Frequently Asked Questions
What is the purpose of the Term Life Insurance coverage?
Who is eligible to enroll in this plan?
How much life insurance coverage can I have?
Coverage is available up to $750,000 for the employee/retiree. Once the employee/retiree is approved for coverage, he/she can also enroll their spouse and unmarried children, under age 26. The spouse is also eligible for up to $750,000 but cannot be insured for more coverage than the employee/retiree. Eligible children are covered at $20,000 each.
How do I enroll?
You can enroll online or download the enrollment forms.
How do I pay the premiums for my coverage?
Active employees of ATF, CBP, CIS, DEA, FBI, ICE and USSS pay the premium through payroll allotment.
All other active employees and retirees will pay the premium monthly through SAMBA’s direct debit program from the enrollee’s banking institution.
What is the Accidental Death and Dismemberment (“AD&D”) benefit?
How does the Accelerated Life benefit work?
If you (or your spouse, if you carry coverage for your spouse) become terminally ill with a life expectancy of 12 months or less, the Accelerated Life benefit allows you to receive up to 75% of the coverage amount while still living. Use the proceeds as you wish—for travel, medical bills or family expenses. The beneficiaries will receive the remainder as a death benefit.
How can I find out my current level of coverage?
How do I increase my coverage?
You can use the online application or visit the enrollment center.
Who is my current beneficiary and how can I change my beneficiary designation?
Contact SAMBA if you have questions about your beneficiary selection. If you want to make a change, download the Beneficiary Designation Form.
What happens to my coverage if I should leave my current agency?
When does the policy end?
Who is the Plan Underwriter?
Prudential Insurance Company of America is the plan underwriter of the SAMBA Term Life Insurance Plan.
Available Coverage Amounts:
Select the coverage amount that is right for you.
Choose from $25,000 to $750,000.
Includes (AD&D):
Double indemnity if you die before age 65 as a result of an accidental injury.
Add Family Coverage:
Your spouse can be covered up to $750,000. Unmarried children, up to age 26, can be covered for $20,000 each.
Terminal Illness:
If your life expectancy is 12 months or less, you can receive up to 75% of your coverage amount. Your beneficiary will receive the remainder following your death.
Permanent Coverage:
You can retain this plan for life even if you change agencies, retire, or resign.
- Paper Enrollment and Change Coverage Forms
- Beneficiary Designation Form
- FAQs
- Summary Plan Description (under development)
- Termination Policy
- Payroll Allotment Form
- Direct Debit Application Form
- Authorized Representative Form (HIPAA)
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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