GENERAL - ADMINISTRATIVE/PERSONNEL SPECIFIC - INFORMATION ON LIFE AND HEALTH INSURANCE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP57-00011A001000080183-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 8
• Document Creation Date: December 22, 2016
• Document Release Date: December 7, 2010
• Sequence Number: 183
• Publication Date: April 2, 1956
• Content Type: MEMO

Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
DAM: AV !i I
TO:
MON:
ter: General - I~tai tz*tiVtf.zsoxmr3.
Spscuie - Iafcaeetat3 ooa an Lift sad -lth l aranoe
1956
1. Min following Lssl'th sad lift inamraaas exa r is ssailatut
to all p.rsommat1 as u fuMe riho w o mombers in Meto& standing
of 00wsrss:tt Aiaoeeiattietat Iaet. (alt >I.s : fear r~thip
intozieeitiom) . D**allad s(1 ti y Per" Msl es antral elute we elisilelrs
to pur or lift i.
bmwen"
Q,- qMj:jM (OWIs I Lttsw by Oiittd Dseamfit Life
co.
at Owbas ) This polio iael*Ams a d=Wo iadsawity
eM-
4sith Ar.viaia. MW insuee.as alga be Aeld until the
annals remakes ye 65 hsn it is a ailed if neat eu*ue -tsd.
fi'i wain. of ?i nYf&. ME Prextum
The l*as "Dun" of lift i , aeeaidsarlatl isat8 bensfits
and aea thly Vadmw at the fits elaesns eat Insuirmum that aW he
s.l weed b ae s of OW we as fousus:
Cl...
ram
Aawp4t
deattl~l
iimiRh
lsettit
llpetii-ly
P r.atua
C14s. 1
,000 lea
$ 3,000
.83
clam Q
6
$ ,000 ~
$ 6,000
3.66
$1
C C1. U" w J
000 p
, ,~
~,~ ,
$7,32
Init Al Setl~eatieea
A mewher .arming $3,200 or lass amaally mg select, initially
Cl... 1 or Mass 2. A $3,IOfl, or aaors OW atlect,
initially, OW em. of the fITM 0100101100-
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
8utbsts I $ 9aurtM
A aasiar mw 4bwv to tba malt *Um I %w vbl4k be etal.it"ios,
iritbia sixty fts at a i to nlnoy. 1nt -fir sly
seer~rrr we not to to beast r.d. A mo*w mq only liar baateitits
of
fmaa
t a a 7 . v 1 d o laa oaf t w iL i* Iaadi.a'1 aatjon? in that
.T nt lnwsnoas .a'I'aaaaat ab-iaiasd nk" be i tar i paariod
of .iii OONUMMW =NOW is +k'd+a to rar a his iaeahtp k the
ds64UNtisn not his t eaverw?
Z!r jM~4 ~~ i$ noto ttino1ly tatlMrd. The
aaarl+drttal benefit iasa.s r6l-itast 3sls at We s+aratltinrd
dlrar.il~r, aMmt rally at all o r OWN".. drat bMi]y inJurits
sttl+aiy aw 1. swans- It bodily iq a i.s sastaitrd
by the isaaa aria a.sLlt in Lass at lilac IM MA aUMtty lugs fro
data at assIMaxt, too 1, 1, at Mmes pa am ft tort an 'ter lit.
of the aM^iar will be !4 to the bansfial.ary.
ft e 0tsf fit des not sonar death aawstd directly
or satire , or 2arlyr
1. bmuri*l iad9ettiaos (as. t woiotis tatter Which shall
omm *ith cwt tit aawr tai out or sesaQ , or
2. IV ap- fiat at Asa..at, a
3. llr idioat ar amamLml trwitmmt (*=opt auk as mw resat
d#avauy Iron auk t ..'M 11 t na2te y by ins nos ooa+ared
by ft" pstsa), aor ,rhali it Ow "n
'111. aais3ds or aagr soft tract, abite on* or iawmt, scar
3. Dea ft tsar a w injuries s daaad as Vw vomit of or Ala
larti.tyat.tnd in rear, SNIUMD, air tt . aa' its
tar Vgga s aaa.gt - i -. the tae
is taMeesfsa a to s.s1 l .lent, 40Pd244, a" all Othar Ma1iMela
at the itnnr, wgmpd to the cwt at to Mrwa t.
6. Dons an w saga qua has bear m0ed.
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
FQ'
G4awet'a3at W.Y.Mas
d osrtiti~e~ate hat,dsr now amt his iasmranee to rpr t
p1 of lifS iasaaronse, afar thoe tss, M&Ww ritten bV the EAAtsd
Dsnetit Lugs ZOMIUQWW t a apr, rdthamt pb raios1 anoseLasttad.. Asa
her read** the ow at 65 or within 31 its ofto t r daritt of his
saplan-asact..
Prod= rer i'm' Au It
In the a~tat a ow urloldt WLAsw bestmsss t $atiy sod? p'ssums
-sttip !!#mOdad prrimae to tAa apt of 60, his itsaomm will smsi,n
in tarmt ritlsut poAsmsoEt at pesdu until xowm7 or isoth rogurdloss
of aps.
of
the lii's IUNW M till GOWUnw in of teat for 31 s fWJA iz g
tsssdaatSaa at fit.
ftema at mm~ & Eau
Mire bsams[latoelr aq- eltct to bars the death beattit pt3d as
fwlawal
is low am, or
in a awl" at as h7y inrlaLiarats, or
pos*t13- in a IMM stuns and the baissloe in a sots. of
^OSYth y t lla~tn.
She bso ei y OW be dWood at MW ti the written
revowt, at tars assrttttssts hoLdsr.
Mmem magma
11+oswtis ismt sAror aU=m at inswasW lity IW isdiasl. coos- "-
attos _1e" 11 fan is mode wit in 60 dr. &f'tsor astaty as Ww"
during and Ammm P } s.tL P014 d, at from as ov~n resmum on
11 w I =no ahisidt as al+atio within 64 fie at serirat.
i bastions for lift tosmsaoos ao ps aunt be staoslonisd bar
psy~set a! th! first tWO .stir ptoduw m d the aai p tee in the
a~snoviatica. Cisei a in at raatw s dtutd be aoit pip w e to
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
(tisrvi Lttea b7 l1tGm1 teeaOM Health end
Mcid Ia.
t l~:aearh: a ""'oat fir, bbraadaa)
HO L%Q and 9mrgiul Be reioes ibath17 Pr~lm
$1 1a meow oatx) ?.?????.?s.???????????? *0.70
sWs.1 iMWhWj qWAW and all. GKI&M .... $7.96
betwom the *go at 14 d :AWd 19 yew*)*
"Ift -- d ab ildru or ahu dym a iely insured undr
the Saatth Lassa llaa we sueludied.
iartth LWWWOO P1 l ravt4e bus$tal and sue'gioeal ssrvioet,
its f+dr .11 *Vag of ill=" or i**MkwU late:ludini the fo3.I.esring:
1. Tabereulesis tr. Qaaraattawaril~e dims""
2. lid" SOMMLOW
3. Maabs3 Md Mw"" disairders 6. lss~aeisti dines"
. Ow all ON":
1. ClAU:a- 16148b as m1 rlt pf#Wd* MD#W the Via].
Fedsart INA101401FIM Mt, or uia31w Isgiatatiot.
2. Clsdar< for OWTI se OtbW theca: 0 010 parovt40d $tf the
be tal. (i.e. qpmdal or lri or doetos call..).
mfl benefits lLstM balm are avaU& a um6w the AmIth
DMMI M rise tie taraarad s and tiers 6"Psaldaate in r
boipiisl. thw aaV esiset aithis Ow ee~a~t#a:eaaia't Iriaaito at the
United hiats.
1. ftrm be 04 s (Ni or i st. rtvsts ftm) -
Us to411370Pw4WFAm ad Dmt f+ormr to9aa -
aot an via so liaatt cc fz's isa w (car-44 m rn to
yak Urn k) - MOept wool >tea aara3.it-.
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011A001000080183-6
2. Ha ul Sattxx (wesUoae rd) tip to `.50 same 75% at the
o ~r . -xt iuS vp to $5,000.00 of be tits. Ys itsl
Orin I- ImImae:
3?
JAWISIM Less for tmpoartM to aaAa- fro. boaepdtal
(Lisa .o0)
is I - us is $25.00 for otbrz tam r"dw
,tSl IWOOMMI for at aerrssbetie
lleUMI sorviass is ft"I"I oar bOeizsd giisis - X-rp-
~~r t ots, ea 1' W P and "06000110
l 11 tars $9.00 pse ft loo art 1o'4 for 8 dais.
r.rw.rww.~~r
(camewmem,
Up to psr d Um and DOaard for 90 & WO
Puw a ss as jpaid is llbs. 1 amt 8 sho - s.
5. got ft to for uOur .s reap;iring
6. Q~t st ea e~t-oa~t. $a' oss: t to $M. 50 for ho pttsl
a eii~i ss s ia.na TS& In oorraUO with a
oat c s a tioa ors the a sr is wk hospital eauftasd.
Hoag on-vim bEnt.0 ROM
The ?enr ttae listed below am awatlable or tie lilea1th Tawas
rim to eeartittamrr z bole's aaeai their dolts is aaW boaepttal t ey mW
ash oaA4180 the, 1a11 aere.1 e I lisdts of iris lbtitsd St s.
1. So i'lsi?ll md prw.t (?ri a or Seat riMo. Sooe) Up to d0we
with liidt as tre mmy (aas.rda~ rebw to wank Weak) ~ m Vt
nOacaMa. eitt.
2. a4 s: (wiailaesl+rd) VP to *135.00 &itsi cxtuas
,:
Aieaalmm ft" sow as to " faam badva al
bogttsi E5.fl0
Am -- a at - 1110 to .00 for otbsr Um rear
metal ;mom Lei for ----t -WIMM of mestbstso
P +aortia a *e3. .
3dddto al 8~aarriars is smoto 4r a 111 aortas 1 - X- 11,
ladneea bo p taets, pbW4IQM . OMMO, aaad d1*8eosi8.
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
PM 0 (F
3. Li .& 4 $9.00 par &W ftaw as at I' w 8 fts
laaarsatta: (tbrssaarasa, ' rda uum at "togs PraSrraWW
to $940 pear AW ftm ONA 1 4 for 90 a
se padd in pas. 1 art I aUross.
5. :nr a i G ~"' th - bWAM-Of . s
6. A 4 i t Iasi 8arr+riaw: t* to $35.00 for bospztsl adaosl-
iassws OMVWM ""Ma Lid in aruaarstt+ca,t with a aLaal
apnea 1 u i urs VIM :ari sr is cat Maas aaaaliswt.
stwWow maim AR t*
Fits for t saaviess PWfMMd in & boaptt t, doeto'?
atmias, or sA banns, Zia t bslaar, we cart i+a jsallae tyre aaaalth bwaraaasa
tlm to su r6ittsroM~s bolArars aart tbdr igaiw:lrs, ae _- i i - la Idot pot of
Via soe'i* tbap- says 2eaa tct.. Daaarfito for 6406A OXFSLaa-1 ssvrtaars, baarwr,
we s i1saa a may it VW an paartaaaaad in a bta tal.
aggW j, +-, s Vp to .00 Tartd in aaeardmw vita the etas
alftedwa*
Make MM lift aftbk
Haar a, mdlalasil $ .00 Lunt - ma, foot .00
1laars-ia~, kltallaaeslsi. .00 iha'ii t'asatvaes - aaaapcasaad $2$0.00
*100.00 Px sakre at use of .ptw $ 6e. 50
Waltt S Maw
No Mttia5 parIal is z dyed ~a at aaaatittaao sartstind !Wier
to -- -I iou weevil the aa~d a I in the iarl ass dasaribad bsir.
A puiad at 9 ass . is a*jdaaa for aaa stiW aW io tiau for
hwask ian aaaw is Mott &WIN the udtia1 1i left+at, if tin
sW3,ia dares sari iq ba Alan art saarsiasl *ever-
lrlaaaao0~.
%W Vis
A trsitir pario of 9 araa tabs is m9dro d tae w*waftr it MU-
MUM Naar banlft iawrrsaas is awl* to tbs inittai An1laastiss
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
Ccaat3mn-t~iao- at MMEEM SUM Terariaaoleticm cc MIRSagm
,~.~LThe ]tealtb ~ Viii OONUMW in offset anted the and of the
aoat$ in 1altiah - 13 t teraiafted. *tarni tyy benefits are extended
for a period at 9 nand s subae t to the teradnraticn of sa rlowment or
the aertirIcate4mildw, provided the fasasls number or the deeeaawjeuts of
s ants -- r how been iaasaaed for the previous nine months.
Steed b 'eta
Benefits for hospitaliaa Lion Md surge - perforeed. during the
ccntiamnss at disability are pgsblo within thirteen meka following
the ate such diisWiitoy teaosaLLw tad the. - 'AIMe d at the ,umber.
arMUMAu
The benefits provided is the leaitb X a"saae P3aa will be paid
to the taearod aeor sr toy s the enbstesim of his e3"a to the r ua rsnct
and Claus OStiss. Bob claim not be w Lated. by receipted bills
from the Onoeage late Vital or clinic, doctor or dotal surgeon.
Ybdi"k .. n
NO a sdiaat nrsrl tiara is revtired from an agplinat arv i during
the period of eat AMMAL l teatiaae< Pa iod., or from a& v vs rseaas returnee on
peraot+arust awe at sRtutioa, vithis 60 . attar arrival, or from an
gp3.ioacnt dossing the first 60 awe attar, aster an dttr. tieeieers lying
ruder a w other theca the ehavee s3ae+aartamcaet riot ahoy VV Aeaaee or
i ststasb1 lit~y bp- eredisai aaseev ataatli as.
1~l3aatioat
Persons Maass eppliestiaaeee for meet+er.hip we asp m will became
ata06are of the Asrssisetica upon the pigrasa!` at a one ditlLr aerbrgrshfp
lye. RIVIVI ss The 41" eaarreatkly a m rs of the As~esat UV+ess
Sealth Asroaisbio, inc. aq eanuame their membership Vitihmt the pgaent
of acs edditietsual tee. /lpplisatioa for health i arneee Mist be ascemisd
the
Associauca. " e into prQ narat at Arent sioai l be made pp *bl a to
conversion PrIV13^0
Capon k daatiou at Vasa - Whip in the Association by resoo i of
teraiaa-tioe< at a-lame' -Ist, the imaumd exV2AW" asps ecaeve rt his beel.th
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 Sanitized Copy Approved for Release 2010/12/07: CIA-RDP57-00011 A001000080183-6
Insurance to an individual policy offered by the Mutual Benefit Health
and Accident Association of Omaha vithout avidaaes of insurability, at
a slightly increased rats, providing the elope
(a) is less than 75 Yeses of M
(b) applies for the conversion policy within 30 days of tsrxdxw
tion of his group insurance.
This taawranes war include the eaqulc ee and all of his dependents
dio wire insured fader his group ea tficate. Consrags for dependent
children terminates at age nineteen, but they my apply for a conversion
policy on an individual basis.
The insurance will be effective on the date the application and the
required prasdma are accepted by the Co^Wany, and will s tine in force
for not less than six smug atter the effective data. Perna -l after the
first six soothe will be subject to the consent of the Coaep+any.
Conditions of * I. -bb in =A
i ~.rrr.rrrr~rr
The Bossrd of Directors of theGo eru pent Uplayees Health Association,
Inc. deterniass all matters eonesrnsd with eligibility for and retention of
arsdeership in the Association.
To be eligiblle to purchase insurance cav+erage, a person gust be a
member if the Association, in good standing.
Prndmes an certificates out be paid aaod maintained a sdtisva of
tend months in advaaae. The certificate of aapr person not ea p lying
with this requisraasnt will, be cancelled autaall-ti eaU3r at the end of
the period for id ieh his peeadwn teas been paid.
The Association will maintain exclusive x+el$tioaaships with the
ui mrvritingg eowsuias. Under no airamrbeeses mar a msaisr of the
Association .he direst contact with these eagaaties or their amts.
Attach nts: A placation farms
PCS/DCI:lb
3 April 1956
Distr: 4 1 -
c,
1 g Officer
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