What happens when I want to apply for optional accidental death & dismemberment insurance for myself and for my family?

If optional accidental death & dismemberment (AD&D) coverage is offered at your school district:

• You may select an amount of optional accidental death & dismemberment (AD&D) insurance in multiples of $10,000 up to a maximum of $500,000.
• You may select single or family coverage.
• You can apply for optional AD&D insurance anytime after you become eligible to join the PEBT Benefits Program.
• No medical evidence is required at any time.
• Premiums will be paid starting the 1st of the month coincident with or next following the effective date of coverage.

If you want to apply for optional accidental death & dismemberment insurance, the following steps must be taken:

• You must complete the Optional Accidental Death & Dismemberment (AD&D) Application and provide it to the School District Benefits Administrator.
• AIG automatically accepts the application for coverage.
• Premiums are payable on the 1st of the month coincident with or next following the effective date of coverage.
• The School District Benefits Administrator enters the requested amount of optional accidental death & dismemberment (AD&D) into the PEBT administration system.
• The School District Benefits Administrator files the original Application in the Member’s personnel file.

Notes:

You are responsible to ensure the Application(s) are completed and signed.

Beneficiary for Optional AD&D insurance for your family is automatically the employee in the case of death of an eligible dependent.