provide the insurance company with proof of terminal illness and anticipated life expectancy (12 months or less), as well as any other necessary medical information requested. Refer to the Certificate of Insurance for details.Please note: The receipt of Accelerated Death Benefits may affect your eligibility for public assistance programs and may be taxable. Prior to applying to receive such benefits, you should consult with the appropriate social services agency and seek the advice of a qualified tax advisor.Note: The Accelerated Death Benefit is not available to residents of MA.
Name Your Beneficiary
Select any beneficiary you wish for your coverage. You are the automatic beneficiary for dependent coverage, as described in the Certificate of Insurance. Please contact the Plan Administrator if you wish to name another beneficiary.
Easy to Apply Today
Simply download, complete, sign and return the application. Send no money now.
30-Day FREE Look
When you receive your Certificate of Insurance, read it carefully. If you’re not completely satisfied with the terms of your new insurance plan, simply return your Certificate, without claim, within 30 days and any premium paid will be promptly refunded. No questions asked.
Additional no-cost benefit
Please note that a new domestic partner rider that has now been added to the AIA Trust plan and in addition to covering a lawful married spouse, the plan may now cover a domestic partner meaning a person with whom an eligible member maintains a committed relationship defined as a familial relationship between two individuals characterized by mutual caring and the sharing of a mutual residence and who is not an eligible AIA member but meets other eligibility criteria as defined by the plan.
Rates will be based on then current age, health and tobacco/nicotine use.
The premium contributions shown reflect the current rates (as of January 1, 2013) and benefit structure.
At the end of the 10-year-period, the INSURED MEMBER or INSURED SPOUSE may elect to reapply for 10-year level term rates covering subsequent 10-year periods if he or she is less than age 65. Rates will be based on then current age, health, and tobacco and nicotine use. The INSURED MEMBER’S or INSURED SPOUSE’S CONTRIBUTION will automatically be calculated on a non guaranteed basis if he or she: (1) is not approved for the 10-year level term rates; (2) is age 65 or over; or (3) does not elect to reapply for 10-year level term rates.
Montana residents: male rates apply to everyone regardless of gender.
The cost of this life insurance is based upon the member and spouse, amount of insurance requested, usage of tobacco/nicotine products, health status and attained age on the date coverage is issued.
Only non-smokers meeting the highest underwriting standards will qualify for “Preferred” rates. Other non-smokers may qualify for higher “Select” and “Standard” rates. (Note: Smokers may only qualify for “Standard” rates.) Upon approval of your application, you will be noticed of the rate classification for each approved person.
Effective Date of Coverage:
Insurance will take effect on the first day of the month on or following the date your application is approved, provided the initial contribution is paid within 31 days after you are billed and any person to be insured is performing normal activities of a person in good health of like age on the day of approval. If any dependent proposed for coverage is not performing his/her normal activities as required (the normal activities requirement does not apply to an eligible child). Coverage will not take effect until he/she is performing such activities provided such date is within three months after the date insurance would have been effective and the person is still eligible. For dependent insurance the applicant is an insured member or a survivor spouse on that day.
When Coverage Ends:
Coverage will end when the insured person reaches age 75 for the 10 year term plan (25 for children) or earlier if: (a) the premiums are not paid when due, (b) the group plan is terminated or modified by the Policyholder to end insurance for the group of insureds to which the member belongs, and (c) if the insured requests to terminate insurance. In addition, dependent coverage will terminate when the dependent spouse or child ceases to be an eligible dependent.
Exclusions and Incontestability:
Benefits are paid for death from any cause, at anytime, anywhere in the world (subject to the U.S. government regulations on restricted countries) except suicide which is not covered within 24 months of issue date of your coverage.
Missouri Residents: Benefits will not be paid for suicide within the first 12 months of coverage if New York Life can show suicide was intended at the time of application.
The validity of any amount of life insurance which has been in force for two years during an insured’s lifetime will not be contested except for insurance eligibility provisions and nonpayment of premiums.
Important Information from New York Life Insurance Company
New York Life Insurance Company reserves the right to request medical information to determine applicant’s medical eligibility for coverage. Based on the age of the person proposed for insurance and the amount of coverage requested, a physical examination, EKG, blood test or other information may be required. Not all applicants will have to supply additional information. However, if it is required, New York Life will arrange for an independent professional paramedic to contact you to perform these simple tests at your convenience. The exam and blood test are free-of-charge.
IMPORTANT NOTICE: How New York Life Obtains Information and Underwrites Your Request for AIA Group Insurance
In this notice, references to “you” and “your” include any person proposed for insurance. Information regarding insurability will be treated as confidential. In considering whether the person(s) in your request for insurance qualify for insurance, we will rely on the medical information you provide, and on the information you AUTHORIZE us to obtain from your physician, other medical practitioners and facilities, other insurance companies to which you have applied for insurance and MIB, Inc. (“MIB”). MIB is a not-for-profit organization of insurance companies, which operates an information exchange on behalf of its members. If you apply for life or health insurance coverage or a claim for benefits is submitted to an MIB member company, medical or non-medical information may be given to MIB, and such information may then be furnished by MIB, upon request, to a member company.
Your AUTHORIZATION may be used for a period of 24 months from the date you signed the application for insurance, unless sooner revoked. The AUTHORIZATION may be revoked at any time by notifying New York Life in writing at the address provided. Your revocation will not be effective to the extent New York Life or any other person already has disclosed or collected information or taken other action in reliance on it, or to the extent that New York Life has a legal right to contest a claim under an insurance certificate or the certificate itself. The information New York Life obtains through your AUTHORIZATION may become subject to further disclosure. For example, New York Life may be required to provide it to insurance, regulatory or other government agencies. In this case, the information may no longer be protected by the rules governing your AUTHORIZATION.
MIB and other insurance companies may also furnish New York Life, its subsidiaries or the Plan Administrator with non-medical information (such as driving records, past convictions, hazardous sport or aviation activity, use of alcohol or drugs, and other applications for insurance). The information provided may include information that may predate the time frame stated on the medical questions section, if any, on this application. This information may be used during the underwriting and claims processes, where permitted by law.
New York Life may release this information to the Plan Administrator, other insurance companies to which you may apply for life and health insurance, or to which a claim for benefits may be submitted and to others whom you authorize in writing, however, this will not be done in connection with test results concerning Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV). We may also make a brief report of your protected health information to MIB, but we will not disclose our underwriting decision
New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. Information in our files may be seen by New York Life and Plan Administrator employees, but only on a “need to know” basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for insurance can be approved.
If we cannot provide the coverage you requested, we will tell you why. If you feel our information is inaccurate, you will be given a chance to correct or complete the information in our files. Upon written request to New York Life or MIB, you will be provided with non-medical information. Generally, medical information will be given either directly to the proposed insured or to a medical professional designated by the proposed insured. Your request is handled in accordance with the Federal Fair Credit Reporting Act procedures. If you question the accuracy of the information provided by MIB, you may contact MIB and seek a correction. MIB’s information office is: MIB, Inc., 50 Braintree Hill Park, Suite 400, Braintree, MA 02184-8734, telephone 866-692-6901 (TTY 866 346-3642). Information for consumers about MIB may be obtained on its website at www.mib.com.
If we can provide the coverage you requested, we will inform you as to when such coverage will be effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean there is any insurance in force before the effective date is determined by New York Life.
For NM Residents: Protected persons 1 have a right of access to certain Confidential abuse information 2 we maintain in our files and they may choose to receive such information directly. You have the right to register as a Protected person by sending a signed request to the Administrator at the address listed on the application. Please include your full name, date of birth and address.
1 Protected person means a victim of domestic abuse: who has notified us that he/she is or has been a victim of domestic abuse; and who is an insured person or prospective insured person.
2Confidential abuse information means information about: acts of domestic abuse or abuse status; the work or home address or telephone number of a victim of domestic abuse; or the status of an applicant or insured as family member, employer or associate of a victim of domestic abuse or a person with whom an applicant or insured is known to have a direct, close, personal, family or abuse-related relationship.
New York Life Insurance Company 8.12ed
If we can provide the coverage you requested, we will inform you as to when such coverage will be effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean that there is any insurance in force before the effective date as determined by New York Life.
This information is only a brief description of the principal provisions and features of the AIA Trust Group 10 Year Level Term Life Insurance Plan. The complete terms and conditions including features, costs, eligibility, renewability, limitations and exclusions are contained in the Certificate of Insurance issued to each insured.
The AIA Trust incurs certain administrative expenses in connection with this sponsored plan. To provide and maintain this valuable AIA membership benefit, the Trust is reimbursed for these expenses.
Hagan Barron Intermediaries
P.O. Box 1889
Sioux Falls, SD. 57101
Brian Hagan of Hagan Barron Intermediaries, is licensed/authorized to transact business in all 50 United States, and the District of Columbia. Their state of domicile is South Dakota. California Insurance license number is 0H62489. Arkansas Insurance license number is 94726.
The Group 10 Year Level Term Life Insurance Plan is underwritten by:
New York Life Insurance Company
51 Madison Avenue, New York, NY 10010
under Policy Form GMR-ER, Group Policy G-11108-0/FACE
New York Life is licensed/authorized to transact business in all the 50 United States, the District of Columbia and Puerto Rico.
New York Life Insurance Company’s state of domicile is New York and their NAIC ID # is 55915.