How much Group Disability Income Insurance do I need?
This depends on a number of factors including: the disability benefits that you may receive from your employer, the amount of disability income insurance you may have in force, plus the household income that will continue during your disability. The amount you select may not exceed 70% of your pre-disability monthly earning.
You can choose up to $3,000 in coverage from the ACOG Resident Group Disability Income Insurance to help protect your earnings.
You can choose up to $10,000 in coverage from the ACOG Group Disability Income Insurance program to help protect your earnings.
Who is eligible for this insurance?
Members in good standing who are under the age of 60, not in active military duty for more than 30 days, and are employed full time at least 26 hours per week are eligible to apply. You must be actively at work on the date insurance is to take effect. If not, insurance will take effect on the day you resume such work.
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 medical underwriting procedures. The underwriting process depends on your age, the amount of coverage for which you apply, your medical history, and the type of coverage requested.
How much Group Disability Income Insurance can I request?
The College’s Group Disability Income Insurance program allows you to choose your level of monthly coverage. Based on your circumstances, you can select benefits from $1,000 up to $10,000 ($3,000 for Residents) at $100 increments if you are under age 50. If you are age 50 or over but under age 60, you can select benefits from $1,000 up to $5,000 at $100 increments. The choice is yours as long as the monthly benefit amount you select does not exceed 70% of your pre-disability monthly earnings. Whichever benefit amount you choose, you can receive monthly income replacement benefits if you become totally disabled due to an injury or sickness, and cannot work. Maximum issue amounts of coverage are based on your age, earnings, and all other disability insurance you have and intend to continue at the time of application.
Do I have to take a medical exam, blood test, or other health analysis?
Whether or not you must undergo medical testing depends on the plan you are requesting, your age, the amount of coverage for which you apply, and your individual medical history.
When is the coverage effective?
You will become insured on the date specified by New York Life Insurance Company, provided the first premium contribution has been paid, satisfactory evidence of insurability has been submitted, and you are at full-time work. If you are not at full-time work on the approval date, you will not become insured until you are at full-time work, provided such date is within three months of the date insurance would have been effective and you are still eligible. Payment of a premium contribution for insurance does not mean there is any coverage in force before the effective date as specified by New York Life Insurance Company.
What constitutes a disability under this plan of insurance?
Benefits are payable when a covered sickness or injury leads to “TOTAL DISABILITY.” Please refer to the brochure for the definition of Total Disability.
Can coverage continue if I am out of the country?
Call the ACOG Group Insurance 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 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 over 60 years.
Who recommends and approves benefit changes or premium changes?
You'll never be asked to pay more than the premium charged for your age group. Rates change only as you enter a new five-year age bracket or if rates are adjusted for the entire group. The insurance companies reserve the right to change rates. They report "plan experience" (or the number and size of claims made) twice a year, and if applicable, make 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.
Does this plan have any exclusions or limitations?
The group policy does not cover, and benefits will not be paid, for any loss or disability caused:
- Due to an act or accident of war or act of war declared or undeclared whether civil or international, or due to any substantial armed conflict between organized forces of a military nature;
- Due to suicide or intentionally self-inflicted injury;
- Due to active participation in a riot;
- Due to committing or attempting to commit a felony;
- Due to your being engaged in an illegal occupation;
- Due to an injury sustained during travel in or descent from any aircraft; (a) As a student pilot, pilot, officer, or other member of the crew; (b) When the aircraft is used to train, test, or experiment; or (c) When the aircraft is part of any military, naval, or air force, other than transport aircraft flown by the U.S. Military Airlift Command (MAC) or similar air transport service of another country;
- While you are in the armed forces of any country or international authority for a period greater than 30 days (in such event the pro rata unearned premium shall be returned to you for any period of full-time active duty for more than 30 days, provided you notify us within 12 months of entering the armed forces; See your Certificate of Insurance for details regarding reinstatement after military service); or
- While incarcerated or under any house arrest that places restrictions on your movement outside of your home by a court of competent jurisdiction, including restrictions that are monitored by electronic or other means.
Are there any other plan features I should know about?
Before applying for disability coverage, please read the plan brochure for a detailed explanation of plan features.
Who is this plan underwritten by?
ACOG Group Disability Income Insurance is underwritten by New York Life Insurance Company, 51 Madison Ave., New York, NY 10010, under Group Policy No. G-30463-0 on Policy Form GMR-FACE/G-30463-0.
New York Life is licensed/authorized to transact business in all 50 United States, the District of Columbia, Puerto Rico, and Canada. However, not all group plans it underwrites are available in all jurisdictions. Please check the applicable insurance brochures for current availability.
Complete details, including features, costs, eligibility, renewability, limitations, and exclusions are in the Certificate of Insurance. Certain state restrictions apply.