Article 13: Life and Accidental Death and Dismemberment Insurance Benefits

Please note that this is only a summary of the Life and Accidental Death and Dismemberment benefits available under the Anthem Blue Cross insurance policy. Please refer to your Evidence of Disclosure/Certificate of Insurance document for a complete description of the Life and Accidental Death and Dismemberment benefits, including the exclusions and limitations and any applicable provisions. An Evidence of Disclosure/Certificate of Insurance may be requested directly from Anthem Blue Cross at (800) 543-3037 or from the Administrative Office. This information is also available on the Administrative Office website at www.scibew-neca.org.

It is recommended for Participants to complete a beneficiary designation form and maintain the information updated when family changes occur.

In This Section:

• 13.1 Schedule of Life Insurance Benefits
• 13.2 Schedule of Accidental Death and Dismemberment (AD&D) Insurance Benefits
• 13.3 Group Policyholder
• 13.4 Notice and Proof of Claim