Group Accidental Death & Dismemberment Insurance

Group Accidental Death & Dismemberment Insurance  


Click for a no-obligation quote or to enroll for coverage. Be sure to review all of the Accidental Death & Dismemberment Insurance information on the Website before enrolling.


An accidental injury can be severe enough to prevent you from doing the work you do every day. Unfortunately, such an injury can easily happen to anyone. What if you experience the loss of your hand or leg following an automobile accident? Could you continue to work?


That’s where Accidental Death & Dismemberment Insurance comes in. This insurance provides you with a benefit for a covered accidental injury or accidental death. This benefit is paid in addition to any other insurance benefits you might receive.


Benefit Features:

  • Choice of benefit amounts up to $750,000
  • 24-hour coverage—at economical group rates—anywhere in the world
  • Benefits paid directly to the insured or their beneficiary
  • Coverage also available for your spouse or domestic partner and dependent children
  • Offered as a fringe benefit to employees of licensed attorneys and the employees' families


This economical insurance is an ideal way to give yourself that extra coverage for the unexpected. Accidents can happen to anyone—protect yourself and your family.



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

Insurance Enrollment Form and Brochure

Beneficiary Change Form

Tell me more

Family Coverage

Your spouse/domestic partner and dependent children (14 days to age 25) are also guaranteed coverage. Your spouse/domestic partner benefits are 40% of the benefit amount you choose and dependent child(ren)'s benefits are 10% of your benefit. If no spouse/domestic partner coverage is elected, each dependent child's coverage is 15% of your benefit. If no child coverage is elected, your spouse's/domestic partners benefits are 50% of your coverage.

Take a look at the enrollment form and brochure under the "Forms" tab for information on additional benefits such as:

  • Safe Driver Benefit
  • Education Benefits
  • Child Care Benefits Paid To Your Family
  • Coma Benefit
  • Common Carrier Benefit
  • Total And Permanent Disability
  • Training Benefit
  • Elder Care Benefit
  • Expose and Disappearance Benefit
  • Transportation Benefit
  • Burn Disfigurement Benefit
  • Rehabilitation Benefit
  • Common Disaster Benefit

Below is the plan's rate chart

Attorney's Benefit Amount Attorney's Monthly Premium Contributions Attorney & Family Monthly Premium Contributions
$50,000 $3.50 $5.00
$75,000 $5.25 $7.50
$100,000 $7.00 $10.00
$125,000 $8.75 $12.50
$150,000 $10.50 $15.00
$175,000 $12.25 $17.50
$200,000 $14.00 $20.00
$225,000 $15.75 $22.50
$250,000 $17.50 $25.00
$275,000 $19.25 $27.50
$300,000 $21.00 $30.00
$325,000 $22.75 $32.50
$350,000 $24.50 $35.00
$375,000 $26.25 $37.50
$400,000 $28.00 $40.00
$425,000 $29.75 $42.50
$450,000 $31.50 $45.00
$475,000 $33.25 $47.50
$500,000 $35.00 $50.00
$525,000 $36.75 $52.50
$550,000 $38.50 $55.00
$575,000 $40.25 $57.50
$600,000 $42.00 $60.00
$625,000 $43.75 $62.50
$650,000 $45.50 $65.00
$675,000 $47.25 $67.50
$700,000 $49.00 $70.00
$725,000 $50.75 $72.50
$750,000 $52.50 $75.00

Rates do not increase with age. Rates shown are guaranteed until 12/31/2023. For your convenience, you will be billed annually. If applicable, an additional $2.00 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 options.

This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of coverage. All coverage is subject to the terms of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern. Policy Form HP010GP.

Accidental Death and Dismemberment (AD&D) insurance coverage is provided under the terms of a group AD&D insurance policy. Group Policy #63584-7, issued and delivered in the state of California to the State Bar of California as the policyholder. The group AD&D insurance policy is issued by ReliaStar Life Insurance Company (Minneapolis, MN). The policy is administered on behalf of ReliaStar Life Insurance Company by Mercer Heath & Benefts Administration, LLC, an insurance administrator licensed in the state of California.

This is a paid endorsement. The State Bar of California receives a fee from the insurance broker and/or the insurer for its endorsement of this plan.

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 50398
 M-F 7:30a-5p CT
[email protected]


Insurance Company

ReliaStar Life Insurance Company
Minneapolis, MN


Application Mailing Address

The State Bar of California
Insurance Program
P.O. Box No 14464
Des Moines, IA 50306-8993