Group Employee Term Life & Accidental Death and Dismemberment (AD&D) Coverage

When you offer your employees access to Group Term Life and AD&D insurance coverage as part of their employee benefit packages, you offer value-added benefits that ultimately help you attract new employees, while retaining and motivating your current employees.
The AIA Trust Group Employee Term Life and AD&D Insurance Plan can go a long way toward helping make sure your employees’ loved ones are financially taken care of if something happens to them.
If you are an AIA member and the firm owner, a partner or officer, your firm can qualify for this plan if your firm has at least two full-time employees working 20 or more hours weekly.
This plan offers your employees valuable term life benefits at these affordable group rates. View the Rates tab for more details.

Only AIA Members’ Firms Qualify

Only AIA members’ firms may receive the benefits available under the AIA Trust Group Employee Term Life and Accidental Death & Dismemberment (AD&D) Insurance Plan. For a firm to be eligible, the firm owner, a partner or officer must be an AIA member and your firm must have at least two full-time employees working 20 or more hours weekly.

Eligibility of Firm Employees,

Your employees may qualify for coverage if the firm is a participating sponsor firm, have completed at least three months of employment, are residents of the U.S.  (excluding territories), and are working 20 hours or more a week.

Provides a Choice of Employee Plans

You can choose to offer your employees either plan:
Plan 1: Covers your employees for a benefit amount up to one time their annual salary up to $50,000.
Plan 2: Covers your employees for a benefit amount up to two times their annual salary up to $100,000.
Note: Annual salary does not include bonuses, overtime pay or any additional compensation. Benefits will be rounded to the next $1,000 benefit amount. The maximum amount of coverage an employee can have is $100,000.

Offers Tax-Deductible Business Expense

In most cases, your firm can deduct this coverage as a business expense, provided your firm pays your employees’ premiums. Please consult your firm’s tax advisor for more details.

Offers Cost-Shares with Employees

If you choose, your employees can contribute up to 75% of the cost of their premiums. This applies if your firm has four or more employees and 75% of them participate in this plan.

Guarantees Enrollment

If you have 10 or more employees participating in this plan, they are all eligible for guaranteed acceptance for a benefit amount up to $100,000 per employee provided they apply within 31 days of becoming eligible.

Pays Employee Double Benefits for Covered Accidents

If your employee is killed from a covered accident, the plan pays double the life benefit amount through the AD&D benefit included with this plan. The plan also pays benefits for serious injuries as listed below:

AD&D Covered Loss	Percent of Benefit Amount
Loss of more than one limb, sight of both eyes, or loss of one limb and sight of one eye	100%
Loss of one limb or loss of sight in one eye	50%

Loss of limb means severance at or above the wrist or ankle. Loss of sight means total and permanent loss. To be a covered loss, loss must have incurred within 90 days of an accident and that occurs while insured and not be an excluded loss. No more than the Principal Sum is payable for all losses due to or related to any one accident.

Waives Premium if Employee is Totally Disabled

If an insured employee becomes totally disabled (later defined) before age 60, and remains totally disabled for at least six months, coverage may continue at no cost as long as the insured employee remains totally disabled.

Pays Benefits if Employee Becomes Terminally Ill

The plan’s Accelerated Death Benefit or “Living Benefit” pays 50% of coverage while still living if a physician certifies the insured has 12 months or less to live. The remainder is paid to the beneficiary after death. Complete details are in the Certificate of Insurance. To qualify, a terminally ill insured must provide New York Life Insurance Company with proof of terminal illness and anticipated life expectancy (12 months or less), as well as any other necessary medical information requested. For additional details and limitations, please see the Certificate of Insurance. The Accelerated Death Benefit is not available to residents of Massachusetts. Please note: Receipt of Accelerated Death Benefits may affect eligibility for public assistance programs and may be taxable. Prior to applying for Accelerated Death Benefits, you should consult appropriate Social Services agency and assistance should be sought from a qualified personal tax advisor. Life expectancy for residents of Illinois is 24 months.

Offers a Choice of Beneficiaries

Anyone can be named a beneficiary, such as a spouse, children, parents, etc. You and your employee can also name an alma mater or a non-profit organization, such as the American Architectural Foundation, as beneficiary. In addition, your beneficiary may be changed at any time by writing to the AIA Trust Administrator. Payments for losses other than loss of your life will be made to the insured.

Easy to Apply Today

AIA Members’ firms simply need to complete the Employer Participation Agreement and have each eligible employee complete the printable guarantee issue application. Send no money now. You will be billed later.

30-Day FREE Look

When each employee becomes insured they will be sent a Certificate of Insurance summarizing their benefits under the Plan. If an insured who contributes premium toward the plan is not completely satisfied with the terms of the Certificate of Insurance, they may return it, without claim, within 30 days. The coverage will be invalidated and your firm will be sent a full refund—no questions asked!

 

When an employee enters a new age category, the premium will change on January 1st, coinciding with or next following their birthday. The amount of Term Life and AD&D insurance will reduce by 35% at age 65, and then by an additional 35% at age 70. The premium contributions shown reflect the current rate and benefit structure. Premium contributions may be changed by New York Life Insurance Company on any premium due date (but not more than once in any 12 month period) and any date on which benefits are changed. However, your rates may change only if they are changed for all others in the same class of insurance under this group policy. For example, a class of insureds is a group of people all with the same issue age. Benefit option amounts are not guaranteed and are subject to change by agreement between New York Life Insurance Company and the AIA Trust.

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When Coverage Begins:

Coverage starts on the first day of the month coinciding with or next following the date the application(s) is approved by New York Life, as long as the premium is paid within 30 days of the effective date. To be insured, an employee must be working full-time at least 20 hours a week on the effective date or the date the premium is paid, whichever is later. Insurance for a proposed employee not actively at work (full-time 20 or more hours per week) on the date insurance would otherwise have taken effect, will take effect on the day the proposed employee is actively at work and the employee is still eligible to obtain the insurance on that day.

When Coverage Ends:

Your firm insurance can remain in force for your employees as long as they remain eligible, provided:(a) you continue to pay premium contributions when due; and (b) the group plan is not terminated or modified by the Policyholder, the AIA Trust, or New York Life Insurance Company to end insurance for the group of insureds to which you belong.

DEFINITION:

Total Disability means an incapacity from an injury or sickness which completely and continuously prevents an insured member from doing the material and substantial duties of any occupation for which he or she is reasonably qualified by education, training or experience; results in total and permanent loss of sight of both eyes; or results in severance, above the wrist or ankle of both hands, both feet or one hand and one foot.

Covered Loss in relation to AD&D is a loss that:

an insured employee suffers, but only if such loss results from a covered accidental injury and such: (a) loss occurs within 90 days of such injury; (b) injury occurs while he or she is insured under the Policy; and (c) injury is the direct result of the accident and is independent of all other causes.

Exclusions:

Life Insurance benefits are payable in the event of an insured’s death from any cause except suicide during the first 12 months of coverage. However, if suicide is committed during the first 12 months, we will refund the premiums paid to the date of death.

Accident benefits will not be paid for any loss which is due to one of the following exclusions:

• Suicide, attempted suicide or intentionally self inflicted injury, while sane or insane. Benefits will not be paid for suicide within the first 12 months of coverage if New York Life can show that suicide was intended at the time of application;
• War Conditions — Engagement in war, an act of war or an armed conflict which involves the armed forces of one or more countries.
• Military Service — A loss that is related to an Insured members duty in the military, naval or air service of any country;
• Occupational Injury — A loss that is due to or related to an on the job accidental injury, even if the loss is not covered under a Workers’ Compensation Act or similar act;
• Air Travel — A loss that occurs while Operating, riding or descending from any aircraft except when riding as a passenger in a regularly scheduled flight in a licensed, commercial, non-military aircraft;
• Treatment — A loss that occurs during, is due to or is related to the insured’s medical, dental or surgical treatment unrelated to the accident which would otherwise entitle the insured to benefits.
• Disease/Infirmity — A loss that is due to or related to disease or bodily infirmity of mind or body, medical or surgical treatment of such disease or bodily infirmity, or bacterial infections, except infections which occur as a result of an: (1) accidental cut or wound, or (2) accidental ingestion of contaminated material.

If you are an individual architect practicing alone, you aren’t eligible for this plan. You may apply for an AIA Trust Group Life Insurance Plan for sole practitioners. Please call 1-800-399-8060 for details or click here .

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This information is only a brief description of the principal provisions and features of the AIA Trust Group Employee Term Life and Accidental Death and Dismemberment Coverage Insurance Plan. The complete terms and conditions 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.

Endorsed by:

 

Administered and Marketed by:
Hagan Insurance Group
P.O. Box 1889
Sioux Falls, SD. 57101

California Insurance license #OH62489

Arkansas Insurance license #94726

The Group Employee Term Life and Accidental Death and Dismemberment Coverage Insurance Plan is underwritten by:
New York Life Insurance Company
51 Madison Avenue, New York, NY 10010
under Policy Form GMR-ER-P, 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.

Please note that this plan is available to U.S. Residents only (U.S. territories are excluded).

New York Life Insurance Company’s state of domicile is New York and their NAIC ID # is 55915.

EASY TO APPLY TODAY

Download the printable applications. Send no money now.

For Employers    –    Print Application

For Employees    –    Print Application