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Basic and Optional Accidental Death and Dismemberment (ADD) Insurance for Regular, Open, Term, ED, ETC/ETT Appointments

Eligibility: The following eligibility applies:

  1. The World Bank Group offers basic Accidental Death and Dismemberment insurance (ADD) to staff at HQ and CO on Regular, Open, Term, and ED Appointments.

  2. HQ-based staff on Regular, Open, Term, and ED  Appointments may enroll in optional Accidental Death and Dismemberment Insurance Additional Coverage

  3. Accidental Death and Dismemberment (ADD) coverage is also provided for HQ and CO ETC/ETT and STT/STC while they are on Operational Travel. Coverage for dependents of these appointment types is not offered.

  4. Short-term consultants and temporaries are covered under a separate, more restrictive plan, and only if on official and authorized World Bank Group travel. See Accidental Death Insurance for Short Term Consultants and Temporaries.

  5. All eligible dependent parents of employees of the The World Bank Group who are Non-US citizens, on a G4 visa to work in the United States and not in any other classification of insured persons. Eligible dependent parent(s) means parent whether by birth, step, foster or adopted who are registered in the household and depend on the staff member for more than half of their overall financial support. $50,000 of Accidental Death and Dismemberment is provided to you.

For staff on operational travel ticketed through AMEX at Headquarters that is ticketed on the Bank Group's Diner's Club Card, additional travel accident insurance is provided.


IMPORTANT: There is a window of only 365 days following an accident when the AD&D benefit is paid

The Company shall pay an indemnity determined from the Table of Losses if an Insured Person sustains a loss stated therein resulting from injury, provided that:

  1. such loss occurs within 365 days after the date of accident causing such loss

  2. the indemnity payable for any such loss shall be the amount stated opposite such loss in said Table, and the Principal Sum stated therein shall be the amount stated as Principal Sum in Item 4 of Section I, as applicable to such person and the Coverage; and

  3. if more than one loss stated in said Table is sustained as the result of one accident, only one of the amounts so stated in said Table, the largest, shall be payable.

Table of Losses

Description of Loss Indemnity

For Loss of:

Life..................................................................................... Principal Sum
Both Hands or Both Feet or Sight of Both Eyes...................... Principal Sum
One Hand and One Foot....................................................... Principal Sum
Either Hand or Foot and Sight of One Eye.............................. Principal Sum
Either Hand or Foot............................................................. One Half the Principal Sum
Sight of One Eye................................................................. One Half the Principal Sum
Speech and Hearing............................................................. Principal Sum
Speech or Hearing............................................................... One Half the Principal Sum
Thumb & Index Finger of the Same Hand............................... One Fourth the Principal Sum
Quadriplegia........................................................................ Principal Sum
Paraplegia........................................................................... Three Fourths the Principal Sum
Hemiplegia........................................................................... One Half the Principal Sum
Uniplegia…………………………………………………….……….. One Fourth the Principal Sum


The term "loss" as used herein shall mean with regard to hands and feet, actual severance through or above wrist or ankle joints, and with regard to eyes, entire irrecoverable loss of sight. With regard to thumb and index finger, actual severance through or above metacarpophalangeal joints, with regard to speech, entire and irrecoverable loss, and with regard to hearing, the entire and irrevocable loss in both ears.

"Quadriplegia" means paralysis of both upper and lower limbs; "Paraplegia" means paralysis of lower limbs only and; "Hemiplegia" means paralysis of upper and lower limbs on one side of the body. “Uniplegia” means the complete and irreversible paralysis of one limb. "Paralysis" must be complete and irreversible.

If more than one Loss is sustained by an Insured Person as a result of the same accident, only one amount, the largest, will be paid.


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Accidental Death and Dismemberment Insurance Exclusions

Unlike our Group Life Insurance, AD&D coverage has certain exclusions.

The following are excluded from Accidental Death and Dismemberment insurance coverage. The policy does not cover any loss, fatal or non-fatal, caused by or resulting from:

  1. Suicide or any attempt thereat by the Insured Person while sane or self-destruction or any attempt thereat by the Insured Person while insane;

  2. Disease of any kind;

  3. Bacterial infections except pyogenic infection which shall occur through an accidental cut or wound;

  4. Injury sustained in consequence of riding as a passenger or otherwise in any vehicle or device for aerial navigation, except as provided in Part B of Section II, Definition of Injury and Scope of Coverage.

    Part B, Section II: Such insurance includes such injury sustained during such trip while the Insured Person is riding as a passenger (but not as a pilot, operator or member of the crew) in or on, boarding or alighting from:

    • any civilian aircraft having a current and valid airworthiness certificate, and piloted by a person who then holds a valid and current certificate of competency or a rating authorizing him to pilot such aircraft; or

    • any transport type aircraft operated by the Military Airlift Command (MAC) of the United States, or by the similar air transport service of any duly constituted governmental authority of any other recognized country;

  5. Service in the military, naval or air service of any country.

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Assigning AD&D Coverage Ownership

AD&D coverage ownership may be assigned to another individual or entity (e.g., a trust). See checklist - Assign Accidental Death and Dismemberment Coverage Ownership 


Basic Coverage

Basic coverage for accidental death is as follows:

  • 300% of net annual salary for the death of the staff member on Regular, Open, Term, ED appointments.

  • For ETT/ETC, the benefit is three times the net annual salary, up to a maximum of $250,000. The benefit for ETT/ETC is Business Only and does not cover accidental deaths that occur on personal time or during vacation).

  • 150% of net annual salary for the death of the spouse or DP of a staff member (excludes spouses or DPs of ETC/ETT staff).

  • 75% of net annual salary for the death of an eligible dependent child of a staff member (excludes eligible dependent children of ETC/ETT staff).

Coverage is based on multiples of net salary per annum, rounded up to the nearest $1,000. Additional payments of 200% of net salary per annum are payable in non-war aviation accidents.

For example, a staff member earning $45,050 net per year has a basis of $46,000:

CoverageAccidental death of staff memberAccidental death of spouse/DPAccidental death of each
eligible child
Basic only300% = $138,000150% = $69,00075% = $34,500
Basic + Optional Individual600% = $276,000150% = $69,00075% = $34,500
Basic + Optional Family600% = $276,000300% = $138,000150% = $69,000


Additional Basic coverage includes:

  • For open, term, regular and EDA staff: an additional 200% of net annual salary (minimum $100,000, maximum $450,000) if the death is in an aviation accident and the deceased is not part of the airplane crew (and does not qualify for other aviation accident exclusions).

  • For ETC/ETT staff: an additional 300% of net annual salary (maximum $100,000) if the death is in an aviation accident and the deceased is not part of the airplane crew (and does not qualify for other aviation accident exclusions).

  • Additional coverage if the death is from an act of war, providing the deceased is not serving in the armed forces of any country. For open, term, regular and EDA staff, the additional coverage is $250,000. For ETC/ETT staff, the additional coverage is 300% of net annual salary with a minimum payment of $50,000 and a maximum payment of $250,000.

  • If both of the aviation accident and act of war apply, only the greater additional coverage is paid.

  • Effective January 1, 2006, some additional riders are available, see Accidental Death and Dismemberment Insurance (Additional Coverage).

For Bank-paid coverage, there is a total per-accident maximum coverage of $40 million for non-war risk and all aviation accidents. For non-aviation accidents that result from declared or undeclared war, the limit is $30 million. These limits are regularly reviewed.

If a non-fatal accidental injury results in a permanent and unrecoverable loss, payments (based on the principle accidental death coverage for the injured staff member or injured eligible dependent) are as follows. Note there are differences between Bank-paid Accident Insurance and Optional Accident Insurance purchased by the staff member.

Lesser amounts are paid for dismemberment, loss of eye or eyes, or other injuries leading to disability:

Loss

% of Bank-Paid
and Optional
Accident Coverage
Both hands100%
Both feet100%
Sight of both eyes100%
One hand and one foot100%
Either hand or foot, plus sight of one eye100%
Either hand or foot50%
Sight of one eye50%
Speech and hearing100%
Either speech or hearing50%
Thumb and index finger of same hand25%
Quadriplegia (paralysis of upper and lower limbs)100%
Paraplegia (paralysis of lower limbs only)75%
Hemiplegia (paralysis of upper and lower limbs on same side of body)50%
Uniplegia (paralysis of one limb)25%

 

Disclaimer: In the event of a difference between the information on this website and the policy provided by the insurance company, the policy prevails.




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