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2014 Benefits Open Enrollment

Accidental Death and Dismemberment
Instructions and Information for
Completing Your Personal Enrollment

These instructions will assist you in completing your Personal Enrollment for The University of Iowa Benefits Program.

There is no change in coverage or premiums for 2014.

Accidental Death and Dismemberment

This program offers you a variety of life insurance coverage levels and family options. If you would like to participate, you may select a coverage level between $100,000 and $1,000,000. Coverage is available in $100,000 increments. The column to the right gives the monthly costs which vary depending upon whether you wish to insure only yourself or your family. If you do not want to participate in this program, enter “90” on the “Option Code” line. Once you have made your selection, enter that number on the “Option Code” line.

Accidental Death and Dismemberment insurance provides coverage at all times for most accidents that occur on or off the job, at home or away, or anywhere in the world (when traveling by train, airplane or other conveyances). However, there are some exclusions listed in the master policy. Coverage includes loss of life and limbs. Benefits include worldwide travel assistance and a waiver of premium provision. In case of your death, benefits also include dependent children education assistance and a day care allowance.


Coverage is available in $100,000 increments up to a maximum of $1,000,000 for:

Children are covered through the end of the year in which they turn 26, unless a full-time student or disabled.  If your child is disabled and classified as a dependent for tax purposes, there is no maximum age for coverage.

Dual University of Iowa employed spouses/partners and any children may not double insure each other or dependents.
An individual may only be included once under this policy.



Staff members may name their beneficiary/beneficiaries and may change these at any time by completing the proper form available at the University Benefits Office or available online in the "Forms" section of the Benefits Office web site.  Any change of beneficiary will not become effective until acknowledged and recorded by the University.

For estate planning purposes the designation of beneficiaries can be assigned to another party. Contact the Benefits
Office if you are interested in this process.



Singles = $2.00 per $100,000 per month
Employee/Spouse = $2.80 per $100,000 per month
Employee/Children = $2.30 per $100,000 per month
Family = $3.10 per $100,000 per month

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Questions? Need Help?

If you have questions or concerns regarding the enrollment process, please contact:

University Benefits
120-40 USB

Email: benefits@uiowa.edu

Web Site: www.uiowa.edu/hr/benefits

Phone: 319-335-2676 or
877-830-4001 (toll free)

Fax: 319-335-2776