In the event of your death from an accident or an accidental dismemberment, you or your beneficiary can receive benefits from this coverage. The loss must occur within 90 days of the accident. Benefits are paid based on the following schedule:

Accidental death - $10,000

Accidental loss of both hands, both feet, the sight of both eyes, or any combination of these -$10,000

Accidental loss of one hand, one foot, or the sight of one eye - $5,000

Limitations: No payment will be made for an accidental death or accidental dismemberment resulting from or caused directly, wholly or partly, by:

• intentional self-destruction or intentional self-inflicted injury, while sane or insane, or
• participation in the commission of a crime, or
• war or an act of war, or service in any military, naval or air organization of any country while such country is engaged in war, counterinsurgency operations or a policing type of activity.

Obtaining Benefits: In order to obtain these benefits, you or your beneficiary should contact the Fund Office for the appropriate form. This form should be submitted, along with a certified copy of the death certificate or physician’s verification of the accidental loss, to the insurance company.

BENEFITS QUESTIONS? PLEASE CONTACT MARY AT (631) 732-6500.

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