Eligibility

Regular full-time faculty and staff can purchase this coverage for themselves only, or you can include your spouse and your children.

AD&D insurance provides protection against financial losses due to accidental death or accidental dismemberment. This program is administered by The Hartford Insurance Company.

The group policy number is ADD-SO6238.

During the annual open enrollment period, you may enroll in AD&D coverage without providing any medical information. The effective date of AD&D coverage is January 1st of the following year.

 

Premiums
Principle AmountEmployee OnlyEmployee & Dependents

Bi-WeeklyMonthlyBi-WeeklyMonthly
$10,000 $.12 $.25 $.18 $.39
$25,000 $.29 $.63 $.45 $.98
$50,000 $.58 $1.25 $.90 $1.95
$100,000 $1.15 $2.50 $1.80 $3.90
$150,000 $1.73 $3.75 $2.70 $5.85
$200,000 $2.31 $5.00 $3.60 $7.80
$250,000 $2.88 $6.25 $4.50 $9.75
$300,000 $3.46 $7.50 $5.40 $11.70

Change in Coverage

During the annual open enrollment period you can choose to increase or decrease your coverage. The effective date of the change in coverage is January 1st of the following year.

Conversion of Coverage

When you end your employment with Penn State, either at retirement or termination, you may convert your accidental death & dismemberment coverage to an individual policy. To do so, complete the conversion form below within 31 days following the date of termination.

Presentations

AD&D Coverage with Travel Assistance

Additional Resources

Forms