Accidental Death & Dismemberment PDF Print

Accidental Death & Dismemberment insurance, or AD&D, covers you for a lump-sum amount in the event that you lose your life or sustain certain key permanent injuries.  You may request any coverage limit that you feel is appropriate, but generally the maximum sum available is 5 times your annual salary.  An example of the coverage would be:

Sum Insured: $500,000


You may already have coverage such as this under a group benefit or extended health insurance plan.  However, that policy might not cover the risks that you will be facing, for example if you are travelling to a high-risk part of the world or if you are engaged in a dangerous activity.  You may also feel that your existing coverage is not sufficient and that you would like to apply for supplementary coverage.

How to Get a Quote & Apply

Application Form for Individuals

Application Form for Groups & Corporations

In order to get a quote, you will need to fill out the application form above.  This form will allow you to select exactly what benefits you require.  Please allow up to 5 business days for a quote.  If you do not like the quote that we offer, you are under no obligation to purchase, and we may be able to offer other alternatives.

You may return the application form to us by email at This e-mail address is being protected from spambots. You need JavaScript enabled to view it or by fax at 416 730-1878.