Disability Income Plan
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One of the best ways to help protect your family's financial security is to protect your earning potential. ROA Members under age 65, who are residents of the U.S., not on full-time Active Duty in the Armed Forces of any country or international authority, and Actively-at-Work (at least 30 hours per week) may apply for monthly benefits up to $3,000.001, not to exceed 60% of your Gross Monthly Salary. Members under age 35 are guaranteed acceptance2 subject to the Pre-Existing Conditions Limitation.

How to Apply

To apply for coverage, download an application by clicking on the link at the right of this page, or, to speak to a customer service representative, call 1-800-247-7988. Contact Mercer Consumer to learn more about this plan, including costs, reduction of benefits, exclusions, limitations and terms of coverage.

This plan is not available in ID, MN, MT, OR and WV.

1An Insured Person’s Monthly Benefit Amount will reduce by 50% to a maximum of $1,500.00 on the premium due date on or next following the date he or she attains Age 60.

2This policy is guaranteed acceptance, but it does contain a Pre-Existing Conditions Limitation. Please refer to the enclosed brochure for more information on exclusions and limitations, such as Pre-Existing Conditions.

SRP - 1311 A (5175)

 

Eligibility
Where available This plan is not available in ID, MN, MT, OR and WV
Notes ROA Members under age 65 may apply for monthly benefits up to $3,000.001.
Details
  Summary*
Type of Insurance Disability Income Insurance
Designed For ROA Members
Underwritten by Hartford Life Insurance Company
Group Policy Number AGP-5175
Issue Ages Through age 64
Policy Form Number SRP-1311 A (5175)
*This is a listing of highlights for the above Insurance plan. Be sure to review the entire web site for a detailed plan description.

1An Insured Person’s Monthly Benefit Amount will reduce by 50% to a maximum of $1,500.00 on the premium due date on or next following the date he or she attains Age 60.

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

Contact Mercer Consumer for more information or an application.
To apply for coverage, download an application by clicking on the link at the right of this page, or to speak to a customer service representative, call our toll-free number: 1-800-247-7988

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

Insurance Application and Brochure Not available in ID, MN, MT, OR and WV.

Insurance Application and Brochure (For CA Only)

Insurance Application and Brochure (For NY Only)


SRP-1311 A (5175)

Download Adobe Acrobat Reader

 

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
Phone: 1-800-247-7988
E-mail: roa.service@mercer.com
Hours: 7:00 am to 5:00 pm M-F (Central)
Web site: http://www.mercer.com

Insurance Company

Hartford Life Insurance Company
200 Hopmeadow St
Simsbury, CT 06032
Web site: http://www.mercer-web.com/products/thehartford.html

 

SRP - 1311 A (5175)

Important Notes:
This web site explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this web site and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life Insurance Company detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.

Insurance Application and Brochure Download

For All Other States

All Other States

For CA only

CA

For NY only

NY

Our Role & Compensation

Details of Mercer disclosure of the compensation.

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