Masonry Magazine March 1979 Page. 22
!!NOW!! FOR MASON CONTRACTORS ASSOCIATION OF AMERICA
24 HOUR
365 DAY
Protection with
ACCIDENTAL DEATH
& DISMEMBERMENT
INSURANCE
Low Group
Premiums
For You $21.00 a year for $25,000
For Your Family
$31.25 a year for $25,000
Coverage for home, work, and world-wide travel.
3 Way Protection for loss of Life, Sight, or
Limb
* up to $150,000 paid for loss of life.
* up to $150,000 paid for loss of both hands
or both feet, or loss of the sight of both
eyes, or loss of one foot and one hand, or
one foot and sight of one eye.
* up to $75,000 paid for loss of one foot, or
one hand, or loss of sight of one eye.
Eligible to all members age 70 and under and
their qualified dependents.
Select Your Plan Up to $ 150,000
Principal Sum
$ 25,000
$ 50,000
$ 75,000
$100,000
$150,000
ANNUAL PREMIUM
Individual Plan
Family Plan
$ 21.00
$ 31.25
$ 41.00
$ 61.50
$ 61.00
$ 91.75
$ 81.00
$122.00
$121.00
$182.50
Principal Sum reduces to $10,000 at age 70.
POLICYHOLDER:
Professional Association and
Organization Insurance Trust
...tear here and mail today...
ORGANIZATION:
MCAA (10/78)
Policy Aggregate Limit is $1.000.000 per Aircraft
MASON CONTRACTORS ASSOCIATION OF AMERICA
Issued Effective
For Bankers Life and Casualty Company Use Only.
APPLICATION is hereby made to the Bankers Life and Casualty Company for accident insurance as follows: (Please print or type)
1. Full Name:
2. Date of Birth
Policy Number SR 83.010-3
3. Occupation.
4. Address:
(Sreer
5. Beneficiary:
(Cay
6. Indicate your Amount of Insurance
$25,000
$50,000
Sate
Relationship:
$75,000
(2
7. Check
One Plan
Individual Only
Signature of Applicant X
$150,000
$100,000
Under the Family Plan the employee is the beneficiary of
Family Plan the Spouse and of all eligible children.
Date of Application.
EXCLUSIONS The policy does not cover loss caused by or resulting directly or indirectly from any one or more of the following: (1) suicide or self-destruction or any attempt thereat, while sane or insane: (2) bodily informity, sickness or disease: (3) medical or surgical treatment (except medical surgical treatment made necessary solely by injury): (4) declared or undeclared war or any act thereof: (5) accidents occuring while serving on active duty in any type of Military Services of any country or international authority: (6) Private flying. Military flying and flying as a pilot or crew member.
HOW TO APPLY
1. Complete, date and sign the application form.
2. Mail along with your check or money order for your first annual premium to:
MCAA Group Administrator
James Group Service, Inc.
250 West Monroe Street
Chicago, Illinois 60606
Underwritten By: Bankers Life and Casualty Company
Chicago, Illinois