Who is eligible for this insurance?
All College active dues-paying members in good standing under age 70, their lawful spouses under age 70, and their unmarried dependent children under age 23 are eligible. (Subject to state variations.) You must be able to perform the normal activities of a person of like age and sex, with like occupation or retired status on the date your insurance is to take effect. If not, insurance will take effect on the day you resume such activities.
How much insurance can I request?
Coverage is available from $100,000 all the way up to $500,000 (in increments of $25,000). With competitive rates and high-limit options, you are offered realistic options to gain this valuable insurance protection. You can also cover your entire family for only a moderate amount more than if you were just insuring yourself.
- If you select the Family Plan, your spouse will be covered for 50% of your full benefit amount and your eligible children will be covered for 20% of your full benefit amount.
- If you have no dependent children or if no eligible children are insured, your spouse’s benefits increase to 60% of your full benefit amount.
- If you are a single parent, or if only you and your dependent children are insured, each insured child’s benefits increases to 25% of your full benefit amount.
How do I calculate the rate on an Accidental Death & Dismemberment Insurance plan?
See brochure for Benefit Levels and Seminannual Rates.
When is the coverage effective?
Your coverage becomes effective the first day of the month after your enrollment form and first premium payment is received. You must be able to perform the normal activities of a person of like age and sex, with like occupation or retired status on the date your insurance is to take effect. If not, insurance will take effect on the day you resume such activities. As long as you are under age 80, the group master policy remains in force and insurance does not end for your class, your coverage is renewable as long as you continue to make your premium payments when due. A dependent's insurance will end at the earliest of the date your insurance ends under the group policy, the date dependents' insurance ends under the group policy; with respect to spouses, the date the spouse attains age 80 or the date marriage ends by divorce or annulment; with respect to children, the date the person ceases to be a dependent or premium is not paid for the dependent when due.
Are there any exclusions?
Yes, Accidental Death & Dismemberment Insurance does have exclusions and limitations. Please read the brochure for this information.
Can coverage continue if I am out of the country?
Call Pearl Insurance 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 your 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 American College of Obstetricians and Gynecologists Group Insurance Program is administered by Pearl Insurance. Pearl Insurance strives to provide College members with the most relevant, competitively priced member benefit insurance packages for individuals and their families. Pearl Insurance has been providing associations like the College with quality group coverage for nearly 55 years. AR #0100106279, CA #0F76076, MN #8698, OK #0100102347, TX #1442641
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 the College 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. The College ultimately approves the action, and insured members are advised of their decision prior to implementation.
Who is this plan underwritten by?
This plan is underwritten by The United States Life Insurance Company in the City of New York, NAIC No. 70106 domiciled in the state of New York with a principal place of business of 175 Water Street, New York, NY 10038. It is currently authorized to transact business in all states, plus DC, except PR.
Policies issued by The United States Life Insurance Company in the City of New York (US Life). Issuing company US Life is responsible for financial obligations of insurance products and is a member of American International Group, Inc. (AIG). Products may not be available in all states and product features may vary by state. Policy#G-610,193 Form #s G-19000
This summary is a brief description of benefits only and is subject to the terms, conditions, exclusions and limitations of the group policy.