Home Activities
Group Plans  |  Emergency Assistance  |  Legal & Insurance Offers
 

AD&D Application
(pdf Format)
AD&D Beneficiary Form
(pdf Format)
AD&D Rate Sheet
(pdf Format)
Back to Group Plans

 
Endorsed by PSEA of PG&E Employees Association
Underwritten by Life Insurance Companies of North America

PLAN BENEFITS - If injuries occur while insured result in paralysis, death, or dismemberment, this Plan will pay these benefits:

Portion of benefit amount Payable 100%, 50%, 25%
Accidental Loss of Life X
Double Dismemberment X
Loss of Eyesight X
Loss of Speech and Hearing X
Quadriplegia* X
Paraplegia* or Hemiplegia* X
Single Dismemberment X
Loss of Speech or Hearing X
Loss of Thumb & Index Finger X of Same Hand

*Quadriplegia means total paralysis of both upper and lower limbs; PARAPLEGIA MEANS TOTAL PARALYSIS OF BOTH LOWER LIMBS; HEMIPLEGIA MEANS TOTAL PARALYSIS OF UPPER AND LOWER LIMBS ON ONE SIDE OF THE BODY.

Coverage for loss resulting from paralysis terminates at age 70.

Only one amount, the largest to which the insured is entitled, is paid for all losses resulting from one accident.† for members and retirees who are age 70 or older at the time of a covered accident, the benefit amount payable reduces as follows:

At age 70 - to 70% of the selected Benefit amount
At age 75 - to 45% of the selected Benefit Amount
At age 80 - to 30% of the selected Benefit Amount
At age 85 - to 15% of the selected Benefit Amount

SEATBELT BENEFIT - A special benefit is paid if an insured person dies as a result of a covered accident which occurs while driving or riding in a private passenger automobile if it is verified that such person was wearing a properly-fastened, original, factory installed seat belt or, if the covered person is a child(ren), a properly installed and fastened child(ren) restraint device as defined by state law.