Group Accidental Death & Dismemberment Insurance

Accidental Death & Dismemberment Insurance is an specially negotiated, high benefit coverage that helps ensure your family will be protected in the event of a dismembering accident or a fatal injury.

• Up to $500,000 in benefits
• Around-the-clock coverage, anywhere in the world**
• Premiums starting at $2.67 a month for a $50,000 Principal Sum

Regardless of what your family's financial fallback plan is, you need to account for potential accidents, because they are the third leading cause of death in the United States.*

*"Leading Causes of Death." CDC, 25 October 2024.

**Subject to U.S. government regulations on restricted countries.

To find out more about the features, costs, eligibility, renewability, limitations, and exclusions of these policies, read the Group Accidental Death & Dismemberment Insurance Brochure.

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Brochure

Accidental Death & Dismemberment Brochure

Application

Accidental Death & Dismemberment Application

Supplemental Forms

Accidental Death Claim Form
Dismemberment Claim Form

This Group Accidental Death & Dismemberment policy is underwritten by New York Life Insurance Company, under Group Policy No. G-30800-0, on Policy Form GMR-G-30800-0/FACE.

New York Life is licensed/authorized to transact business in all of the 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.

New York Life has received the highest financial strength ratings currently awarded to any life insurer from all four of the major credit rating agencies: A.M. Best (A++), Fitch Ratings (AAA), Standard & Poor's (AA+), and Moody's Investors Service (Aa1).*

*Source: Third-party rating reports as of 5/19/2025.

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