Group Term Life Insurance

Group Term Life Insurance  


At a Glance

The time to buy life insurance is when you are in good health—tomorrow may be too late. Each year many applicants are declined outright by life insurance companies because of health or physical impairments. These people waited too long! Can you afford to risk your family's financial security? You won't regret having life insurance—only not having enough of it.

The Group Term Life Insurance Plan is designed to help provide you and your family sound financial protection at reasonable group rates.


Benefit Features:

  • Choice of benefits
  • Economical group rates
  • Choice of beneficiary
  • Spouse/Domestic Partner and Dependent Child(ren) eligible for coverage

Review your cost of living regularly to be sure your life insurance is adequate. With the Group Term Life Insurance Plan it's convenient to update your coverage.

This plan may not be available in all states.


Insurance Application and Brochure

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

Tell me more


Where available: This program may vary and is not available in all states.

Notes: Association members and spouse can apply for up to $250,000* of life insurance protection in $10,000 units and up to $2,500 for each of your eligible Dependent Child(ren).

*Benefits reduce to 50% at age 65 and an additional 50% at age 75, and terminate at age 80. Rates shown reflect age-reduced benefits.



Type of Insurance Group Term Life Insurance
Designed For Members and dependents
Underwritten By Hartford Life and Accident Insurance Company
Policy Form Number
Life Form Series includes GBD-1000, GBD-1100, or state equivalent
Group Policy Number AGL-1947
Issue Ages Through age 59
Coverage Amounts $10,000 to $250,000 in increments of $10,000
Rate Schedule All premiums are based on the applicant's age at the date of issue and on attained age at renewal dates.
Spouse Coverage Amounts
$10,000 to $250,000 in increments of $10,000
Dependent Child(ren) Insurance Age 15 days to 6 months $500
6 months or older $2,500


This is a listing of highlights for the above Insurance plan. Be sure to review the entire Web site for a detailed plan description.


Important Notes:

This website explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by the Hartford Life and Accident Insurance Company detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.

Contact Us

We're here to help! Please contact us in whatever manner is most convenient for you.

Program Administrator

Mercer Consumer
12421 Meredith Drive
Urbandale, IA 50323
 M-F 8:15a-5p CT
 Insurance Company Address
Hartford Life and Accident Insurance Company
One Hartford Plaza
Hartford, CT 06155


Answers about the plan, including eligibility, options, enrollment, customer service and more.
  • Who is eligible for this insurance?

    All active members of a Participation Organization, or a legally married Spouse of a member who: are under age 60; and are residents of the United States. Active members and spouse can apply for up to $250,000 of life insurance protection in $10,000 units and eligible dependent child(ren): age 15 days to 6 months $500; 6 months or older $2,500.
  • Do I have to meet with an insurance agent?

    Issuance of this policy is handled over the Internet and the mail. You can review the materials in the privacy of your home and purchase your policy directly through the mail without meeting with an agent. You can, of course, talk to a licensed representative if you'd like. Please click the Forms and Links section for the toll-free number.
  • What if I have second thoughts after I apply?

    You will have 30 days from the date of receipt to review the insurance certificate. If you are not satisfied with the terms of the certificate, simply return it to the Insurance Administrator and any premiums paid will be refunded in full, minus any claims paid.
Life Form Series includes GBD-1000, GBD-1100, or state equivalent


Mercer's Role & Compensation

Details of Mercer disclosure of the compensation.