Accidental Death and Dismemberment Rider (Form No. R G1712C) (HSA compatible)

The Accidental Death and Dismemberment Rider pays for an insured person’s death, dismemberment or surviving children’s education resulting from a covered accident, available as 24-hour or off-the-job only coverage.

Eligible Persons:  Employee, spouse, insured children and dependent grandchildren

Benefit Options:  24-hour and off-the-job only coverage (automatically be the same as policy)

Benefit Amounts:  Based on plan selected – Tier 1, Tier 2, Tier 3, Tier 4 and Prime – as described in the Benefits section.