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Tiered Group Request Form
Tiered Group Employee Enrollment Form
NADA Insurance Beneficiary Form
Your NADA membership works hard for you. Through NADA Insurance, a comprehensive menu of programs is available providing benefits that meet the goals of your dealership – while staying within your budget.
Tiered Group Term Life
This dealer-paid benefit provides 3 levels of coverage for defined employee groups. The program is flexible with three plans to choose from to meet your dealership’s benefit goals. The implementation process is easy and requires no underwriting.
This program allows you to add optional Accidental Death &Dismemberment coverage equal to the life insurance amount and you also have the option of adding coverage for spouses and children.
- Group 1: Owners, Partners, Chairman of the Board, President, Officer, or their Successors owning at least 10% of an INCLUDED EMPLOYER’s stock
- Group 2: Managers
- Group 3: all Other Employees
Amounts of Insurance
| Plan 1
|| Plan 2
|| Plan 3 |
| Group 1 $200,000
|| Group 1 $100,000
|| Group 1 $50,000 |
| Group 2 $100,000
|| Group 2 $50,000
|| Group 2 $25,000 |
| Group 3 $50,000
|| Group 3 $25,000
|| Group 3 $10,000 |
(AD&D provides ACCIDENT insurance only. It does not provide basic hospital, basic medical or major medical insurance as defined by New York Department of Financial Services. IMPORTANT NOTICE: AD&D DOES NOT PROVIDE COVERAGE FOR SICKNESS.)
Group Insurance Programs Underwritten by
New York Life Insurance Company
51 Madison Avenue
New York, NY 10010 on Policy Form GMR
Why the New York Life Insurance Company?
Click here to learn more about New York Life.
Deb Stevens | AR 17729054, CA 466782025