No one plans to have a serious accident, so when one happens the financial consequences can be devastating. The MSBA AD&D Plan gives you broad accident coverage, 24 hours a day, worldwide. You’re covered at home, at work, on vacation, on the road, for practically every activity. See the exclusions section for more information.
The plan’s benefits are competitive. The rates are competitive. So sign up yourself and your family today. Choose a minimum of $50,000 to a maximum of $500,000 in increments of $25,000. This is worldwide, 24-hour-a-day coverage that pays in addition to any other insurance you may have.
All members/employees under age 70 will automatically be accepted into this plan. No physical exam is ever required. Coverage will be effective on the first of the month following receipt of your Enrollment Form and first premium payment. This coverage is available only to residents of the United States and may not be available in all states. Please contact the administrator for details.
Your spouse and dependent children (under age 26) are also guaranteed coverage. Your spouse benefits are 40% of the benefit amount you choose and dependent child(ren)’s benefits are 10% of your benefit. If you are unmarried, each dependent child’s coverage will be 15% of your benefit. If you have no children, your spouse’s benefits are 50% of your coverage.
Member's Benefit Amount | Member Monthly Premium Contributions | Member & Family Monthly Premium Contributions |
$50,000 |
$2.70 |
$3.75 |
$75,000 |
$4.05 |
$5.63 |
$100,000 |
$5.40 |
$7.50 |
$125,000 |
$6.75 |
$9.38 |
$150,000 |
$8.10 |
$11.25 |
$175,000 |
$9.45 |
$13.13 |
$200,000 |
$10.80 |
$15.00 |
$225,000 |
$12.15 |
$16.88 |
$250,000 |
$13.50 |
$18.75 |
$275,000 |
$14.85 |
$20.63 |
$300,000 |
$16.20 |
$22.50 |
$325,000 |
$17.55 |
$24.38 |
$350,000 |
$18.90 |
$26.25 |
$375,000 |
$20.25 |
$28.13 |
$400,000 |
$21.60 |
$30.00 |
$425,000 |
$22.95 |
$31.88 |
$450,000 |
$24.30 |
$33.75 |
$475,000 |
$25.65 |
$35.63 |
$500,000 |
$27.00 |
$37.50 |
Rates shown are as of January 1, 2025.
Coverage terminates at age 80. Rates do not increase with age. The rates in this brochure will not be changed unless they are changed for all insureds in your classification. If applicable, an additional $2 billing fee will be included on your billing notice payable to the administrator. To save the fee, select Electronic Funds Transfer (EFT) as a safe and secure payment option.
AIR BAG BENEFIT
If the Seat Belt Benefit is payable, MetLife will pay an additional benefit if the insured person was positioned in a seat protected by properly functioning, original, factory-installed airbag system that inflates on impact when the accident occurred. The benefit amount is 5% of the Principal Sum up to $10,000.
SEAT BELT BENEFIT
If an insured person is involved in an automobile accident in which he/she was properly wearing a seatbelt, and dies within 365 days as a result of that accident, the beneficiary can receive the 10% of the Principal Sum up to $25,000.
COMMON CARRIER BENEFIT
If a covered loss occurs as a result of an accident while a passenger on a licensed common carrier (train, bus, etc.), the beneficiary can receive a 100% of Full Amount.
BENEFITS FOR ACCIDENTS
Unless otherwise indicated, MetLife pays only one Full Amount for all losses and benefits while the Group Policy is in effect. The Full Amount is shown on the Schedule of Benefits in your Certificate. For example, if you have loss for which MetLife paid 50% of the Full Amount, MetLife pays no more than 50% of the Full Amount for the next loss.
Loss of: | % of Benefit Paid |
Life | 100% |
Hand | 50% |
Foot | 50% |
Arm | 75% |
Leg | 75% |
Sight of one eye | 50% |
Combination of a Hand, Foot, and/or Eye | 100% |
Thumb & Index Finger on the Same Hand | 25% |
Speech and Hearing | 100% |
Speech | 50% |
Hearing | 50% |
Paralysis of Both Arms and Both Legs | 100% |
Paralysis of Both Legs | 75% |
Paralysis of the Arm & Leg on Either Side of the Body | 50% |
Paralysis of One Arm or Leg | 25% |
Brain Damage | 100% |
Coma | 1% monthly up to 60 months |
Maximum Amount payable for all Covered Losses sustained in one accident is capped at 100% of the Full Amount
Loss of hands or feet means loss by being permanently, physically severed at or above the wrist or ankle. Loss of sight means total and permanent loss of sight. Loss of speech and hearing means total and permanent loss of speech and hearing. Loss of thumb and index finger means loss by being permanently, physically, entirely severed.
Unless otherwise indicated, paralysis must be the result of a spinal cord injury which is due to an accident.
MetLife does not pay an AD&D benefit for any paralysis caused by a stroke. Paralysis must be determined by a doctor to be permanent, complete and irreversible.
Death benefits are paid to your beneficiary. Unless otherwise indicated, all other benefits are paid to you.
TERMINATION
You may maintain your Accidental Death and Dismemberment Insurance coverage until age 80, as long as the Group Policy remains in force, you remain an MSBA member, and pay your premium on time. Coverage for your dependents terminates when your coverage ends, you stop paying premiums, or they are no longer eligible due to change in age, dependency, or marital status, whichever occurs first.
LIMITATIONS
The Accidental Death & Dismemberment loss must occur within 365 days after the date of the accident and be a direct result of bodily injury sustained from that accident, independent of other causes.
EXCLUSIONS
Accidental Death & Dismemberment insurance does not include payment for any loss which in any way results from or is caused by or contributed to by:
This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of coverage.
All coverage is subject to the terms of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern.
Wherever the term spouse appears will read as Domestic Partner throughout the plan summary.
We're here to help! Please contact us in whatever manner is most convenient for you.
Address AMBA PO BOX 14533 DES MOINES, IA 50306 |
---|
Phone 1-800-501-5776 |
Email [email protected] |
Underwriting Company Metropolitan Life Insurance Company 200 Park Avenue New York, NY 10166 |
30-DAY FREE LOOK |
If you're not completely satisfied with the terms of your Certificate of Insurance, you may return it, without claim, within 30 days. Your coverage will be invalidated, and you will be sent a full refund, no questions asked! |