You and your dependents 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 and your dependents are alive on that date. Coverage for any dependent who is confined at home, in a hospital or other medical institution or incapacitated so as to be unable to perform his or her normal activities on the date coverage would otherwise become effective until the date he or she is no longer so confined or incapacitated provided you are insured on that date and the dependent is 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.)
When Coverage Ends
Your insurance can remain in force until you reach age 100, and for your insured dependents as long as they remain eligible, provided you remain a member of ASME, you continue to pay premium contributions when due, and the group policy is not terminated by the Trustee or New York Life Insurance Company. Even if you change jobs, retire, or your health declines, you can continue your ASME life insurance coverage. Upon your death, coverage for your insured dependents may continue as described in the Certificate of Insurance.
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
This information is only a brief description of the principal provisions and features of the Plan. The complete terms and conditions are set forth in the group policy issued by New York Life Insurance Company to the Trustee of the Life Insurance Plan for Members of the American Society of Mechanical Engineers.
When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan.
Underwritten by New York Life Insurance Company, 51 Madison Avenue, New York, NY 10010 under Group Policy No. G-8700-1 on Policy Form GMR-FACE/G-8700-1.
Want More Information?
Visit the Forms section and download a no–obligation application and brochure containing detailed plan information and plan provisions, including costs, exclusions, limitations, and terms of coverage.
HOW TO APPLY
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 application 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. We also request that you provide the following information for everyone you are requesting coverage on as well as on any named beneficiary: full name, address, date of birth, Social Security number, and telephone number. Please call 800-289-2763 to complete this request. If you prefer enclose a separate piece of paper with this information together with your application.
New York Life Insurance Company relies on your answers and statements. Misstatements or failures to report information on your application may be used as the basis for rescinding your insurance.
"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!
The Group Term Life Insurance 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 request is subject to New York Life Insurance Company’s 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 a professional paramedic to contact you to perform these simple tests at your convenience, free of charge.
Truthfully complete and sign the application. Be sure to indicate whether you are requesting coverage for your dependents.
Make your check for the total premium contribution payable to: Administrator, ASME Insurance Program.
Mail both your completed application and your check to:
Administrator, ASME Insurance Program 12421 Meredith Drive Urbandale, IA 50398
Residents of Puerto Rico:
Please send your completed application to:
Global Insurance Agency, Inc. P.O. Box 9023918 San Juan, PR 00902-3918
If you have questions about your eligibility or the features of this Plan, call a Customer Service Representative toll-free at 1-800-289-2763.