Group Accidental Death & Dismemberment Insurance

Terrible accidents happen. And they can affect more than your health. That's why ACOG sponsors Group Accidental Death and Dismemberment Insurance for their members. This insurance is designed to help provide supplemental funds that you or your family members might need during a difficult time.

This product is not available in NH, VT, WA, Puerto Rico, and Quebec Canada

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Coverage Details

  • Eligibility—ACOG members and their lawful spouses under the age of 70 (in good standing), and their unmarried childern under age 23 are eligible. Must be residents of the U.S. (except residents of Puerto Rico) or Canada (except residents of Quebec) and not on full-time active military duty.
  • Range of Coverage — The amount of coverage you need will vary. Members and spouses may choose from $100,000 to $500,000 in $25,000 multiples.
  • 30-day look — If you're 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 refund. No questions asked!
  • Exclusions — See the brochure to learn more about the exclusions and limitations of this policy.

IMPORTANT DOCUMENTS

Brochure

Group Accidental Death & Dismemberment Insurance Brochure

Print & Mail Application

Group Accidental Death & Dismemberment Insurance Application

Supplemental Forms

Accidental Death Claim Form

Dismemberment Claim Form

Applying is Quick and Easy

Download the application

Answer the provided questions

Print and mail your application

From there, just sit back and relax while we do the underwriting process.
We’ll contact you if any additional information is required.

Download Application Now!

ACOG is proud to partner with New York Life Insurance Company

New York Life is the number one insurer in the Association marketplace in the United States.

We have the highest possible rating from independent third-party reviewers.

New York Life has been a leader in insurance since 1845. Our history is a testament to our service.

ACOG’s Group Accidental Death & Dismemberment Insurance is underwritten by New York Life Insurance Company 51 Madison Ave., New York, NY 10010, under Policy No. G-30466-0 on Policy Form G-30466-0.

New York Life is a leader in the association group insurance field, providing life and health insurance plans for associations. The company has an enduring commitment to its customers' financial security. Regardless of the state of the economy or the stock market, New York Life bases its financial decisions on the guiding principle of serving its clients. New York Life Insurance Company has received the highest ratings for financial strength currently awarded to any U.S. life insurer by all four major rating agencies including Moody’s Investor Service (Aaa), Standard & Poor’s (AA+), Fitch Ratings (AAA), and A.M. Best (A++).*

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 policies it underwrites are available in all jurisdictions. Please check the applicable insurance brochures for current availability. New York Life's state of domicile is New York, and NAIC ID # is 66915.

For more information, including features, costs, eligibility, renewability, limitations, and exclusions, reference the Group Accidental Death & Dismemberment brochure and rates found on this webpage.

*Individual Third Party Ratings Reports (as of 6/22/22)