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Accidental Death and Dismemberment Insurance - Active Employee

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PLEASE NOTE: Dearborn has recently re-branded under the name Blue Cross and Blue Shield. Both companies are under the umbrella of Health Care Services Corporation (HCSC), so the changes are in name only.

 

UT System, through Blue Cross and Blue Shield of Texas (BCBSTX) (formerly Dearborn), provides eligible employees with accidental death and dismemberment (AD&D) insurance in the amount of $40,000 as part of the basic coverage package for regular benefits-eligible active employees. Full-time eligible employees enrolled in the UT SELECT or UT CONNECT Medical plan are automatically enrolled in the basic AD&D at no cost and without evidence of insurability (EOI).

Regular benefits-eligible active employees may also enroll themselves and their eligible dependents in optional Voluntary AD&D insurance.

Voluntary Accidental Death and Dismemberment Options

COVERAGE LEVEL BENEFIT AMOUNT
Employee Voluntary AD&D
(available with or without Basic AD&D)
Increments of $10,000 up to $2 million or 10 times annual compensation, whichever is less.
Spouse Voluntary AD&D * Increments of $10,000 up to one-half of the employee voluntary AD&D benefit in force or $1,000,000, whichever is less.
Dependent Child Coverage * $10,000 (benefit per eligible child)

*Employee must have at least $20,000 Employee Voluntary AD&D coverage in order to elect Voluntary AD&D coverage for spouse and/or dependent children.

Active employees who participate in an alternative UT System health institution life plan are not eligible to participate in the Voluntary AD&D plan offered under Dearborn National.

All amounts of AD&D coverage are guaranteed issue. No EOI is required for any increases in AD&D benefits during annual enrollment or during the plan year following a qualified change in status event.


 

Resources

Contact

BCBSTX LIFE AND AD&D CUSTOMER SERVICE  (866) 628-2606   

Claims Address
BlueCross BlueShield of Texas
Attn: Claims Department
P.O. Box 7070     
Downers Grove, IL 60515