Group Accidental Death and Dismemberment Insurance - Apply Now
You must be a Full-Time, Part-Time, or Retired Federal Employee under age 70 to apply for Wright’s Accident Insurance (Accidental Death & Dismemberment – AD& D – Insurance).
You can download, complete, and return the signed application to the plan administrator at the address listed on the form. Be sure to answer all questions on the application.
If You Download the Application - Please Note: Your future Wright USA premiums can be paid automatically from your account at your financial institution on a Monthly, Quarterly, or Annual basis through Electronic Funds Transfer (EFT). To sign up for EFT: download, complete, and return our EFT Form along with your completed application.
If you have any questions during the application process, please call 800-424-9801 for assistance.
Insurance provided by ReliaStar Life Insurance Company, a member of the ING family of companies. Home and Administrative Offices: Minneapolis, Minnesota. Policy form HP010GP.