Eligibility Requirements

To enroll, you must be a federal employee or retiree, working full-time or part-time. You can enroll yourself, your spouse, and your dependent children up to age 26 — no health statement is required.

Benefits offered by the Plan:

24/7 Coverage: This plan provides a lump-sum benefit that gives you around-the-clock protection in the event you experience an accidental bodily injury that results in death or the loss of hands, feet, or eyesight.

Monthly Expense Benefit: An additional benefit of 1 % of the amount of coverage payable per month for up to 12 months to a maximum of $1,000 per month. The benefit is payable if you die as a result of a covered accident within 365 days of the accident and you have a surviving spouse at the time of your death. The benefit will be paid until the earlier of your spouse dies or the benefit has been paid for 12 consecutive months.

Child Care Benefit : (available to members enrolled under Family Coverage): The plan provides a benefit for child care expenses of a covered dependent child under the age of thirteen if the member dies in a covered accident. The annual benefit is the lesser of the actual cost charged by the child care center per year, 5% of the member’s covered amount, or $5,000 a year up to four consecutive years or until the child reaches age thirteen.

Levels of Coverage

Choose the amount that’s right for you
There are 10 levels — from $10,000 to $500,000

After Retirement — You may continue coverage into retirement.

Benefit Amount Payable
Loss of: % of Principal Sum
Life 100%
Both Hands or Both Feet 100%
Sight in Both Eyes 100%
One Hand and Foot 100%
One Hand or One Foot and
Sight of One Eye
100%
One Hand or One Foot 50%
Sight of One Eye 50%
Speech and Hearing in
Both Ears
100%
Hearing in Both Ears 50%
Speech 50%
Thumb & Index Finger of Same Hand 25%
Quadriplegia 100%
Paraplegia 75%
Hemiplegia 50%
Seat Belt Lesser of Additional 15% and $40,000
Airbag Lesser of
Additional 10% and $5,000
Coma 1% up to 100 months, less any other Principal Sum benefits paid
 

How Benefits are Paid Under Family Coverage

Member: Full insured amount
Spouse only: 60% of Member coverage
Child(ren) only: 20% of Member coverage (maximum $50,000/child)
Spouse and Child(ren): 50% of Member coverage for spouse / 15% of Member coverage for child(ren) (maximum $50,000/child)

Personal Accident Insurance Summary of Benefits

Issued by The Prudential Insurance Company of America

Enrollment Center

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.

Enrollment Center

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.

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