Who is this plan underwritten by?
This plan is underwritten by New York Life Insurance Company, under Group Policy No. G-29068-2, on Policy Form G-29068-2.
Who is eligible for this insurance?
APSIT Group Insurance Program participants under age 70 in good standing and who are residents of the United States (excluding FL, NC, VT, WA, and territories) are eligible to apply for coverage for yourself, your spouse under age 70, and your unmarried dependent children under age 25. In order to become insured, satisfactory evidence of insurability must be provided and the required premium must be paid.
A dependent who is also an APSIT Group Insurance Program participant is eligible for either participant or dependent coverage, but not both. If both member and spouse are covered as participants, neither may insure the other as spouse, and only one may insure any eligible children.
How much insurance can I request?
- Participants—$20,000 to $300,000 in $20,000 increments
- Spouse—May have 50% of total coverage unless child is covered, in which spouse may have 40% of total coverage
- Child(ren)—May have 15% of total coverage unless spouse is covered, in which child may have 10% of total coverage
When you reach age 70, coverage converts to Common Carrier Travel Accident Insurance and any Principal Sum in excess of $100,000 reduces to $100,000. Common Carrier coverage protects against accidents that occur while riding on a public conveyance—airplane, bus, train, or taxi.
How long does the application process take? When will my coverage become effective?
For some plans, coverage becomes effective within a few days of receiving your application. For others, the process is longer because of required underwriting procedures. Group Accidental Death & Dismemberment Insurance requires no underwriting and is often processed quickly.
How do I calculate the rate on an APSIT Group Accidental Death & Dismemberment Insurance Plan?
Premium contributions for both the participant and spouse are based on the participant’s age (under age 70 or age 70 and over) at last birthday. Premiums may be periodically increased on plans to reflect plan utilization and ensure their financial stability.
When is the coverage effective?
Insurance will take effect on the date your application is approved by New York Life Insurance Company, provided the initial premium contribution is paid within 31 days after the date you are billed (send no money now) and any person to be insured is performing the normal activities of a person in good health of like age (NC Residents: a person of like age) on the date of approval.
Any person who is not performing his/her normal daily activities as required will not become insured until the day he/she is performing such activities, provided such date is within three months of the date insurance would have been effective and the person is still eligible.
Are there any exclusions?
Yes, Group Accidental Death & Dismemberment Insurance does have exclusions and limitations. These exclusion and limitations can be found in your Certificate of Insurance.
Can coverage continue if I am out of the country?
Call the Program Administrator for more details as coverage varies depending on the plan.
What if I have second thoughts after I apply?
When you become insured, you will be sent a Certificate of Insurance summarizing you benefits under the plan. If you are 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!
Who administers the program?
The APSIT Group Insurance Program is administered by Pearl Insurance. Pearl Insurance strives to provide APSIT Group Insurance Program participants with the most relevant, competitively priced member benefit insurance packages for individuals and their families. Pearl Insurance has been providing associations like APSIT with quality group coverage for 60 years.
Who recommends/approves benefit changes or premium changes?
The insurance companies reserve the right to change rates. They report "plan experience" (or the number and size of claims made) annually, if applicable, rate action recommendations. Using this information, the Program Administrator works with APSIT to evaluate the recommendations and decide what, if any, action (i.e. a rate action, a change in benefits, or even a change in insurance companies) is appropriate to maintain each plan's financial stability and competitive status. APSIT ultimately approves the action, and insured participants are advised of their decision prior to implementation.