Up to $100,000.00 of Protection to Age 65
If you're under age 65, you can apply for up to $100,000.00 of coverage. This decreases to $50,000.00 at age 65.
Up to $50,000.00 of Protection to Age 85
If you become insured before age 65, you can keep up to $50,000.00 of insurance to age 85. That's long-lasting protection you can use to add to an existing policy or use as your primary source of protection.
Your spouse under age 65 can also apply for up to $100,000.00. This decreases to $50,000.00 at age 65. Today, even a non-working spouse may need life insurance protection. Your spouse can not be legally separated or divorced from you.
For just $6 a year, you can insure all your dependent children ages 14 days to 19 years (23 if a full-time student).
Economical Group Rates
You have the buying power of all AFSA members to help keep the premiums economical.
|AFSA Term Life Plan - Monthly Group Rates
|| $ 2.68
|| $ 1.52
|| $ 6.71
|| $ 3.80
|| $ 7.59
You'll be billed four times a year. If applicable, an additional $2.00 billing fee will be included on your billing notice payable to the administrator. To save the fee, select Electronic Funds Transfer (EFT) as a safe and secure payment option. Rates are based on the attained age of the Insured person and increase as you enter each new age category. Your rates will not change unless they are changed for all insureds in your classification. Rates and benefits depicted are subject to change, but will not be changed more frequently than once in a 12-month period.
*Rates for renewal only.
Guaranteed Acceptance Feature
AFSA members with health problems can still be issued insurance coverage. If, for reasons of health, you or your spouse are not eligible for the coverage you apply for, you will automatically be
offered $20,000.00 of Guarantee Issue Coverage on this modified basis: Your first-year coverage will be 20% of this policy amount, and you'll get an additional 20% each year until, beginning with the fifth year, you'll have the full face amount, up to a maximum of $20,000.00.
Suicide within the first two years of coverage is not covered. Benefits paid for death caused by suicide while sane or insane within the first two years of the effective date of insurance are limited to a refund of the premiums paid for the insured's insurance.
Collect Up to 50% For Terminal Illness
If your doctor diagnoses you with a life expectancy of six months or less, you can collect up to 50% of your death benefit before you die - to use however you wish. Benefits paid under the accelerated death benefit may be taxable, please consult your personal tax advisior for further information.
This information is written in connection with the promotion or marketing of the matter(s) addressed in this material. The information cannot be used or relied upon for the purpose of avoiding IRS penalties. These materials are not intended to provide tax, accounting or legal advice. As with all matters of a tax or legal nature, you should consult your own tax or legal counsel for advice.
Waiver of Premium for Disability
Waiver ends when you are no longer Totally Disabled or no longer meet the eligibility requirements. If you become Totally Disabled while covered under the Term Life Plan, your premiums will be waived during your disability - as long as your disability begins before age 60 and you have been Totally Disabled for at least six consecutive months.
Please note: Other benefit amounts are available. For more information, please call the Plan Administrator TOLL FREE 1-800-882-5541. (Our hearing-impaired or voice-impaired members may call the Relay Line at 1-800-855-2881.)
Your AFSA Term Life Plan will become effective on the first day of the month after your application has been approved and your first premium is received. If, however, on the date that you are to become covered under the Policy you are confined for medical care or treatment in an institution or at home you will not be so covered until the earlier of the first day of the month on or next following the date you have not been confined for medical care or treatment in an institution or at home.
Your spouse will automatically be the beneficiary for the Term Life Plan. If your spouse is no longer living, your benefits will be paid to your children, parents, brothers and sisters, or estate (in that order). You will automatically be set up to collect benefits for your spouse's protection. If you'd like to designate a different beneficiary, contact the Plan Administrator.
Your Term Life Plan will continue as long as you maintain your AFSA membership, pay your premiums when due, your term of coverage has not expired and the Master Policy stays in force. Your dependent’s coverage will remain in effect as long as your coverage is active, premiums are paid, and they meet the eligibility requirements.
|Type of Insurance
||Term Life Insurance
||AFSA members under the age of 65. AFSA member's spouses and children are also eligible.
||Hartford Life Insurance Company
|Group Policy Number
|Policy Form Number
||SRP-1153 A (HL) (1557)
NOTICE OF INSURANCE INFORMATION PRACTICES
To properly underwrite and administer your application for insurance coverage, we must collect certain information concerning your insurability. You are our most important source of information, but we may also contact other sources such as medical professionals and institutions, employers and other insurance companies. While all information regarding your insurability will be treated as confidential, in some situations, and in compliance with applicable law, we may disclose necessary items of information to third parties without your specific authorization.
INVESTIGATIVE CONSUMER REPORTS – NOT APPLICABLE TO RESIDENT OF NEW YORK
As part of our procedure for processing your application, an investigative consumer report may be prepared by an outside insurance reporting organization. Personal information may be collected from others regarding your general reputation and lifestyle. If an interview is conducted with someone other than you, we will inform you of your right to be interviewed in connection with the preparation of the investigative consumer report. You have the right to send a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation.
PERSONAL HISTORY INTERVIEW
To provide you, our client, with the best possible service, we may also conduct what we call a personal history interview. This is a phone call placed from our underwriting office. Its purpose is to make sure that the application information is complete. Our interviewers are trained to conduct their calls in a friendly, professional manner. The nature of the information discussed is always treated as personal and confidential and will only be used to assess your eligibility for insurance.
MEDICAL INFORMATION BUREAU (MIB) PRE-NOTICE
Information regarding your insurability will be treated as confidential. Hartford Life Insurance Company or Hartford Life and Accident Insurance Company or its reinsurer(s) may, however, make a brief report thereon to the MIB, Inc., formerly known as Medical Information Bureau, a not-for-profit membership organization of insurance companies, which operates an information exchange on behalf of its members. If you apply to another MIB member company for life or health insurance coverage, or a claim for benefits is submitted to such a company, MIB, upon request, will supply such company, with the information about you in its file. Upon receipt of a request from you, MIB will arrange disclosure of any information in your file. Please contact MIB at (866) 692-6901 (TTY (866) 346-3642 ). If you question the accuracy of the information in MIB's file, you may contact MIB and seek a correction in accordance with the procedures set forth in the Federal Fair Credit Reporting Act. The address of MIB's information office is 50 Braintree Hill Park, Suite 400, Braintree, Massachusetts 02184-8734. Hartford Life Insurance Company, Hartford Life and Accident Insurance Company , or their reinsurers, may also release information from their files to other insurance companies to whom you may apply for life or health insurance, or to whom a claim for benefits may be submitted. Information for consumers about MIB may be obtained on its website at www.mib.com.
ACCESS, CORRECTION AND DISCLOSURE
You can obtain access to personal information about you contained in our policy files by sending us a written request. You may also request any necessary corrections, amendments or deletion of any information in our files which you believe to be inaccurate or irrelevant. Hartford Life Insurance Company or Hartford Life and Accident Insurance Company or its reinsurer(s) may release information in their files to other life insurance companies to whom you may apply for life or health insurance, or to whom a claim for benefits may be submitted. Also, please be advised that personal and confidential information collected by us may, in certain circumstances, be disclosed to third parties without authorization. A notice providing further description of the circumstances under which information about you may be disclosed and the types of persons and organizations to whom it may be disclosed will be sent to you upon your written request. If you desire further information or access to your personal information, please send your written request to: Hartford Life Insurance Company or Hartford Life and Accident Insurance Company, 200 Hopmeadow Street, Simsbury, CT 06089.
This website explains the general purpose of the insurance described, but in no way changes or affects the
policy as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life Insurance Company detail exclusions, limitations and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.
DO NOT SEND MONEY NOW
You’ll receive a Certificate of Insurance once you’re approved. Take 30 days to examine it. If you like what you see, then send in your premium payment. If not, then do nothing. (That will end it. You’re under not obligation.)
SRP–1153 A (HL) (1557)