Your insurance stops on the earliest of the following dates:
Prudential stops providing a specific benefit to you on the date that benefit is no longer provided under the Group Policy.
Your dependent’s insurance stops on the earliest of the following dates:
Prudential stops providing a specific benefit under your dependent’s insurance on the date that benefit is no longer provided under the Group Policy.
Issued by The Prudential Insurance Company of America
You can select from $10,000 to $500,000.
Cover your spouse and unmarried children up to age 26.
Safe Driver, Education, Child Care, and other benefits included at no additional cost.
You can continue this plan, even if you change agencies, retire, or leave your federal employment.
This coverage is not health insurance coverage (often referred to as “Major Medical Coverage”).
Group Insurance coverages are issued by The Prudential Insurance Company of America, a Prudential Financial company, Newark, NJ. The Booklet-Certificate contains all details, including any policy exclusions, limitations, and restrictions, which may apply. Contract Series: 83500
This policy provides ACCIDENT insurance only. It does NOT provide basic hospital, basic medical, or major medical insurance as defined by the New York State Department of Financial Services.
IMPORTANT NOTICE – THIS POLICY DOES NOT PROVIDE COVERAGE FOR SICKNESS.
THIS IS AN EXCEPTED BENEFITS POLICY. IT PROVIDES COVERAGE ONLY FOR THE LIMITED BENEFITS OR SERVICES SPECIFIED IN THE POLICY.
1082833-00001-00
