If you’re a member of the American Society of Mechanical Engineers (ASME), under age 70, and a resident of the United States (excluding VT and territories) and Puerto Rico, you are eligible to apply for up to $1,000,000 (in multiples of $10,000) of ASME Term Life Insurance.

 

You may also apply for coverage for your lawful spouse under age 70 in the same amount as yourself. The amount of spouse coverage requested cannot exceed 100% of yours. Each unmarried, dependent child from age 14 days through 22 years (24 for full-time students) may also be insured for $10,000.

 

A dependent who is also an ASME member is eligible for either member or dependent coverage, but not both.

 

* See "Choose the Amount You Need" and "Amounts of Insurance at Ages 65-100" for details.

Premium Discounts May Reduce Your Cost

A money-saving feature of the ASME Term Life Insurance Plan is the opportunity to receive a premium discount. Premium discounts reduce the total cost of insurance. A 25% premium discount will be applied to semiannual premium contributions due through April 30, 2021. And in the future, if plan experience warrants, the Trustee may grant premium discounts that can reduce your cost to renew coverage. Although not promised or guaranteed, premium discounts and/or credits have been granted every year since 1963.

 

Compare For Yourself the Value of Our Plan

Life insurance policies are issued by insurance companies in varying amounts (e.g. $15,000, $25,000, $100,000). An easy way to compare premiums is to calculate the annual cost per $1,000 of coverage. What’s more, ASME premium discounts, when available, further reduce the cost of coverage.

 

How Much Coverage Should you Consider?

Many independent insurance planners recommend anywhere from five to nine times your annual salary as an adequate amount of insurance. To estimate a coverage level that’s right for you, consider your present living expenses, your estate and the future plans of your family. Be sure to include educational plans, mortgage amounts, and daily expenses. Remember, the financial needs of your family will continue even after your death.

 

Choose the Amount You Need

For Member	Options of $10,000 to $1,000,000. Members aged 65 and over may apply for up to 100-$10,000 options, but each option will already have reduced according to "Amounts of Insurance at Members ages 65 through 100". Premiums do not reduce.
For Lawful Spouse	Options of $10,000 to $1,000,000. May not exceed member coverage
For Each Unmarried Dependent Child	From 14 days through 22 years (or 24 if a full-time student) --$10,000

 

* Coverage decreases starting at member age 65. See "Amounts of Insurance at Ages 65-100."
 

 

Please note that the total amount of coverage for an individual insured by more than one group policy issued by New York Life Insurance Company to the Trustee of the Life Insurance Plan for Members of the ASME may not exceed the maximum benefit option. The total amount of coverage an individual may request under all engineering group life insurance plans underwritten by New York Life Insurance Company cannot exceed $2,000,000.
 

 

CURRENT 2020 SEMIANNUAL PREMIUM CONTRIBUTIONS

The initial cost of insurance for you (the member) and your lawful spouse is based on your age on the day your insurance becomes effective. The cost increases as you grow older. All eligible children can be insured for $3.30 ($2.48 with the premium discount*), regardless of number or your age.

 

	Member $10,000 Option		Spouse $10,000 Option
Member’s Age	No Premium Discount	With 25% Premium Discount*	No Premium Discount	With 25% Premium Discount*
Under 30	2.27	1.71	1.82	1.37
30-34	2.68	2.01	2.00	1.50
35-39	3.64	2.73	2.54	1.91
40-44	5.68	4.26	3.82	2.87
45-49	9.23	6.93	5.82	4.37
50-54	14.32	10.74	9.00	6.75
55-59	22.18	16.64	13.90	10.43
60-64	30.68	23.01	19.54	14.66
65-69**	33.63	25.23	21.64	16.23

 

For those with the ABI feature, please contact the administrator for details on how this feature is applied.
 

* The 25% premium discount is effective through April 30, 2021.
 

 

** Amounts of coverage decrease with age. See "Amounts of Insurance at Ages 65-100." Coverage terminates at member’s age 100. See Conversion Privilege.
 

 

Contact the administrator for renewal rates at ages 70-100.
 

 

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. Benefit option amounts are not guaranteed and are subject to change by agreement between New York Life Insurance Company and the Trustee.
 

 

AMOUNTS OF INSURANCE AT AGES 65-100*

The amount of life insurance for you and your spouse is based on your age at last birthday, and decreases on the semiannual premium due date on or immediately after you enter a new age category. After age 65, coverage decreases for each $10,000 member option of insurance. Spouse coverage also decreases for each $10,000 option. Full premiums continue to be payable. (The amount of children’s insurance does not decrease.)

 

Member’s Age	Each Member/Spouse $10,000 Option
Under 65	$10,000
65-67	7,500
68	5,200
69	4,800
70	4,400
71	4,000
72	3,700
73	3,400
74	3,200
75	3,000
76	2,800
77	2,600
78	2,400
79	2,200
80-99**	2,000

 

* Based on each $10,000 option of member coverage and $10,000 option of spouse coverage.
 

 

**Coverage terminates at age 100. See Conversion Privilege.
 

 

Benefit amounts are not guaranteed and are subject to change by agreement between New York Life Insurance Company and the Trustee.

 

The premium contributions shown reflect the current rate 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 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. Benefit options are not guaranteed and are subject to change by agreement between New York Life and the Trustee of the Life Insurance Plan for Members of the American Society of Mechanical Engineers.
 

Living Benefit Provision "Accelerated Death Benefit"

A Living Benefit or "accelerated death benefit" option is available to help terminally ill insureds and their families during a difficult, and often financially challenging time. Under this provision the member may request one advance payment equal to 50% of his or her (or an insured dependent’s) in force life insurance to be paid while that person is still alive. The request must be made at least 12 months prior to the insured person’s scheduled coverage termination age and the amount of insurance payable after the insured’s death will be reduced by this payment. (Premium contributions will not be reduced.) If a scheduled reduction in coverage will occur within one year of the date the Accelerated Death Benefit will be paid, the benefit payable will be 50% of the reduced coverage amount.

 

This money can be used to help cover high prescription drug costs...medical bills...outstanding debts...to help pay for experimental treatments...the cost of modifications to your home...or for a family vacation--the choice is yours.

 

To qualify, a terminally ill insured must provide the insurance company with proof of terminal illness and anticipated life expectancy (12 months or less), as well as any other necessary medical information requested. For additional details and limitations, please see the Certificate of Insurance.

 

Please note that receipt of accelerated death benefits may affect your eligibility for public assistance programs and may be taxable. Prior to applying to receive such benefits, you should consult with the appropriate social services agency and seek the advice of a qualified tax advisor.

 

Premiums Waived If You’re Totally Disabled

If you become totally disabled before age 60 and the disability continues for at least nine months, your life insurance (and any dependent coverage) can be continued at no cost to you, subject to certain conditions. Please see the Certificate of Insurance for additional details.

 

No Exclusions

Benefits are paid for death from any cause, at any time, anywhere in the world (subject to government regulations on restricted countries). The validity of any amount of your life insurance which has been in force for two years during your lifetime will not be contested except for non-payment of premium contributions and plan provisions relating to eligibility.

 

Your Choice of Beneficiary

You may select any person, persons, trust or other legal entity as your beneficiary. If, at the time of your death, there are no surviving beneficiaries, benefits will be paid to the executor or administrator of your estate, or at the option of New York Life, to the surviving relatives in the following order of survival: spouse; children equally; parents equally; or brothers and sisters equally.

 

Conversion Privilege

The Plan provides conversion privileges under certain circumstances of involuntary termination as described in the Certificate of Insurance.

Effective Date

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?

View 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 1-800-289-2763 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.

 

To Apply:

Truthfully complete and sign the application. Be sure to indicate whether you are requesting coverage for your dependents.

Mail your completed application 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.

How New York Life Obtains Information and Underwrites Your Request for Group Term Life Insurance

In this notice, references to “you” and “your” include any person proposed for insurance. Information regarding insurability will be treated as confidential. In considering whether the person(s) in your request for insurance qualify 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. (“MIB”). MIB is a not-for-profit organization of insurance companies, which operates an information exchange on behalf of its members. If you apply for life or health insurance coverage or a claim for benefits is submitted to an MIB member company, medical or non-medical information may be given to MIB and such information may then be furnished by MIB, upon request, to a member company.

 

Your AUTHORIZATION may be used for a period of 24 months from the date you signed the application for insurance, unless sooner revoked. The AUTHORIZATION may be revoked at any time by notifying New York Life 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.

 

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 applications 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.

 

New York Life may release this information to the Plan Administrator, other insurance companies to which you may apply for life and health insurance, or to which a claim for benefits may be submitted and to others whom you authorize in writing. However, this will not be done in connection with test results concerning Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV). We may also make a brief report of your protected health information to MIB, but we will not disclose our underwriting decision.

 

New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. 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.

 

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 02184-8734, telephone 866-692-6901 (TTY 866 346-3642). Information for consumers about MIB may be obtained on its Web site at www.mib.com.

 

For NM Residents: PROTECTED PERSONS¹ have a right of access to certain CONFIDENTIAL ABUSE INFORMATION ² 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 or prospective insured person.

 

² CONFIDENTIAL 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 family member, employer or associate of a victim of domestic abuse or a person with whom the applicant or insured is known to have a direct, close, personal, family or abuse-related relationship.

 

New York Life Insurance Company

 

 

8/12 ed.

 

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 Insurance Company.

 

ASME is compensated in connection with this group plan to provide and maintain this valuable membership benefit.

Premium contributions for both the member and spouse are based on the member's age and increase as the member grows older. Premiums may be periodically increased on plans to reflect plan utilization and help ensure their financial stability.

No, not under normal circumstances. A surviving spouse can, however, maintain coverage under most of the plans.

For some plans, coverage becomes effective within a few days of receiving your application. For others, the process is longer because of required medical underwriting procedures. The "underwriting process" depends on many factors: the number of persons to be insured, their ages, the amount of coverage for which you apply, your medical history and that of your family members (if requesting dependent coverage), and the type of coverage requested.

Again, this depends on the plan you are requesting, your age, the amount of coverage for which you apply, and your individual medical history.

Call the administrator for more details as coverage varies depending on the plan.

The insurance companies reserve the right to change rates. They report "plan experience" (or the number and size of claims made) twice a year and, if applicable, rate action recommendations. Using this information, the Program administrator works with ASME to evaluate the recommendations and negotiate what, if any, rate action is appropriate to maintain each plan’s financial stability. ASME ultimately approves any rate action, or change in benefits.

Mercer Consumer is the company contracted to manage the Insurance Program. Mercer Consumer is not affiliated with the insurance companies that underwrite each plan.

This plan is 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.

 

About New York Life Insurance Company

 

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