You can insure yourself as well as your dependents under this plan which provides benefits for losses caused by accidental bodily injury. The benefit amounts available for you are in multiples of $25,000 up to a maximum benefit amount of $500,000. Your spouse can also select coverage in multiples of $25,000 up to a $500,000 maximum, however, the spouse amount cannot exceed your own benefit amount. Eligible dependent children can be covered for $5,000, $10,000 or $15,000. All children must be covered for the same amount. A newborn child is not your qualified dependent until the first premium due date following birth.

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WHO IS ELIGIBLE TO APPLY

• Members - All members of the State Bar of Texas who are less than age 70.
• Employees - All full-time employees (30 hours or more per week) of an "Eligible Employer Unit" who are less than age 70. An "Eligible Employer Unit" is a sole proprietorship, partnership or corporation engaged primarily in the practice of law with at least one full-time employee who is not a member of the State Bar of Texas.

Eligible Dependents - Spouse and unmarried children less than 23 years old. Your children include your legally adopted children, step-children and foster children who depend upon you for support and maintenance.

HOW TO ENROLL

You may request more complete information by using our online request form or download an enrollment form (pdf format).

All applicants will need to complete a Prudential Application Form, including the reverse side of the Health Statement (Part C) if requesting coverage on dependents. Approval process takes approximately 30 days, depending upon additional information requested by Prudential. Return the completed form to:

Local:               (512) 479-0941       
Houston:               (713) 224-4024       
Ft. Worth:               (817) 654-3347       
Toll-Free:               1-800-460-7248       
FAX: (512) 479-4109

This is not a complete description of the plan, but merely a brief summary. For additional information including benefits, limitations and exclusions contact the Trust Office for a brochure. After you enroll, you will be issued a Group Insurance Certificate describing your coverage in greater detail. The complete terms of the coverage will be governed by the group insurance contract issued to the State Bar of Texas Insurance Trust by the carrier.