Accidental Death & Dismemberment

You can’t always prevent an accident…but you can prepare for one with our AD&D program.

Coverage amounts up to $250,000.
Lump-sum payment in the event of your accidental death or covered accidental dismemberment injury.
Coverage for you, your spouse and children.
Acceptance is guaranteed for members and employees under age 60.
Round the clock protection on or off the job.

All completed forms/applications should be sent to Bollinger at:

Bollinger
400 Market St. Suite 450
Philadelphia, PA 19106
Fax: 215-351-9012
Email: PICPA@BollingerInsurance.com

Forms and Documents

Brochure
AD&D Brochure

Application
AD&D Enrollment Form

Insurance Info Practices Notice