ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) INSURANCE

Accidental Death and Dismemberment (AD&D) insurance offers additional financial protection for an employee if they die in an accident or are dismembered. LAwell offers AD&D insurance to you as an option to purchase either supplemental employee-only coverage or supplemental family coverage using pre-tax dollars. Your Personalized Benefit Statement will show your AD&D coverage costs. Eligible benefit amounts for your family members will depend on the amount of coverage you choose for yourself and the make-up of your family.

Beginning January 1, 2025, Metlife will be the provider for the AD&D Insurance benefits.

Please note that for any Accidental Death & Dismemberment claims incurred prior to January 1, 2025, please reach out to BackupResponse@standard.com. Representatives from The Standard will assist in explaining the process and providing the necessary forms for completion.

For any Accidental Death & Dismemberment claims incurred January 1, 2025 and later, see below for the updated contact information of our new provider, Metlife.

AD&D Benefit Details

 The Designating of a Beneficiary and Claims process aspects of Life Insurance, all apply to AD&D.

Active Work Requirement

You must meet the “active at work” definitions of the group policy for your elected life insurance to take effect. If you cannot work because of sickness, injury, or pregnancy on the day before your life insurance takes effect, including any increases in coverage, that coverage will not become effective until the day after you complete one full day of active work as an eligible employee.

Reductions Based on Age

AD&D insurance coverage for you and your spouse/domestic partner are reduced based on your age. From age 65 to 69, coverage amounts will be reduced to 65%. At age 70, coverage amounts will be reduced to 35%. The reduction is effective on the date of your 65th or 70th birthday for your AD&D insurance coverage and for family AD&D insurance coverage. Employees in certain MOUs may have additional AD&D benefit reductions at age 70. Consult your MOU for details.

Additional Benefit Payout Rules

AD&D pays a percentage of your total coverage amount for injuries, depending on the type of injury, that results in a loss, such as the loss of a limb or permanent loss of ability (sight, hearing, speech, etc). For your accidental death (aka loss of life), AD&D pays 100% of your coverage amount, plus an additional $3,000 – up to a maximum of $503,000. Additional benefits may be payable in specific situations, such as air bag and seat belt failures, or in a disaster where more than one family member dies. The AD&D insurance certificate of coverage provides a detailed list of covered losses, benefit amounts, and additional features, and is available online at keepingLAwell.com or from the Employee Benefits Division.

AD&D Coverage Costs

 Included in your Personalized Benefit statement you receive, it will show your coverage cost.

AD&D Family Coverage

For Family coverage, your elected AD&D coverage will be split between your family members. Eligible benefit amounts for your family members will depend on the amount of coverage you choose for yourself and the make-up of your family. If you choose family coverage, you will be covering all LAwell-eligible persons in your family, not just those who are covered as dependents under your LAwell benefits.

For 2024:

If your family includes...AD&D benefits equal....
Spouse/domestic
partner only		60% of the amount you selected
for yourself, for your spouse/
domestic partner
Eligible children only20% of the amount you selected
for yourself for each child
Spouse/domestic partner
and eligible children		50% of the amount you selected for yourself for
your spouse/domestic partner and 10%
of the amount you selected for yourself
for each child

For 2025:
Monthly rates for AD&D insurance for each $1,000 in coverage.
The Personalized Benefit Statement you receive shows your coverage cost.

AD&D Coverage Options Monthly Rate per $1,000 of Coverage
Employee Only $ 0.011
Family Coverage $ 0.026
AD&D Cost Example Monthly Rate per $1,000 of Coverage
Coverage Amount $250,000
Subtotal (divided by $1,000) 250
Times Rate (Employee Only) $0.011
Monthly Rate $2.75
Per Pay Period Cost $1.375

Continuing AD&D Coverage

If your City employment ends and is not due to retirement, AD&D may be continued for up to two years if you are able to be gainfully employed and, on the date your employment terminates, you must have been continuously insured under the Group Policy for 12 consecutive months. Portable coverage lets you choose group term AD&D insurance up to the amount of your basic and supplemental life coverage combined – to a maximum of $300,000 – without proof of good health. The minimum amount you may port is $25,000. To select portable coverage or to convert coverage, you must complete and submit a form along with premium payment within 60 days from the date your employment or dependent coverage ends. Forms are available at keepingLAwell.com, or call 213-978-1655 for more information.

AD&D cannot be continued if your employment ends due to your retirement.