To help protect you and your family from the unforeseen financial hardship of a serious accident that causes death or dismemberment, UC offers retirees and their spouse or same-sex domestic partner Accidental Death and Dismemberment (AD&D) coverage through the UC-sponsored Voluntary Group Accident Insurance Program.

Plan Benefits
The plan provides benefits if the accident results in:

• accidental death or dismemberment or loss of sight
• paraplegia, quadraplegia, or hemiplegia
• coma lasting more than 30 days

See the insurance company's booklet for more information.

Enrollment
You may enroll at any time. Use the form available from Chartis.

Plan Costs
See the chart for current monthly premiums.

To File a Claim
You or your beneficiaries should send a written notice of claim to Chartis within 20 days of your loss. If you require assistance filling out the claim form, call Chartis at 1-800-551-0824.

Naming/Changing Beneficiaries
To name or change your designated beneficiary, call the insurance company to receive a change of beneficiary form in the mail. Once the insurance company accepts a new form, all previous designations are revoked.

Quick Links

• AD&D Plan Booklet for Retirees [PDF]
• Claim forms & supporting documents