Plan Contact Information

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ACS Insurance Plans Benefits and Eligibility Information

Plan Description:
10-Year Level Term Life Insurance

20-Year Level Term Life Insurance

Term Life Insurance

High-Limit Accidental Death & Dismemberment Insurance

Disability Income Insurance

Hospital Indemnity Insurance

Download and Print Applications:
Multi-Coverage Application

Plans Administered By:
Pearl Insurance
1200 E. Glen Avenue
Peoria Heights, IL 61616




Plans Underwritten By:
New York Life Insurance Co.
51 Madison Avenue
New York, NY 10010

For Your Security (click to read about how we safeguard your data)

New York Life values your personal privacy and the security of your data. In order to most effectively protect you, the following security measures have been taken:

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American Chemical Society Member Insurance Program
ACS members can apply online for one ACS Group Insurance plan or several at one time. Apply for your insurance plan choice today!

ACS Member Insurance offers affordable coverage you may not be able to obtain on your own! These high-quality insurance products at group rates are available only to ACS members. Plus, the coverage is portable, staying with you no matter where your career takes you—as long as the group policy remains in effect, you pay your premiums when due, and you maintain your ACS membership.

Choose just one ACS insurance plan, or consider applying for multiple plans:

  • Whether you’re applying for a single insurance policy or several, your application doesn’t involve any risk, cost, or obligation.
  • Once your coverage is issued, you decide which to keep, reduce, or refuse.
  • There is only ONE application form to complete, even if you choose to apply in more than one plan!

We offer the following Group Insurance Plans: Term Life Insurance, 10-Year Level Term Life Insurance, 20-Year Level Term Life Insurance, High-Limit Accidental Death & Dismemberment Insurance, Disability Income Insurance, and Hospital Indemnity Insurance. Please refer to the "plan description" links on the left hand side of this page for more information including features, costs, eligibility, renewability, limitations and exclusions for each of these plans.
How Do You Wish To Apply?
Apply Online: Complete your application form online and submit it electronically.

Once you begin, you will be able to save a partially completed form and return back to it up to 10 days later. In order to do so, select 'Save For Later' anywhere in the application. Then when you return, click 'Retrieve Saved Data' and enter your saved credentials.

Once we receive your electronic application, you will be contacted by phone for your medical history. You will be advised if a medical exam, blood and urine samples, and/or additional health or financial information will be required in order to process your application. Any potential exams or specimen collection will be conducted at a time and place convenient to you and at our expense.

Paper, Pen & Postage: Click the link on the left side of this page to download & print a PDF; complete, sign and mail to the Plan Administrator at the indicated address.

If you have any problems viewing or applying, please contact the Plan Administrator at 1 (800) 852 - 0179, between 8:00 A.M. and 5:00 P.M., CST
validation warnings here.