10 and 20-Year Level Term Life Group Insurance Plans

Term Life Insurance is pure insurance - without any risky investment or savings frills that increase your costs. It provides the highest level of financial protection for your loved ones at a price you can afford. ASRT members can apply for coverage from $100,000 to $1,000,000 in increments of $1,000. Spouse coverage is also available up to $1,000,000 not to exceed the member's benefit level.

Who May Request Coverage
Features and Benefits
Attractive Rates
Beneficiary
When Insurance Becomes Effective
When Coverage Ends
Your Coverage Is Renewable
Exclusions and Limitations
Certificate Of Insurance
Medical Information Bureau (MIB) Disclosure Notice
The 30-Day Free Look
How To Apply
Do You Have Any Questions?
Underwritten By
Administered By

Who May Request Coverage
You may apply for up to $1,000,000 in coverage, for yourself and for your spouse as long as you are a member in good standing of the ASRT, under age 65 for the 10-year plan and under 55 for the 20-year plan. Simply complete and return the enclosed Application. In most cases, evidence of insurability may be requested. The Member must be actively at work on the date the insurance is to take effect. Otherwise, the insurance will take effect on the date of return to work.

Features and Benefits
A terminal illness could be extremely costly with significant financial ramifications. This Level Term Life Plan includes an Accelerated Death Benefit to help alleviate the financial challenges that often accompany terminal illness. If you are diagnosed as having 6 months or less to live, and not expected to recover, you can collect 60% of your selected coverage amount to spend as you see fit. The Living Benefit will become effective after a 180-day waiting period. The remaining balance of your benefit amount will then be paid to your beneficiaries upon your death.
Receipt of Living Benefits may be taxable. Please consult your personal tax advisor for guidance. Living Benefits will not be paid if: you made an absolute assignment of your life insurance; all or part of your insurance is to be paid to your children or former spouse as part of a court-approved divorce agreement; United States Life doesn't receive written consent by an irrevocable beneficiary; or the terminal illness is a result of intentional self-inflicted injury or attempted suicide.

Attractive Rates
Rates remain level for the 10 or 20-year term based on your age of entry into the plan. Rates are not guaranteed and may be adjusted on the plan's anniversary date upon approval of the insurance company and ASRT. There are preferred, standard and smoker premium rates for face amounts over $200,000. The rate you qualify for is determined by your medical history and current health status. Premiums vary based upon age, plan selected and amount of insurance you choose.

View our affordable annual 10-Year group premiums for ASRT members.

View our affordable annual 20-Year group premiums for ASRT members.

Beneficiary
This versatile Plan allows you to choose any beneficiaries: your spouse; child or children; partner or professional corporation; trust or trustee. You may also transfer Plan ownership to your spouse, professional corporation or other third party. You can change your beneficiary, unless irrevocable, at any time by writing to the Plan Administrator. Your beneficiary can receive benefits as a lump sum payment, in monthly payouts or through trust administration.

When Insurance Becomes Effective
Insurance will take effect on the first of the month coinciding with or next following the date of approval of your application, provided the required premiums are paid.

When Coverage Ends
Coverage will end when the member reaches age 75 or: 1) the date the group policy ends at the option of United States Life or the Policyholder; 2) the date insurance ends for your class; 3) the end of the period for which the last premium has been paid for you; 4) your premium due date coinciding with or next following the date you cease to be actively at work; 5) your premium due date coinciding with or next following the date you cease to be a member in good standing; or ; 6) the date you enter active military duty.

Your Coverage Is Renewable
Once you are insured, you can renew your coverage with no reduction in your benefit level up to age 75 regardless of changes in your health, as long as you maintain your ASRT membership, pay your premiums when due, and the Group Policy remains in force.

Exclusions And Limitations
Suicide is typically not covered during the first two certificate years. After two years, your coverage becomes incontestable, except for non-payment of premiums.

Certificate Of Insurance
This is a brief summary of benefits only and is subject to the terms, conditions, exclusions and limitations of Group Policy Numbers G-610-212 (10-Year Level Term Life) and G-610-213 (20-Year Level Term Life), Form Number G-19000. Coverage may vary or may not be available in all states. For specific provisions, please refer to the Certificate of Insurance.

Medical Information Bureau (MIB) Disclosure Notice
Information regarding your insurability will be treated as confidential. The United States Life Insurance Company in the City of New York, or its reinsurers may, however, make a brief report thereon to MIB, a not-for-profit membership organization of insurance companies, which operates an information exchange on behalf of its Members. If you apply to another MIB member company for life or health insurance coverage, or a claim for benefits is submitted to such a company, MIB, upon request, will supply such company with the information in its file.
Upon receipt of a request from you MIB will arrange disclosure of any information it may have in your file. Please contact MIB at 866-692-6901 (TTY 866-346-3642). If you question the accuracy of information in MIB's file, you may contact MIB and seek a correction in accordance with the procedures set forth in the Federal Fair Credit Reporting Act. The address of MIB's information office is Post Office Box 105, Essex Station, Boston, Massachusetts 02112.

The United States Life Insurance Company in the City of New York, or its reinsurers, may also release information in its file to other insurance companies to whom you may apply for life or health insurance, or to whom a claim for benefits may be submitted.

The 30-Day Free Look
When you receive your certificate, examine it carefully. If you are not completely satisfied with your 10 or 20-Year Level Term Life Insurance Coverage, simply return your certificate within 30 days, with your request for a full refund. No questions will be asked and there will be no further obligation.

How To Apply

1. Complete, date, sign and return the application form to the Plan Administrator. Send no money now. You will be billed later, once your application has been processed.

2. Send to:
Affinity Insurance Services, Inc.
159 E. County Line Road
Hatboro, PA 19040-1218

Do You Have Any Questions?
Call Toll-Free 1-800-539-9285

Underwritten By
The United States Life Insurance Company
in the City of New York, a member company
of American International Group, Inc.


The United States Life Insurance Company in the City of New York, A member company of American International Group, Inc. has been awarded an A++ (Superior) rating from A.M. Best. This rating reflects United States Life's superior overall financial strength and operating performance when compared to A.M. Best's standards. The rating is current as of December 1, 2006. For the latest A.M. Best's Ratings and A.M. Best's Company Reports, please visit the A.M. Best Web site at www.ambest.com.

The underwriting risks, financial obligations and support functions associated with the products issued by the United States Life Insurance Company in the City of New York are its responsibility. The United States Life Insurance Company in the City of New York is responsible for its own financial condition and contractual obligations.

Administered By
Affinity Insurance Services, Inc.
159 E. County Line Road
Hatboro, PA 19040-1218
1-800-539-9285