No. The cost of this insurance policy is fully paid for by the Management Benefits Fund.

The amount of coverage is dependent on the member's age and employment status (active/retiree.)

• Active employees under age 65 are covered for 1 times (1X) their annual salary, subject to a coverage amount minimum of $15,000 and maximum of $50,000.
• Active employees ages 65-69 are covered for 66 2/3% of their annual salary, subject to a coverage amount minimum of $10,000 and maximum of $34,000.
• Active employees age 70 and over are covered for 50% of their annual salary, subject to a coverage amount minimum of $7,500 and maximum of $25,000.

A retired member's life is insured for $5,000 regardless of age. 

None.  Dependents are not eligible to receive this benefit.

Accidental Death & Dismemberment Insurance (AD&D) is provided for active employees only in the amount equal to their Basic Life Insurance coverage.

• The full amount of the AD&D Insurance is paid for loss of:
• Life, or
• Both hands or both feet, or
• Sight of both eyes, or
• Speech and hearing, or
• Quadriplegia, or
• Any two or more of the following: foot, hand, sight of an eye

Three-quarters of the AD&D Insurance is paid for paraplegia.One-half the amount of the AD&D Insurance is paid for loss of:

• One hand, or
• One foot, or
• Sight of one eye, or
• Speech, or
• Hearing, or
• Hemiplegia

One-quarter of the AD&D Insurance is paid for loss of thumb and index finger on the same hand.

An additional benefit of 10% of your AD&D Insurance (up to $10,000) is paid for loss of life in a four-wheel vehicle while using a seatbelt or airbag.

Also, the loss must:

a) Be caused exclusively by accidental means
b) Be the result of the injury, directly and independently of all other causes, and
c) Occur within ninety days after the injury.

AD&D does not cover loss due to:

• Suicide or attempted suicide
• Intentionally self-inflicted injuries
• Sickness
• Medical or surgical treatment of sickness
• Certain infections
• War or certain military duties
• Travel or flight in any aircraft not intended to transport passengers
• Being legally intoxicated or under the influence of any narcotic unless administered or consumed on the advice of a doctor
• Participation in certain hazardous sports.

No.  Only active members are provided AD&D insurance coverage.

In the event of your death, the insurance amount is payable to your beneficiaries. All benefits under the AD&D Insurance other than for loss of life are payable to you.

Yes. You may change your beneficiary at any time by completing Form 1060 which you can obtain from your Agency Human Resources personnel. It is suggested that you keep your beneficiary designation up-to-date. Retirees must contact MBF to obtain Form 1060.

Yes. Keep in mind that when you assign your insurance policy, you perform an irrevocable transfer of all property rights, title, interests and incidents of ownership, both present and future, relating to the assigned policy.

Contact:
For more information on assigning your benefits, please call the Fund Administrative Office at (212) 306-7290; if outside New York City at (800) 4000MBF (800-400-0623).

Claims for Basic Life Insurance and Accidental Death & Dismemberment Insurance are processed by the Fund. For forms, beneficiaries should contact the Fund Administrative Office at (212) 306-7290; if outside New York City at (800) 4000MBF (800-400-0623).

Yes. If your Basic Life Insurance coverage is reduced or terminated, protection will continue for 31 days. During this time, you may choose one of the following options:

• Purchase an Individual Policy through Prudential Insurance Company of America with proof of evidence of good health, or
• Convert you Group Policy to an Individual Policy without proof of evidence of good health.

Of the two options listed, you may obtain a lower rate by providing evidence of good health and purchasing an Individual Policy. Prudential can refer you to the appropriate agent by calling 1-877-889-2070.

Please be advised that there are no conversion opportunities or Individual Policies available for Accidental Death & Dismemberment Insurance.