Societies Insurance

Accidental Death & Dismemberment Quote Request

Applicant Information:

Optional. If you pick Multiple States or Other, tell us where in "How can we help" below.
Begin Application

Request a Quote: send a few details and an agent will contact you.
Begin Application: fill out the full application online now for the fastest, most accurate quote. You can save and finish later.

Have these handy

Related coverage

Coverage details

What Accidental Death & Dismemberment coverage includes

AD&D pays a benefit if you die or lose a limb, sight or hearing in a covered accident.

Good to know: AD&D supplements but doesn’t replace life insurance – it doesn’t cover illness.

Not covered: illness, disease and self-inflicted injuries.

Insurance Application:

Accidental Death & DismembermentBegin Application

Required forms

Accidental Death & Dismemberment Supplemental Application (PDF)Want to save and finish later? Complete it online

Download, complete and email to quote@societiesinsurance.com, or attach it with your quote request.

Family watching the sunset on the beach, protected by life insurance
Contact details

Prefer to talk?

Scroll to Top