Accidental Dismemberment
(Including Loss of Use)
When faced with a loss, navigating life insurance claims can be a sensitive and crucial process. Our compassionate experts will assist you in gathering the required documentation, completing forms, and ensuring a smooth claims process.
Accidental dismemberment or loss of use:
Accidental dismemberment or loss of use benefits provide financial support when a plan member experiences a serious accidental injury resulting in the loss of a limb, sight, hearing, or other functional ability. All required forms must be submitted when a claim is filed. All claim forms must include the handwritten signature of the person responsible for completing the form.
Please note that not all benefits described may be included in your specific plan. Refer to your policy for full coverage details.
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APS Accident Benefit Plan The file was published on 10/2025
Attending Physician Statement for Accident/Accidental Dismemberment benefits
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Employer Statement Accident Benefit Plan The file was published on 10/2025
Employer Statement for Accident/Accidental Dismemberment benefits
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Payment Option The file was published on 4/2026
Ensure that all payments are made quickly for Accident/Accidental Dismemberment benefits
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Plan Member Statement Accident Benefit Plan The file was published on 10/2025
Plan Member Statement for Accident/Accidental Dismemberment benefits