Level Term Life Insurance Protection
Underwritten by ReliaStar Life Insurance Company of New York,
a member of the ING family of companies
Who Can Apply
As a member age 65 or under, you can request benefits for yourself, and your spouse age 65 or under, if not legally divorced or separated from you. (Applicant must be age 55 or under at time of application to qualify for a 20-year level term rate period.)
This is important coverage when you consider that many families rely on two incomes these days. All your unmarried, dependent children ages 14 days to under 19 years (25 if full-time student) also qualify for coverage.
Collect a Portion of Your Benefits if Terminally Ill
This important plan option gives you the ability to collect part of your Group Level Term Life benefits before your death if you are diagnosed with a terminal illness. If your doctor diagnoses you with a life expectancy of 12 months or less, you can collect up to 50 percent of your benefits (or $375,000), whichever is less.) before you die—to use however you wish.
(Note: A doctor-certified terminal illness means an illness from which no recovery is expected, that results in a life expectancy of 12 months or less.)
Collect Double Benefits for Accidental Death & Dismemberment (AD&D)
You can purchase Group Accidental Death & Dismemberment up to the same level of death benefit for which you are applying. (AD&D insurance, if elected, will match the life benefit amount to a maximum of $500,000.) In addition, if you are seriously injured in a covered accident and sustain loss of limb, eyesight or other injuries, a partial benefit may be payable.
(Please note: The rates quoted above will increase by $6.00 (quarterly) or $12.00 (semiannually) per $50,000 of AD&D coverage if you select this option.)
When Your Coverage Starts
You or your spouse’s insurance will become effective, subject to timely payment of premium, on the first of the month following the later of:
- ReliaStar Life approves you and your spouse’s proof of good health;
- You or your spouse become eligible for insurance; or
- You or your spouse apply for insurance, if proof of good health is not required.
You Choose Your Beneficiary
You may name anyone you wish as the beneficiary of this plan, and you may change the beneficiary by contacting the Insurance Administrator in writing and advising them of this change. You may also choose to name a beneficiary that you cannot change without his or her consent. This is an irrevocable beneficiary.
Covered 365 Days a Year
No matter where you are, this plan covers you. The only exclusion on the life insurance portion of the coverage is suicide, while sane or insane, within the first year of your date of insurance or increase in insurance starts. If this occurs, ReliaStar Life Insurance Company of New York will refund only the amount of premiums paid for your insurance or increase in insurance under the Group Policy. ReliaStar Life Insurance Company of New York will not pay a death benefit. The AD&D benefit is subject to additional exclusions.
When Your Coverage Ends
As long as you remain an active member, pay your premium when due, and the Group Policy remains in force, you can keep your coverage. For members or spouses who are under age 75 at the end of a level term period, coverage can be continued under a five-year age bracketed rate plan if unable to re-qualify for a new 10-year or 20-year level term rate period. Coverage terminates at age 75.
Your insurance stops on the earliest of the following dates:
- The last day of the quarter during which you are no longer eligible for insurance under the Group Policy.
- The end of the period for which you paid premiums, if you do not make the next required premium contribution when due.
- The premium due date on or after your 75th birthday.
- For Accelerated Life Benefit, the date your life insurance stops.
- For AD&D Insurance, the date your life insurance stops.
FOR YOUR RECORDS
All members and spouses must complete an application form for any new coverage or to increase coverage (including dependent coverage) or to begin an initial or subsequent 10-year or 20-year Level Term Rate Period when proof of good health is required. Some applicants may be required to have a medical exam in order to apply for coverage. For more information on medical requirements, please contact your Plan Administrator. If there is an increase in the amount of your insurance, the increase will take effect on the first day of the month on or next following the date of the increase. If you are in a Level Term Rate Period, premiums for the increased amount of insurance will be based on your attained age on the effective date of the increase. Your Group Level Term Life Plan will start on the first day of the month after your application has been accepted and your first premium has been paid.
This website contains a brief description of your benefits available. Complete details can be found in Group Policy 66996-2. Underwritten by ReliaStar Life Insurance Company of New York and administered by Marsh. Policy Form #NYAPOL2.
Note: The initial premium may not change for the first 10 or 20 years; however, the insurance company reserves the right to change premium rates, but only if rates are changed for all insureds under the Group Policy and with 90 days written notice.
How to Apply
Go to the Forms tab to obtain an application. This program is not available in all states.
For answers to any questions, please call us at 888-882-2269 or e-mail us at NYCBA.Insurance@marsh.com.
Serviced and administered by:
Seabury & Smith Insurance Program Management / Marsh
777 South Figueroa Street, Los Angeles, CA 90017
NYCBA.Insurance@marsh.com
CA License #0633005 • AR License #245544
888-882-2269
Underwritten by:
ReliaStar Life Insurance Company of New York
ReliaStar Insurance Company of New York is a member of the ING family of companies
The information on this Web site explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this brochure and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by ReliaStar Life Insurance Company of New York detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured and the Group Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.
Policy Form #NYAPOL2
The NYCBA receives sponsorship fees for insurance programs that offset the cost of program oversight and support member benefits and services.
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©Seabury & Smith Insurance Program Management 2013