Life Insurance

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Accidental Death Insurance Quote

Gender	Date of Birth	ZIP	State
Male Female Please select the Gender for this child	/ / Please enter the valid Date of Birth for this child	Please enter a valid State/ZIP.

Plan Type

Benefit Plan

Individual Family

View Benefit Details

Benefit Plans*	Air/Common Carrier	Auto/Pedestrian	General Accidents
Option 1	$1,000,000	$300,000	$200,000
Option 2	$750,000	$225,000	$150,000
Option 3	$500,000	$150,000	$100,000
Option 4	$375,000	$112,500	$75,000
Option 5	$250,000	$75,000	$50,000

View Rates and Plans

If you have questions or to apply by phone, call toll free (800) 877-5399 or Buy Online

* The spouse benefit is 50 percent and child benefit is 10 percent amount for each accident category.

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Master Policy Form M40AD, Certificate Form C42AD or Policy Form E42AD-20348 (20393 in OK, 20472 in PA 20421 in TX, and Form E45AD-20387 in NY) or state equivalent.

Riders: Form 0LH5M-12, 0LD5M-26, 00J9M 2nd Rev.

Mutual of Omaha Insurance Company is licensed in all 50 states and the District of Columbia.

¹Washington Residents: the term “agent” is considered “producer” in your state.

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