Accidental Death and Dismemberment (AD&D) Insurance

Last Updated 4 min read

Accidental Death & Dismemberment (AD&D) insurance provides cash benefits if a covered accident causes death or certain serious injuries, such as loss of limbs, eyesight, hearing, or qualifying paralysis. Available as a standalone private policy or an added life insurance rider, AD&D offers affordable supplemental protection, although some policies cover accidental death only and do not include dismemberment benefits.

Golden Shield Life Insurance can help you compare accidental death and AD&D insurance quotes across carriers to find coverage that may fit your family, job, and budget.

Accidental death and dismemberment insurance guide from Golden Shield Life Insurance in Atlanta, Georgia

Financial Support After a Covered Accident

Benefits may provide cash after a covered accidental death or qualifying severe injury.

An accident can change a life in seconds. AD&D insurance may help with the financial impact that follows.

Accidents were the third-leading cause of death in the U.S. in 2024.1

48,308 people died from unintentional falls in 2024. That is 132 every day.2

An Independent Broker's Guide

Why Compare Accidental Death Coverage With Golden Shield Life Insurance

  • We compare accidental death-only, AD&D, and rider options across carriers.
  • Some policies offer guaranteed acceptance with no health questions.
  • Death benefits paid to a beneficiary are generally not subject to federal income tax.
  • A licensed broker reviews the schedule of losses and exclusions with you.
Hi, I am Aaron. Click to call Golden Shield Life Insurance at (678) 884-4653

No cost, no obligation. Many policies need no medical exam.

What Is Accidental Death & Dismemberment (AD&D) Insurance?

To understand AD&D insurance, it helps to break the policy down into its two core parts:

  • Accidental death. A cash benefit paid to your beneficiaries if a covered accident causes your death within the time limit in the policy.
  • Dismemberment. A cash benefit paid to you if you survive a covered accident with a severe injury listed in the policy, such as the loss of a limb or eyesight. Some policies also list paralysis or the loss of speech or hearing.

How They Work Together

A full AD&D policy pays the principal sum to your beneficiaries if a covered accident takes your life, or a set percentage of it to you for a covered injury. An injury benefit can be used for anything, including medical bills, home changes, or lost income. When accidental death coverage is a rider on a life policy, it pays in addition to the life insurance benefit, an arrangement often called double indemnity.3

Check the product name. Some policies pay for accidental death only and have no dismemberment schedule. Full AD&D also pays for covered injuries listed in its schedule.

Key Takeaways

  • AD&D pays only for covered accidents. Death or a scheduled injury must result from an accident within the policy's time limit. Illness and natural causes are not covered.
  • Accidental death-only, AD&D, and riders are different products. Death-only coverage pays nothing for injuries. Standalone AD&D adds a schedule of injury benefits. A rider adds accidental benefits to a policy you already have.
  • Read the schedule and exclusions, not just the price. Which injuries are covered, how much each pays, and what is excluded vary by carrier, policy, and state.

Accidental Death vs. AD&D vs. Riders: What Is the Difference?

  • Accidental death-only insurance pays a benefit if you die from a covered accident. It pays nothing for injuries you survive. Mutual of Omaha's Guaranteed ADvantage is an example of this type.6
  • Standalone AD&D insurance pays the death benefit plus a set percentage of it for covered injuries listed in its schedule, such as the loss of a limb or eyesight. Some policies also list paralysis, coma, or the loss of hearing or speech. Many do not, so check the schedule.
  • Accidental death or AD&D riders add accidental benefits to an eligible life or other insurance policy. The rider pays in addition to the base policy, and it ends if the base policy ends.

Employer group AD&D is often low cost or free through work. It usually ends when you leave the job unless the plan offers a conversion or portability option.

Why Is AD&D Insurance Important?

Life insurance pays your beneficiaries when you die, and health insurance helps with covered medical bills, but neither is designed to pay you a cash benefit for losing a limb or your eyesight. A full AD&D policy can fill that gap. Accidents are common: unintentional injuries were the third leading cause of death in the United States in 2024, with 197,449 deaths.1

Key Benefits of AD&D Insurance

  • Pays you for covered injuries. On a full AD&D policy, a listed injury such as the loss of a limb or eyesight triggers a cash benefit paid to you. Death-only policies do not include this.
  • Pays your family if you die. A covered fatal accident pays your beneficiary the full principal sum.
  • Often costs less than life insurance. Because it covers accidents only, premiums are usually lower than life insurance for the same benefit amount.
  • Simple to apply for. Many policies need no medical exam, and some guaranteed acceptance policies ask no health questions.

How Does AD&D Insurance Work?

You choose a face amount, called the principal sum, and pay a monthly premium. If a sudden, unexpected accident kills you or causes a loss the policy lists, the carrier pays cash.

How Payouts Work

  • Fatal accident. Your beneficiary receives 100% of the principal sum.
  • Severe injury. If you survive but lose a hand, foot, or eye, or suffer another loss listed in the schedule, the benefit is paid to you. Death-only policies pay nothing for injuries.
  • Partial losses. One hand, one foot, or sight in one eye typically pays a set percentage of the principal sum, not the whole amount. The schedule of losses in your policy spells out each percentage.3
  • Time limit. The death or loss has to occur within a set period after the accident. On Mutual of Omaha's accidental death policy form 50AD-23958, death must occur within 365 days of the injury. Other policies may allow less time.6
  • Family coverage. On Mutual of Omaha's accidental death policy, a covered spouse is insured for 100% of the primary amount and each dependent child for 20%.6

What Does AD&D Insurance Cover?

A death-only policy pays for the first item only. A full AD&D policy pays for death plus the losses listed in its schedule, which commonly include:

  • Accidental death from a car crash, fall, drowning, fire, or similar event
  • Loss of a hand, foot, arm, or leg, or the use of one
  • Loss of sight in one or both eyes
  • Loss of hearing or speech, on some policies
  • Paralysis or coma caused by the accident, on some policies3

Extra benefits some policies add

  • Common carrier. An extra payout, in addition to the accidental death benefit, if you die as a fare-paying passenger on a plane, train, bus, or ship.6
  • Auto or pedestrian. An extra payout for a private-car crash or being struck by a vehicle. Mutual of Omaha's Guaranteed ADvantage adds 50% of the accidental death benefit.6
  • Seatbelt, airbag, burn, brain injury, or home modification. Named benefits on some group and standalone plans.

Loss of use, fingers, burns, and brain injury count only when the policy names them. Read the schedule of losses before you enroll.

What Does AD&D Insurance Not Cover?

Policies differ, but AD&D generally will not pay for death or injury caused by:

  • Illness, disease, heart attack, or stroke, even if it led to the accident
  • Suicide or self-inflicted injury
  • Being intoxicated or under the influence of illegal drugs
  • Committing a felony
  • War or military service
  • Racing or any contest of speed in a moving vehicle
  • An illegal occupation, and on some policies, aviation other than as a passenger or other activities the policy names6

Many policies also require the accident to be the direct and only cause of the loss. Because of these limits, a carrier may investigate the accident, and some policies allow an examination or an autopsy where the law permits, before a claim is paid.3 The exact list is in your policy and can differ by state.

How Much Does AD&D Insurance Cost?

Accidental death and AD&D premiums depend on the carrier, benefit amount, age, sex, family coverage, and riders. Because coverage is limited to accidents, it usually costs less than life insurance with the same benefit. The example below is one carrier's accidental death-only product, so it does not include dismemberment benefits.

Example: Mutual of Omaha Guaranteed ADvantage (Accidental Death Only)

CoverageMen 18 to 50Men 51 to 60Men 61 to 70Women 18 to 50Women 51 to 60Women 61 to 70
$50,000$10.29$10.72$13.22$7.53$8.27$10.68
$100,000$16.19$17.07$22.06$10.68$12.17$16.98
$250,000$33.91$36.10$48.57$20.13$23.85$35.88
$500,000$63.44$67.82$92.76$35.88$43.32$67.38

Sample individual monthly rates from Mutual of Omaha rate sheet 621777_1224. Guaranteed acceptance for ages 18 to 70, regardless of health, occupation, or driving record, with face amounts from $50,000 to $500,000. Pays for accidental death only. Family coverage and a return of premium rider cost extra. Your actual premium depends on the policy, your state, and the options you choose, and is confirmed when you get a quote.6

Why Choose Golden Shield Life Insurance

Golden Shield Life Insurance is an independent brokerage, so we are not limited to one carrier's AD&D product. We compare accidental death-only policies, standalone AD&D policies, and riders across the carriers we represent, and we match the coverage to the way you live: how much you drive or travel, what your job exposes you to, and what a serious accident would do to your finances. A licensed broker walks you through the schedule of losses and the exclusions before you apply. The comparison is free, and there is no obligation.

What Moves the Price Up or Down

  1. Your age

    Group plans often charge everyone the same rate. Individual policies usually cost more the older you are when you apply.

  2. Your job and hobbies

    On many policies, construction, aviation, and similar work, or hobbies like racing or climbing, can raise the rate or be excluded. Some guaranteed acceptance policies accept any occupation.

  3. How the coverage is structured

    A rider on a life policy you already own can cost less than a separate policy, but it ends if the base policy ends.

Life Insurance vs. AD&D Insurance

Life insurance pays when you die, whatever the cause. AD&D pays only when an accident is the cause, but it also pays you if you survive one with a serious injury. That single difference drives everything else.

Key Differences

Life InsuranceAD&D Insurance
What triggers a payoutDeath from illness, age, natural causes, or an accident.A covered accident only. Illness and natural death never qualify.
If you survive an injuryNot paid for an injury alone, though some policies offer accelerated benefits for qualifying illnesses.Full AD&D pays a full or partial benefit for listed injuries. Death-only policies pay nothing.
Monthly costHigher. Based on age, health, and the amount you buy.Usually lower, because it covers accidents only.
Cash valueWhole life and some other permanent policies build it.None. It is coverage, not an investment.3
How you qualifyAn application, and often health questions or an exam.Many policies need no medical exam, and some ask no health questions. Sold as a standalone policy, a rider, or through a workplace plan.

Which Do You Need?

  • Start with life insurance if your family depends on your income. It pays for nearly any cause of death.
  • Add AD&D for a low-cost layer against accidents, or use it on its own if health problems keep you from qualifying for life insurance. It is a supplement, not a substitute.

Who Should Consider AD&D Insurance?

  • You have a health condition that makes life insurance hard or expensive to get.
  • You drive a lot, commute, or travel often.
  • You work around vehicles, machinery, heights, or tools.
  • You want inexpensive extra coverage on top of life insurance.
  • You already have life insurance and want a larger payout if death is accidental.

Many policies need no medical exam. Guaranteed-acceptance terms depend on the product, and occupation, activities, age, and state can affect eligibility. Accidental death proceeds paid to a beneficiary are generally not subject to federal income tax, though exceptions can apply.4

AD&D Insurance FAQs

What does AD&D insurance cover?

It pays if a covered accident causes your death or a loss listed in the policy, within the time limit the policy sets. Common listed losses include a hand, foot, or eyesight. Paralysis, coma, and hearing or speech loss are covered only if the policy lists them.

What is the difference between accidental death insurance and AD&D?

Accidental death insurance pays only if you die from a covered accident. AD&D also pays part of the benefit for covered injuries you survive.

Is AD&D the same as life insurance?

No. Life insurance pays for death from almost any cause, including illness. AD&D pays only for covered accidents, so it works best as an addition to life insurance, not a replacement.

How much does AD&D insurance cost?

It depends on the carrier, benefit amount, age, state, and whether family coverage or riders are added. Because it covers only accidents, it usually costs less than life insurance with the same benefit. A licensed broker can compare real quotes.

Can I get accidental death insurance without a medical exam?

Many accidental death and AD&D policies have no medical exam, and some guaranteed acceptance policies ask no health questions. Age limits, benefit limits, and occupation rules still apply.

Does AD&D cover accidents at work?

Many individual policies cover accidents on and off the job, but some exclude certain occupations or activities. On-the-job injuries may also be covered by workers' compensation, which is separate coverage.

What does AD&D not cover?

Common exclusions include illness, disease, drug or alcohol use, self-inflicted injury, war, and some high-risk activities. The death or injury generally must happen within a set time after the accident.

Are AD&D benefits taxable?

Death benefits paid to a beneficiary are generally not taxable income. Injury benefits from a policy you paid for are generally not taxable. Employer-paid coverage can be treated differently, so ask a tax professional.

Should I buy AD&D through work or on my own?

Work coverage is convenient, but it usually ends when the job ends. An individual policy or rider stays with you as long as premiums are paid.

What is an AD&D rider?

It adds accidental death or AD&D benefits to an eligible policy you already own, usually for a small added premium. It ends if the base policy ends.

What Our
Clients Say

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Aaron's Closing Thoughts

An accident can change a life in seconds. I know that from experience.

In 2007, I told an agent I was young and would get coverage later. Twenty-eight days later, I was hurt in an accident on the beach and did not go home for eight months. No one can say what a policy I never bought would have paid, but I learned how quickly bills arrive when life stops.

AD&D insurance is not a substitute for life insurance or disability insurance. It is extra protection for accidents, and it is only as good as its terms. Before you buy, compare whether the policy pays for death only or for injuries too, read the schedule of losses and the exclusions, and check whether it stays with you if you change jobs.

If you would like help comparing accidental death and AD&D options side by side, I am glad to walk through them with you.

Aaron Polk

Founder, Golden Shield Life Insurance

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Aaron Polk, founder and licensed agent at Golden Shield Life Insurance

Aaron Polk

Founder, Golden Shield Life Insurance · Former National Medical Underwriter and Licensed Life Insurance Broker · NPN 21216745 · Georgia Agency License 242517 · Free quotes and policy reviews in every state where Golden Shield Life Insurance is licensed · Verify this license with the State of Georgia

Aaron founded Golden Shield Life Insurance after a 2007 accident showed him how fast a steady life can change. He declined coverage less than a month before that accident. Some AD&D policies list paralysis as a covered loss and pay part of the benefit to the insured, depending on the exact contract. That is why he walks every client through the schedule of losses before they buy. Ask him about your options.

How this guide was made: Written by a licensed agent from first-hand casework, not compiled from other insurance websites. Cost figures, tax treatment, government benefits, and consumer rights are checked against the numbered public sources below, each of which is linked so you can read it yourself. Carrier-specific details such as issue ages, benefit schedules, and rates come from current carrier materials and are confirmed at the time of quoting rather than stated as fixed on this page.

Last reviewed: September 2026. This page is reviewed and updated as products, accident statistics, tax rules, and carrier practices change.

Disclaimers

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Facts on This Page Are Supported By

  • 1Centers for Disease Control and Prevention, National Center for Health Statistics. FastStats, Leading Causes of Death, based on Mortality in the United States, 2024. Supports the statement that accidents (unintentional injuries) were the third leading cause of death in the U.S. in 2024, with 197,449 deaths. Accessed September 2026. cdc.gov/nchs/fastats/leading-causes-of-death.htm
  • 2National Safety Council. Injury Facts, 2024 data. Supports the statement that 48,308 people died in falls at home and at work in 2024, about 24% of all preventable injury-related deaths. Accessed September 2026. nsc.org slips, trips, and falls
  • 3Wikipedia. Accidental death and dismemberment insurance. Supports the general description of AD&D benefits, double indemnity when the coverage rides on a life policy, fractional payments for scheduled losses, common exclusions, claim investigation, and the common types of group AD&D plans. Accessed September 2026. en.wikipedia.org
  • 4Internal Revenue Service. Publication 525, Taxable and Nontaxable Income, and the "Life Insurance & Disability Insurance Proceeds" FAQ. Supports the general federal income tax treatment of death benefits paid to a named beneficiary, including the exceptions that can apply. Accessed September 2026. irs.gov/publications/p525 · irs.gov FAQ
  • 5NAIC, National Association of Insurance Commissioners, and the Georgia Office of Insurance and Safety Fire Commissioner. Consumer guidance on life insurance and the public lookup for licensed agents, agencies, and companies. Use these to confirm that anyone offering you a policy is licensed before you share personal or financial information, and to file complaints or fraud reports. Accessed September 2026. content.naic.org consumer guide · Georgia agent and company search · complaints and fraud
  • 6Mutual of Omaha Insurance Company. Accidental death insurance policy form 50AD-23958 (sample policy) and the Guaranteed ADvantage brochure and sample monthly rates, form 621777_1224 (policy form 50AD-23949 or state equivalent). Supports the policy definitions, the 365-day window between an injury and a covered death, the exclusion list, the 100% spouse and 20% dependent child benefits, the common carrier and auto/pedestrian benefits, guaranteed renewability to age 80, issue ages 18 to 70, face amounts of $50,000 to $500,000, guaranteed acceptance, and the sample monthly rates shown on this page. Guaranteed ADvantage pays for accidental death only. Reviewed November 2026. Policy forms are available on request.

Important Information

  • This page is educational and is not financial, legal, or tax advice.
  • Accidental death and dismemberment insurance pays only for death or a scheduled loss caused by a covered accident. It does not pay for death or injury caused by sickness, disease, or natural causes, and it does not replace health, disability, or life insurance.
  • Some products marketed as accident coverage pay for accidental death only and include no dismemberment benefit. Read the product name and the schedule of losses before you apply.
  • Benefit amounts, covered losses, percentages paid for partial losses, exclusions, and the time allowed between an accident and a covered loss vary by carrier, policy form, and state. Most policies require the accident to be the direct cause of the loss, independent of all other causes. State-specific policy wording controls.
  • Carriers may investigate the circumstances of an accident before paying a claim, and a policy may permit the carrier to request an examination or, where allowed by law, an autopsy. Notice of claim and proof of loss are required within the periods stated in the policy.
  • Many AD&D and accidental death policies do not require a medical exam. Guaranteed-acceptance terms, issue ages, coverage limits, family coverage, and optional riders depend on the product. Occupation, activities, age, residency, and state of issue can affect eligibility and coverage.
  • Return-of-premium riders are not available in every state, including Georgia on some products. Employer group coverage generally ends when employment ends.
  • Sample rates on this page come from a Mutual of Omaha rate sheet for an accidental death-only product and are not a quote or an offer of coverage. Your premium depends on age, sex, state, benefit amount, family coverage, occupation, riders, and payment method.
  • Accident statistics describe national totals and do not predict any individual's risk. Figures are subject to revision by the publishing agency.
  • Golden Shield Life Insurance does not guarantee approval, pricing, or benefit eligibility. Any benefit payment depends on the issuing insurer and the terms of the policy.
  • Tax treatment may change and depends on your situation. Consult a qualified tax professional.
  • Outbound links are provided for reference. Golden Shield Life Insurance does not control and is not responsible for third-party content, including any sponsorships or advertising those sites carry.