Valuable Benefits
- Members Under Age 70 Are Eligible to Apply .
- Your Choice of Monthly Benefit ($150 To $7,500 A Month In $150 units)*
* Monthly Benefits exceeding $3,750 for members age 65-69 will be reduced to $3,750 upon reaching age 65. Benefits exceeding $1,800 for members age 70-74 will be reduced to $1,800 upon reaching age 70.
- Your Choice of Waiting Periods (30, 90, 180 or 365 Days)
A waiting period is the number of consecutive days you must be Totally Disabled before benefit payments begin. You should choose a Plan that will provide benefits when your salary continuation plan runs out.
- Your Choice of Plans:
Career Plan
Inflation-Fighter Career Plan
Five-Year Plan
- Preferred Definition of Disability Helps Protect You As a Mechanical Engineer
Both the Career and the Five-Year Plans pay Monthly Benefits while you are Totally Disabled. "Totally Disabled" means you are prevented by accident or sickness from performing the material and substantial duties of your usual occupation, provided you are not otherwise working for pay or profit.
- Spouse Benefit Available
- Membership Dues Waived During Total Disability
- Premium Payments Waived During Total Disability
- Partial Disability Benefit
- Rehabilitation Benefit
- Survivor Benefit
- Transplant Benefit
Protects You as a Mechanical Engineer
A more reliable source of disability protection may be your own disability income insurance, such as this Plan designed for ASME members. It helps provide an income when you're Totally Disabled as defined below. That's something no amount of medical insurance can do.
See How These Valuable Features Protect You
- Benefit Options--up to $7,500 per month
- Flexible Waiting Periods--Choose 30, 90, 180 or 365 days before benefits begin
- Help protect your coverage from the effects of inflation with the Inflation-Fighter Career Plan
- Benefits from this Plan are NOT reduced if you qualify to receive Social Security or other government disability benefits.
Eligibility--All Members Under Age 70
ASME members under age 70, who are residents of the United States (except NC, VT, WA and territories), Puerto Rico and Canada (except Quebec) and who are actively at FULL-TIME work may request coverage, provided their gross annual earned income is at least $20,000. (Student members are not eligible unless working full-time.)
"FULL-TIME WORK" means the active performance of the regular duties of your normal occupation for pay or profit on the basis of at least 30 hours per week at the place such duties are normally performed.
How the Plan Works
The Plan pays monthly benefits while you are Totally Disabled. "Totally Disabled" is defined in the Policy as being prevented by accident or sickness from performing the material and substantial duties of your usual occupation, provided you are not otherwise working for pay or profit. Benefits begin at the end of the waiting period.
Choose From Three Plan Options
Plan Option No. 1: Career Plan
If you are Totally Disabled before age 63 benefits are payable up to age 65. There is a two year maximum benefit for Total Disabilities starting at age 63 but before age 75.
Plan Option No. 2: Five-Year Plan
If you are Totally Disabled before age 60, benefits are payable for up to five years. For Total Disabilities starting at age 60 but before age 63, benefits may continue up to age 65. For Total Disabilities starting at age 63 but before age 75, benefits may continue for up to two years.
Plan Option No. 3: Inflation-Fighter Career Plan
Help keep spiraling inflation from eroding your disability benefits. Simply increasing the number of coverage units can help keep pace with inflation before a disability. But what happens after you are disabled? You cannot apply for increased coverage after a disabling illness or accident. At this point, the Inflation-Fighter Career Plan helps you maintain your standard of living even as the cost of living increases.
If you become Totally Disabled prior to age 63, benefits are payable up to age 65 and will be adjusted annually from the date of disability based on increases in the Consumer Price Index for Urban Consumers (CPI-U).
- Limitations--Benefits will increase up to a maximum 5% increase per year (with an overall maximum increase of one times the original benefit). Once the disability ends and benefit payments stop, the monthly benefit returns to the original amount. After age 62, the Inflation-Fighter feature is not applicable, and benefits for any Total Disability starting at age 63 or after will be payable in accordance with the basic Career Plan option (i.e., up to two years maximum.)
- Catch-Up Feature--This feature allows disabled members to receive benefit increases in excess of the 5% annual maximum if the prior years' compounded rates of inflation were less than 5% annually (contact the Administrator for more details).
Insureds currently receiving benefits are not eligible to apply for the Inflation-Fighter option, nor will they receive an adjustment to their benefits.
Choose Your Monthly Benefit
You may choose a Monthly Benefit Option from $150 to $7500 (in $150 units). However, members age 65 through 69 may not request a Monthly Benefit Option in excess of $3,750. The option you choose, together with all other disability income insurance you have, cannot exceed 60% of your MONTHLY GROSS EARNED INCOME. Depending upon your state of residence, you may be eligible to receive benefits under a state plan. You should check to see if your state offers this type of benefits.
NOTE: On the premium due date on or immediately after reaching age 65, coverage in excess of $3,750 reduces to $3,750. On the premium due date on or immediately after reaching age 70, coverage in excess of $1,800 reduces to $1,800.
MONTHLY GROSS EARNED INCOME means 1/12th of your wages, salaries, commissions, fees and other amounts received for personal services--before deduction of income or social insurance taxes and after deduction of the normal business expenses deductible for income tax purposes--for the immediately preceding 12 month period. It does not include income from interest, dividends, rent, royalties, annuities, other insurance or other unearned income.
Choose Your Waiting Period
Ideally, you want your Plan to provide benefits as soon as your salary continuation plan stops. The ASME Disability Income Plan offers a choice of four waiting periods: 30, 90, 180 or 365 days. A waiting period is the number of consecutive days you must be Totally Disabled before benefits begin. If you are looking to pay a lower premium contribution, you can choose a longer waiting period.
VALUABLE FEATURES OF THE PLAN
Survivor Benefit
If you die--from any cause--while receiving benefits for Total Disability, a death benefit equal to three times the Monthly Benefit Option in force on the date of your death will be paid to your surviving relative(s) in the following order of survival: your spouse; or your children, equally; or your brothers and sisters, equally; otherwise to the executor or administrator of your estate.
Transplant Benefit
If you have been insured under the Plan for at least six months and undergo surgery to donate an organ for transplant, you will be considered Totally Disabled. No waiting period will apply, and benefits will be payable from the first day of Total Disability. However, any portion of your Monthly Benefit Option which became effective in the six months immediately prior to such organ donation will not be payable.
Rehabilitation Benefit
This benefit is designed to help certain disabled members return to the work force. A professional rehabilitation staff reviews case histories and identifies individuals who appear to have the greatest likelihood of rehabilitation. Individuals selected by New York Life Insurance Company are offered the chance to participate in a rehabilitation program at no cost to them. Benefits are not reduced for members who agree to participate in this program.
Partial Disability Benefits
While you are recovering from a Total Disability, you may be eligible to receive a partial disability benefit even though you return to work. If you return to work immediately following a period of Total Disability for which benefits were payable, you may continue to receive your monthly disability benefit until the earlier of the end of the maximum benefit period for Total Disability, or 24 monthly payments. However, the amount of your Monthly Benefit Option together with all other disability benefits and income you earn that month, cannot exceed 80% of your MONTHLY GROSS EARNED INCOME for the 12 months before Total Disability started.
Premium Payments Waived During Disability
After you have been Totally Disabled for six months you begin to receive benefits for Total Disability, all future premium contributions under the Plan will be waived for as long as you receive benefits for that disability.
Membership Dues Waived During Disability
You will no longer need to pay your ASME membership dues while you are Totally Disabled and receiving benefit payments for Total Disability under this Plan. They will be paid for you by the ASME Disability Income Plan until you are no longer receiving benefits for Total Disability.
Recurring Disability
Successive periods of disability that are due to the same or related causes will be considered a single period of disability unless separated by a return to FULL-TIME WORK for three continuous months or more.
YOUR COST
The insurance cost is based on your attained age when coverage becomes effective and increases on the premium due date on or immediately after the date you reach a higher age bracket.
CURRENT QUARTERLY PREMIUM CONTRIBUTIONS PER $150 MONTHLY BENEFIT OPTION OF MEMBER COVERAGE
|
Member's
Age
|
Career
Plan
|
Inflation-Fighter
Career Plan
|
5-Year
Plan
|
|
30-Day Waiting Period
|
|
Under 30
|
$4.15
|
$5.00
|
$3.30
|
|
30-39
|
4.40
|
5.30
|
4.05
|
|
40-49
|
6.95
|
8.05
|
5.10
|
|
50-59
|
10.40
|
11.55
|
8.75
|
|
60-62 *
|
13.15
|
14.35
|
13.15
|
|
63-69 *
|
11.90
|
11.90^
|
11.90
|
|
70-74 * #
|
16.80
|
16.80^
|
16.80
|
|
90-Day Waiting Period
|
|
Under 30
|
$2.30
|
$3.15
|
$1.65
|
|
30-39
|
2.45
|
3.35
|
2.20
|
|
40-49
|
4.30
|
5.40
|
2.90
|
|
50-59
|
7.15
|
8.30
|
5.70
|
|
60-62*
|
9.00
|
10.20
|
9.00
|
|
63-69 *
|
7.90
|
7.90^
|
7.90
|
|
70-74 * #
|
12.40
|
12.40^
|
12.40
|
|
180-Day Waiting Period
|
|
Under 30
|
$1.90
|
$2.75
|
$1.25
|
|
30-39
|
2.05
|
2.95
|
1.60
|
|
40-49
|
3.70
|
4.80
|
2.05
|
|
50-59
|
5.85
|
7.00
|
4.30
|
|
60-62*
|
7.40
|
8.60
|
7.40
|
|
63-69 *
|
6.00
|
6.00^
|
6.00
|
|
70-74 * #
|
9.60
|
9.60^
|
9.60
|
|
365-Day Waiting Period
|
|
Under 30
|
$1.70
|
$2.55
|
$1.05
|
|
30-39
|
1.85
|
2.75
|
1.35
|
|
40-49
|
3.35
|
4.45
|
1.80
|
|
50-59
|
5.55
|
6.70
|
3.80
|
|
60-62*
|
6.45
|
7.65
|
6.45
|
|
63-69 *
|
5.40
|
5.40^
|
5.40
|
|
70-74 * #
|
8.80
|
8.80^
|
8.80
|
* For disabilities commencing on or after the premium due date on or immediately after reaching ages 60 and 63, the maximum benefit period is reduced as previously described.
On the premium due date on or immediately after reaching age 65, coverage in excess of $3,750 reduces to $3,750 per month; and on the premium due date on or immediately after reaching age 70, coverage in excess of $1,800 reduces to $1,800 per month.
# Renewal only.
^ Inflation-Fighter benefits apply only to disabilities beginning prior to age 63. Starting with age 63, benefits revert back to those provided by the basic Career Plan.
The premium contributions shown reflect the current rates and benefit structure. Premium contributions may be changed by New York Life Insurance Company on any premium due date, but not more than once in any 12-month period, and on any date on which benefits are changed. However, your rates may change only if they are changed for all others in the same class of insureds under this group policy. For example, a class of insureds is a group of people all with the same issue age and tobacco/nicotine usage. Benefit option amounts are not guaranteed and are subject to change by agreement between New York Life Insurance Company and the Trustee.
How to Calculate Your Quarterly Cost
- Decide on the Plan (Career, Inflation-Fighter Career or 5-Year)
- Select your waiting period (30, 90, 180 or 365 days)
- Choose your Monthly Benefit Option (from $150 to $7,500 per month).
- Determine the number of $150 units, and multiply the cost per $150 unit by the quarterly premium contribution per unit based on the Plan, waiting period and your age.
For example, the rate for a $1,500 Monthly Benefit Option with a 90-day waiting period under the Career Plan for a member age 35 is 10 x $2.45 or $24.50 quarterly. You may pay semiannually at twice the quarterly rate, or annually at four times the quarterly rate.
ADDITIONAL PLAN PROVISIONS
EXCLUSIONS AND LIMITATIONS
The Plan does not provide benefits for: any disability that occurs during or is due or related to intentionally self-inflicted injury while sane or insane, (MO residents: the exclusion for intentionally self-inficted injury is not applicable to injuries caused by an attempted suicide while insane) declared or undeclared war or any act thereof, military service, or your incarceration or participation in an illegal occupation/activity or the commission of a crime; or any disability that is due or related to pregnancy or childbirth (except complications thereof), or any impairment or disease specifically excluded from your coverage.
The Plan limits benefits for disabilities due to Mental Disorder or Chemical Dependency to a maximum of 24 monthly benefit payments.
No benefit will be paid unless the disability occurs while you are insured under the Plan and you are under the care of a licensed physician or surgeon other than yourself (or member of your immediate family or household) during the period of disability.
Effective Date
You will become insured on the date specified by New York Life Insurance Company provided the first premium contribution has been paid, satisfactory evidence of insurability has been submitted, and you are actively performing the normal activities of a person in good health of like age on that date. [ Note: Residents of MD and NC: Any reference to "performing normal activities of a person in good health of like age" is replaced by the requirement that the health status of any proposed insured person remain the same as stated in your application. ] If you are not performing your normal activities as required, coverage will not become effective until the day you are performing such normal activities provided such date is within three months of the date insurance would have been effective and you are still eligible for insurance.
Payment of a premium contribution for insurance does not mean there is any coverage in force before the effective date as specified by New York Life Insurance Company.
There are instances where New York Life Insurance Company may be able to offer insurance, at the same cost, by eliminating coverage for a specific impairment or disease.
When Coverage Ends
Once coverage is validly in force, it may be continued to the premium due date on or immediately after you reach age 75, unless you: cease FULL-TIME WORK other then for reasons of disability; cease to be an ASME member; fail to pay premium contributions when due; enter full-time active duty in the armed forces (coverage may be restored upon termination of active duty status, subject to policy guidelines); or the group policy is terminated by the Trustee or New York Life Insurance Company.
Renewal Payments and Claims
Once you are accepted into the Plan, you will have a 31-day grace period for your payment of renewal premium contributions. When you want to submit a claim, call or write the Administrator for claim forms.
Certificate of Insurance
The information continued on this web site is only a brief description of the principal provisions and features of the Plan. The complete terms and conditions including features, costs, eligibility limitations and exclusions, are set forth in the group policy issued by New York Life Insurance Company to the Trustee under Trust Agreement with the ASME .
When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan.
"30-Day Free Look"
If you are not completely satisfied with the terms of your Certificate of Insurance, you may return it, without claim, within 30 days. Your coverage will be invalidated and you will receive a full refund--no questions asked!
SPOUSE BENEFITS
Who is Eligible
ASME members who are currently insured or applying for a Monthly Benefit Option of a least $600, and who are residents of the U.S. (except NC, VT, WA and territories), Puerto Rico and Canada (excluding Quebec) are eligible to request coverage for their lawful spouses under age 60.
How The Spouse Benefit Works
Benefits begin at the end of a 30 day waiting period, provided your spouse is Totally Disabled. A waiting period is the number of consecutive days your spouse must be Totally Disabled before benefits begin.
The Plan pays you a Monthly Benefit Option of $500, for up to two years, when your insured spouse is Totally Disabled. For the purpose of spouse benefits, the Group Policy defines "Totally Disabled" as being prevented by accident or sickness from performing the material and substantial duties of his/her usual occupation--whether for pay or profit or as a homemaker.
Plan Features for Spouse
Waiver for Premium If Totally Disabled:
During any period of time the premium contributions for member coverage are waived as a result of disability, the premium contributions for your spouse coverage will also be waived.
Covered Occupations:
Your spouse may work outside the home, be employed by you or work in the home as a homemaker.
Benefits for Recurring Disability:
Successive periods of disability which are due to the same or related causes will be considered a single period of disability unless separated by a period of three continuous months or more during which your spouse returns to his/her occupation.
Your Cost
The insurance cost is based on your spouse's attained age when coverage becomes effective and increases as he/she reaches a higher age bracket.
Current Quarterly Premium Contribution For $500 Monthly Benefit Option of Spouse Coverage
|
Spouse Age
|
Rate
|
|
Under 35
|
$15.00
|
|
35-39
|
23.00
|
|
40-44
|
38.00
|
|
45-49
|
56.00
|
|
50-54
|
75.00
|
|
55-59
|
94.00
|
|
60-64*
|
113.00
|
*Renewal only. Coverage terminates on the premium due date on or immediately after the spouse reaches age 65.
The premium contributions shown reflect the current rates and benefit structure. Premium contributions may be changed by New York Life Insurance Company on any premium due date, but not more than once in any 12-month period, and on any date on which benefits are changed. However, your rates may change only if they are changed for all others in the same class of insureds under this group policy. For example, a class of insureds is a group of people all with the same issue age and tobacco/nicotine usage. Benefit option amounts are not guaranteed and are subject to change by agreement between New York Life Insurance Company and the Trustee.
Exclusions and Limitations
The policy's Exclusions and Limitations are the same for both member and spouse coverage.
Effective Date
You will become insured for spouse insurance on the date specified by New York Life Insurance Company provided the first premium contribution has been paid, satisfactory evidence of insurability has been submitted, you are insured, and your spouse is actively performing the normal activities of a person in good health of like age on that date. [Note: Residents of MD and NC: Any reference to "performing normal activities of a person in good health of like age" is replaced by the requirement that the health status of any proposed insured person remain the same as stated in your application.] If he/she is not performing his/her normal activities as required, coverage will not become effective until the day he/she is performing such normal activities provided such a date is within three months of the date insurance would have been effective and he/she is still eligible for insurance.
When Coverage Ends
Once spouse coverage is validly in force, it may be carried to the premium due date on or immediately after your spouse reaches age 65, unless: premium contributions are not paid when due; your spouse becomes legally separated or divorced from you; or your coverage is terminated.
ASME is compensated in connection with this sponsored group plan to provide and maintain this valuable membership benefit.
This plan is underwritten by New York Life Insurance Company, on Policy Form GMR-G12501-2/FACE.
How to Apply
Be sure to review all of the life insurance information on the website
The Disability Income Protection Plan is medically underwritten based on the information provided by you on the application. It is important that you complete the form truthfully and completely. Your application is subject to New York Life Insurance Company approval and more medical information may be requested. A physical exam, EKG, blood test or other information may be required. If so, we will arrange for an independent professional paramedic to contact you to perform these simple tests at your convenience, free of charge.
- Refer to the Plan description for benefits and premium cost as you fill out the application.
- Make a check payable for the total amount of the premium contribution due payable to: Administrator, ASME Insurance Program.
Mail the completed request form with your check to:
Administrator
ASME Insurance Program
12421 Meredith Drive
Urbandale, IA 50398
Consider Your Eligibility
Before you request coverage, you must be a member in good standing of ASME. Please wait until your application for membership is accepted before initiating your insurance requests. If you have any questions regarding membership, see the ASME home page.
Get Quicker, Easier Service When You Apply
The information provided when you fill out your request form can make the medical underwriting process quicker and easier. By providing complete and accurate information, you avoid delays that may occur while we wait for missing information to be received and shorten the time needed for underwriting decisions and approvals.
New York Life Insurance Company relies on your answers and statements. Misstatements or failures to report information on your request form may be used as the basis for denying or reducing claim benefits or even rescinding your insurance.
IMPORTANT NOTICE
How New York Life Insurance Company Underwrites Your Request For Group Disability Insurance
Information regarding insurability will be treated as confidential. In considering your request for insurance, we will rely on the medical information you provide, and on the information you authorize us to obtain from your physician, other medical practitioners and facilities, other insurance companies to which you have applied for insurance and MIB, Inc. (formerly known as Medical Information Bureau). MIB and other insurance companies may also furnish New York Life, its subsidiaries or the plan administrator with non-medical information (such as driving records, past convictions, hazardous sport or aviation activity, use of alcohol or drugs, and other application for insurance). The information provided may include information that may predate the time frame stated on the medical questions section, if any, on this application. This information may be used during the underwriting and claims processes, where permitted by law.
Your AUTHORIZATION may be used for a period of 24 months from the date you signed the application, unless sooner revoked. The AUTHORIZATION may be revoked at any time by notifying the Administrator in writing at the address provided. Your revocation will not be effective to the extent New York Life or any other person already has disclosed or collected information or taken other action in reliance on it, or to the extent that New York Life has a legal right to contest a claim under an insurance certificate or the certificate itself. The information New York Life obtains through your AUTHORIZATION may become subject to further disclosure. For example, New York Life may be required to provide it to insurance, regulatory or other government agencies. In this case, the information may no longer be protected by the rules governing your AUTHORIZATION.
New York Life may release this information to the plan administrator, MIB, other insurance companies to whom you may apply for insurance, or to whom a claim for benefits may be submitted and to others whom you authorize in writing. However, this will not be done in connection with information concerning Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV).
New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. We may make a brief report to MIB; however, we will not disclose our underwriting decision. Information in our files may be seen by New York Life and Plan Administrator employees, but only on a “need to know” basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for insurance can be approved.
MIB is a not-for-profit organization of insurance companies, which operates an information exchange on behalf of its members. When you apply for insurance or submit a claim for benefits to a MIB member company, medical or non-medical information may be given to the Bureau, which may then be furnished to member companies.
If we cannot provide the coverage you requested, we will tell you why. If you feel our information is inaccurate, you will be given a chance to correct or complete the information in our files. Upon written request to New York Life or MIB, you will be provided with non-medical information. Generally, medical information will be given either directly to the proposed insured or to a medical professional designated by the proposed insured. Your request is handled in accordance with the Federal Fair Credit Reporting Act procedures. If you question the accuracy of the information provided by MIB, you may contact MIB and seek a correction. MIB’s information office is: MIB, Inc., 50 Braintree Hill Park, Suite 400, Braintree, MA 0218408734, telephone (866) 692-6901 (TTY 866-346-3642). For Canadian residents, the address is: MIB Information Office, 330 University Avenue, Suite 501, Toronto, Ontario, Canada M5G 1R7, telephone (416) 597-0590. Information for consumers about MIB may be obtained on its website at www.mib.com.
For NM Residents: PROTECTED PERSONS1 have a right of access to certain CONFIDENTIAL ABUSE INFORMATION2 we maintain in our files and they may choose to receive such information directly. You have the right to register as a PROTECTED PERSON by sending a signed request to the Administrator at the address listed on the application. Please include your full name, date of birth and address.
1PROTECTED PERSON means a victim of domestic abuse: who has notified us that he/she is or has been a victim of domestic abuse; and who is an insured person or prospective insured person.
2CONFIDENTIAL ABUSE INFORMATION means information about: acts of domestic abuse or abuse status; the work or home address or telephone number of a victim of domestic abuse; or the status of an applicant or insured as family member, employer or associate or a victim of domestic abuse or a person with whom an applicant or insured is known to have a direct, close, personal, family or abuse-related relationship.
If we can provide the coverage you requested, we will inform you as to when such coverage will be effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean that there is any insurance in force before the effective date as determined by New York Life.
New York Life Insurance Company 2/09 ed.
Medical Requirements
It is extremely important that you answer fully the questions about medical history on the application. New York Life Insurance Company relies on your answers, and failure to supply complete and accurate information may invalidate coverage. New York Life Insurance Company reserves the right to request medical information needed to determine an applicant's medical eligibility for coverage.
Based on the age of the person proposed for insurance and the amount of coverage requested, a physical exam, EKG, blood test or other medical information may be required. Not all applicants will have to supply additional information. However, if required, we will arrange for an independent professional paramedic to contact you to perform these simple tests at your convenience. The exam and blood test will be free of charge. You pay absolutely nothing.