Travel Accidental Death and Dismemberment Benefits
- Plan Highlights
- Eligibility
- Benefit Amount
- Coverage starts and ends
- Continuation of benefits
- Beneficiary form
Plan Highlights
Please refer to the Insurance Information Booklet for complete details
- State paid group term accidental death insurance
- Provides coverage while traveling on State business
- Pays $100,000 to your beneficiary if you die accidentally
- Increases to $200,000 for Supervisory, Confidential and General Government employees only
- Provides coverage for accidental injury in varying amount, not exceeding $200,000
Who is eligible?
All State employees while in authorized travel status.
Benefit Amount
$100,000 payable if death is accidental while traveling on State business. $200,000 for Supervisory, Confidential, Partially Exempt, Exempt and General Government employees only
Coverage Starts and Ends
Starts at date of hire and ends on the last day of employment.
Continuation/Conversion
None available.
Beneficiary Form
Designation of Beneficiary for Unpaid Compensation Form DBUNCP
- Download this form on the Life Insurance forms page
