Life insurance can be one of the cornerstones of financial planning. In the event of an unexpected or premature death, the ACM Group Term Life Insurance can help provide the financial security your family needs. This life insurance helps make sure they’ll be able to meet current expenses—such as mortgage and car payments—as well as future expenses such as college tuition.

How to Apply

Before you request coverage, you must be a member in good standing of ACM. Please wait until your application for membership is accepted before initiating your insurance requests. If you have any questions regarding membership, please call ACM directly.

Get Quicker, Easier Service When You Apply

The information provided when you fill out your Application can make the medical underwriting process quicker and easier. By providing complete and accurate information, you avoid delays that may occur while we wait for missing information to be received and shorten the time needed for underwriting decisions and approvals.

New York Life Insurance Company relies on your answers and statements. Misstatements or failures to report information on your Application may be used as the basis for rescinding your insurance.

Your Application is subject to New York Life Insurance Company’s approval and more medical information may be requested. A physical exam, EKG, blood test or other information may be required. If so, New York Life Insurance Company will arrange for an independent professional paramedic to contact you to perform these simple tests at your convenience. The exam and blood test will be paid for by the Policy.

1. Click on and print the applicable application located to the right
2. Truthfully complete and sign the application. Be sure to indicate whether you are requesting coverage for your dependents.
   
3. Do not send any money until New York Life Insurance Company has approved your application and notifies you of the premium contribution due, based on the information you have provided.
4. Mail your completed application to: 
   ACM Group Insurance Program
   PO Box 14533
   Des Moines, IA 50306
   
   

   Residents of Puerto Rico: 
   Please send your completed application to: 
   Global Insurance Agency, Inc. 
   P.O. Box 9023918 
   San Juan, PR 00902-3918

Certificate Of Insurance

This information is only a brief description of the principal provisions and features of the policy. The complete terms and conditions are set forth in the group policy issued by New York Life Insurance Company to the Association for Computing Machinery. When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the policy.

30-Day FREE Look

If you’re not completely satisfied with the terms of your Certificate of Insurance, you may return it, without claim, within 30 days. Your coverage will be invalidated, and you will be sent a full refund, no questions asked!

All ACM members and their spouses or domestic partners who reside in the U.S* or Puerto Rico and are under age 65 are eligible to apply for up to $500,000 of Term Life Insurance coverage. Your children ages 6 months to 23 years (25 if a full-time student) are each eligible for $5,000 of life insurance. Children 15 days to 6 months may be insured for $1,000 each.

*Coverage is not available in all states at this time. Contact the plan administrator for availability in your state. Coverage is not available to residents of Canada.

APPLY FOR UP TO $500,000 OF COVERAGE

Choose the amount of Group Term Life Insurance you need to help protect you and your family.

Amounts Of Life Insurance:

Members: Up to $500,000 in $10,000 multiples. 
Spouse: Up to $500,000 in $10,000 multiples; may not exceed member coverage.
Child(ren): $5,000, $1,000 for ages 15 days to 6 months.

You are automatically the beneficiary of your dependents’ coverage. (The amount of dependents’ coverage is subject to mandated limitations in certain states.)

The total amount of coverage an individual may have under this group life insurance underwritten by New York Life Insurance Company may not exceed $1,000,000. In addition, the total amount of coverage an individual may have under all policies issued by New York Life Insurance Company may not exceed $2,000,000

Valuable Living Benefit Provision 
“Accelerated Death Benefit”.

The Living Benefit or "accelerated death benefit" is designed to provide members with the option to have a portion of a terminally ill insured's life insurance benefit paid while he/she is still alive.

The money received under this feature can be used however you see fit. For example, it can help pay medical bills and other outstanding debts and financial obligations. It can help you keep your savings and assets intact. It can help you maintain your quality of living. 

To qualify for this benefit, a person must be insured under this Policy and diagnosed as having a life expectancy of 12 months or less. Proof of terminal illness will consist of a statement from a doctor and any other medical information New York Life Insurance Company believes necessary to confirm the person's status.

You can request payment equal to 60% (to a Maximum of $250,000) of a qualified terminally ill person's in force coverage. The request must be made at least 12 months prior to that person's scheduled coverage termination age, and the amount payable after the insured's death will be reduced by this payment. (Premium contributions will not be reduced.)

If a scheduled reduction will occur within 6 months of the date the advance payment is approved, the benefit payable will be 60% of the reduced coverage. Note: An insured will be eligible for only one terminal illness benefit during his/her lifetime.

Please note that the receipt of this benefit may affect your eligibility for public assistance programs and may be taxable. You may wish to consult the appropriate social services agency and a qualified tax advisor about how this may affect your personal situation.

OTHER IMPORTANT INFORMATION

Exclusions

Your ACM Group Term Life Insurance provides benefits for death from any cause (except suicide during the two years your coverage is in force) … at any time … in any place throughout the world. If a person commits suicide, whether sane or insane, within 2 years from the date insurance takes effect, the Insurance Company’s liability will be limited to the premiums paid. The validity of any amount of life insurance which has been in force for two years during an insured's lifetime will not be contested except for insurance eligibility provisions and non-payment of premium contributions.

Conversion Privilege

The Policy provides conversion privileges under certain circumstances of involuntary termination, as described in the Certificate of Insurance.

You Name Your Beneficiary

You may select any person, persons, trust or other legal entity as your beneficiary. If, at the time of your death, there are no surviving beneficiaries, benefits will be paid to the executor or administrator of your estate, or at the option of New York Life, to the surviving relatives in the following order of survival: spouse; children equally; parents equally; or brothers and sisters equally.

Effective Date

You and your dependents will become insured on the date specified by New York Life Insurance Company provided the initial premium contribution is paid when due, satisfactory evidence of insurability has been submitted, and you and your dependents are performing the normal activities of a person in good health of like age (NC residents: a person of like age) on the date coverage is to become effective. (This doesn't apply to dependent children.) Coverage for any person who is unable to perform his or her normal activities on the date coverage would otherwise become effective will not become effective until the date he or she is no longer confined or incapacitated, provided he/she is still eligible for insurance. (Payment of a premium contribution for insurance does not mean there is any coverage in force before the effective date as specified by New York Life Insurance Company.)

When Coverage Ends

Your insurance will continue automatically until the premium due date coinciding with or next following your 80th birthday, as long as you pay your premium when due, remain an ACM member, the Group Policy remains in force and insurance is not modified to end for your class. Dependent’s insurance will continue until your insurance ends under the group policy, the group policy is changed to end dependents’ life insurance, the person ceases to be a dependent or premium is not paid for the dependent when due. If you die, your spouse and dependent children who were insured under the group policy immediately prior to your death may continue to be insured, subject to the terms and conditions of the group policy.

Renewal Payments And Claims

Once you are approved, you will have a 31-day grace period for your payment of renewal premium contributions. When you want to submit a claim, call or write the Administrator for claim forms.

Your Cost

The cost of the Group Term Life Insurance is based on the insured person’s attained age on the date coverage is issued and increases as he/she grows older. Premium contributions will vary depending on the amounts chosen. All eligible children can be insured under the $5,000 option for $10.00 semiannually.

CURRENT 2024 ACM GROUP TERM LIFE INSURANCE MONTHLY RATES

For rates for additional amounts not shown, please contact the Plan Administrator.

If applicable, an additional $2 billing fee will be included on your billing notice payable to the administrator. To save the fee, select Electronic Funds Transfer (EFT) as a safe and secure payment option.

Renewal only. Only those under age 65 may apply. All premiums are based on member's attained age at the date of issue and on renewal dates. Premiums will increase as the member enters a new age bracket. Coverage reduces by 50% at ages 65, 70 and 75. Coverage terminates at age 80.

Child(ren): Just add $10.00 to your total premium to insure all your children. Each child 15 days to 6 months is eligible for $1,000 in life insurance. Children 6 months to age 23 (25 if a full-time student) may be insured for $5,000 each. Children's coverage does not include an accelerated benefits provision.

The premium contributions shown reflect the current rates and benefit structure. Premium contributions may be changes by New York Life Insurance Company on any premium due date, but not more than once in any 12-month period, and any date on which benefits are changed. However, your rates may change only if they are changed for all others in the same class of insurance under this group policy. For example, a class of insureds is a group of people with the same issue age. Benefit option amounts are not guaranteed and are subject to change by agreement between New York Life Insurance Company and the Trustee.

Answers about the program, including eligibility, options, customer service and more.