SAMBA’s Personal Accident Insurance Plan
Issued by The Prudential Insurance Company of America
Available to active and retired federal employees.
Coverage in the event of accidental death or dismemberment.
You cannot be denied coverage due to age or health.
Available Coverage Amounts
You can select from $10,000 to $500,000.
Add Family Coverage
Cover your spouse and unmarried children up to age 26.
Additional Benefits
Safe Driver, Education, Child Care, and other benefits included at no additional cost.
Permanent Coverage
You can continue this plan, even if you change agencies, retire, or leave your federal employment.
- Beneficiary Designation Form
- FAQs
- Summary Plan Description (under development)
- Limitations and Exclusions
- Termination Policy
- Payroll Allotment Form
- Direct Debit Application Form
- Authorized Representative Form (HIPAA)