Accident Disability Insurance Plan

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A disabling Injury or Sickness can happen in the blink of an eye. If you have to stop working, chances are your income will stop too. But it doesn't have to if you help protect yourself with disability insurance.

Under the Disability Income Plan, you can receive a monthly benefit that you select. With this benefit you can keep up better with your living expenses until you get back to work.

Benefit Features:

  • Elect monthly benefits to suit your needs and lifestyle
  • 24-hour protection - on or off the job - anywhere in the world
  • Spouse may also apply for coverage

Don't let a disability put an end to your income. Disability insurance can be an essential part of everyone's portfolio.

Want More Information?

Visit the Forms tab and download a no-obligation application and brochure containing detailed plan information, including costs, exclusions, limitations and terms of coverage.

This plan may not be available in all states.

Disability Form Series includes SRP-1311, or state equivalent

 

Eligibility

Where available

This program may vary and is not available in all states. New York residents refer to NY link for benefits and rates (AGP-5573).

Notes

All Actively-at-Work members and/or legal spouses/domestic partners under age 60, working a minimum of 25 hours per week and reside in the U.S., may apply for this coverage. Spouse cannot be legally separated from you.
NY residents:  This policy provides Disability Income Insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York Department of Financial Services.

Details

 

Plan I

Plan II

At a Glance

 

Type of Insurance

Disability Income Insurance

Disability Income Insurance

Insurance Company

Hartford Life and Accident Insurance Company

Hartford Life and Accident Insurance Company

Group Policy Number

AGP-5473 (Non-NY) & AGP-5573 (NY only)

AGP-5473 (Non-NY) & AGP-5573 (NY only)

Features and Benefits

 

Issue Ages

Through age 59

Through age 59

Minimum Monthly Benefit

$600

$600

Maximum Monthly Benefit

Up to $4,000 subject to income ratios.

Up to $6,000 subject to income ratios.

Waiting Period

30, 60, 90 or 180 days (60, 90, or 180 days for NY residents)

60, 90 or 180 days

Benefit Period

5 year Injury, 1 year Sickness

To age 65

Covered Loss

Injury and Sickness

Injury and Sickness

Coverage Period

On and off the job

On and off the job

Form Number

Disability Form Series includes SRP-1311, or state equivalent.

Disability Form Series includes SRP-1311, or state equivalent.

The Hartford® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing companies Hartford Life Insurance Company and Hartford Life and Accident Insurance Company.

AGP - 5473 is underwritten by Hartford Life and Accident Insurance Company. AGP - 5573 is underwritten by Hartford Life Insurance Company. Home office of both companies is Hartford, CT.

Important Notes: This website explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life Insurance Company and Hartford Life and Accident Insurance Company detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.

Answers about the plan, including eligibility, options, enrollment, customer service and more.

Your premium is based on your age, the monthly disability benefit you request plus the waiting period (e.g., 60, 90 vs. 180 days) and benefit period (5 years vs. to age 65).

No two families are alike. That’s why this plan gives you the flexibility to choose a coverage amount that fits your lifestyle.

You can select to receive anywhere from $600 to $4,000/$6,000 (depending on which plan) a month, subject to income ratios. Base your selection on your current income level and remember that you may have additional medical costs to cover.

Plan I pays after a 60 day waiting period, (30, 60, 90, or 180 day waiting period for NY residents), to a maximum of five years if you are Totally Disabled due to a Injury and to a maximum of one year if you are Totally Disabled due to a covered Sickness. Plan II pays up to age 65 if you are Totally Disabled due to a Injury or Sickness. Under Plan II, you have a choice of a 60, 90 or 180 day waiting period for benefits to begin. For Plan I: If Total Disability occurs at or after age 64, benefits are paid for a maximum of 1 year. For Plan II: If Total Disability occurs at or after age 63, benefits are paid to a maximum of 2 years.

The amount of benefits received depends on your age, earnings before being disabled and eligibility of family members. Many working Americans don't want to rely on Social Security because its benefits fall short of meeting their actual needs.

Issuance of this policy is handled over the Internet and the mail. You can review the materials in the privacy of your home and purchase your policy directly through the mail without meeting with an agent. Of course, a Customer Service Specialist will be happy to answer any questions you might have regarding this coverage.

All Actively-at-Work members and/or spouses/domestic partners under age 60, working a minimum of 25 hours per week, who reside in the U.S., may apply for this coverage. Please note: If you are a domestic partner interested in applying for coverage, please contact the Insurance Administrator for a Domestic Partner Affidavit which must accompany your application.

Coverage continues as long as: you remain an association member; you pay your premiums on time; you remain Actively-at-Work (except by reason of disability covered by this plan); the master policy is in effect; and you remain under 65 (Plan I) or under 70 (Plan II). The same goes for your spouse/domestic partner as long as they continue to meet eligibility requirements.

Acceptance into this plan is subject to medical evidence of insurability as determined by Hartford Life Insurance Company. Depending on your age, the amount of coverage you request, and your answers on the application, a medical examination, medical test(s), or other evidence of good health may be required. Any exam/tests requested by the company will be conducted at your convenience and at no expense to you.

Your coverage will become effective on the first day of the month immediately following the date your application is approved by the insurance company, provided you are Actively-at-Work and your initial premium payment has been received. If you are not Actively-at-Work on that date, your effective date is postponed until you are Actively-at-Work once again.

When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan. If you are not completely satisfied with the terms of your Certificate of Insurance, you may return it, without claim, within 30 days. You will be sent a full refund-no matter how many days your insurance has been in force.

One of your most valuable assets is your earning capacity. It's taken years of study and career advancement to achieve your position today. Yet a serious Injury or Sickness could jeopardize your livelihood. Even if you're young and healthy, a serious Injury of Sickness could put you out of work for months or even years.

The choice is yours . . . benefits can begin after 60(Plan I & Plan II), 90(Plan II only) or 180(Plan II only) days of disability. Choose a waiting period that best suits your needs by comparing your current savings versus your expenses.

Disability Form Series includes SRP-1311, or state equivalent.

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

Insurance Application and Brochure- For Policy AGP-5473 Not available to residents in all states.

Insurance Application and Brochure - For Policy AGP-5573 for the state of NY only

Insurance Application and Brochure - For residents of CA only


Download Adobe Acrobat Reader

Disability Form Series includes SRP-1311, or state equivalent.

We're here to help! Please contact us in whatever manner is most convenient for you.

Program Administrator

Mercer Consumer
12421 Meredith Drive
Urbandale, IA 50398
1-800-459-2851
customerservice.service@mercer.com
8:15 am to 5 pm M-F (Central)

Insurance Company

Hartford Life and Accident Insurance Company
Hartford Life Insurance Company
One Hartford Plaza
Hartford, CT 06155

Disability Form Series includes SRP-1311, or state equivalent.

Insurance Application and Brochure

Mercer's Role & Compensation

Details of Mercer disclosure of the compensation.

Read More