Key Takeaways
- ALDIGA protects Alabama policyholders when insurers become insolvent
- Coverage limits include \$300,000 for life insurance death benefits and \$100,000 for cash values
- Health insurance and disability coverage is limited to \$300,000 per individual
- Annuity coverage is limited to \$250,000 in present value
- Producers cannot use guaranty association coverage as a selling point
Alabama Life and Disability Insurance Guaranty Association
The Alabama Life and Disability Insurance Guaranty Association (ALDIGA) protects Alabama residents when life and health insurance companies become insolvent (unable to pay claims).
Purpose and Function
ALDIGA is a statutory entity that:
- Protects policyholders of insolvent insurers
- Continues coverage or pays claims up to limits
- Is funded by assessments on member insurers
- Operates under state law supervision
How It Works
When an insurer becomes insolvent:
- State takes over - Insurance Commissioner places insurer in liquidation
- ALDIGA activates - Association takes responsibility for covered policies
- Coverage continues - Up to statutory limits
- Claims paid - Benefits paid to policyholders
Who Is Protected
Generally, an individual will be protected if:
- The individual lives in Alabama AND
- Holds a life or health insurance contract, annuity contract, or
- Is insured under a group insurance contract issued by a member insurer
The beneficiary, payee, or assignee of an insured person is protected as well, even if a non-resident of Alabama.
Membership
All insurance companies licensed to write life and health insurance or annuities in Alabama are required, as a condition of doing business in the state, to be members of the guaranty association.
Coverage Limits
ALDIGA provides coverage up to specific limits:
Life Insurance
| Benefit Type | Maximum Coverage |
|---|---|
| Death Benefit | $300,000 per life |
| Cash Surrender Value | $100,000 per policy |
| Net cash withdrawal values | $100,000 |
Annuities
| Benefit Type | Maximum Coverage |
|---|---|
| Present Value | $250,000 per contract |
| Multiple Annuities | $250,000 total per owner |
Health Insurance
| Coverage Type | Maximum Coverage |
|---|---|
| Health Benefits | $300,000 per individual |
| Disability Income | $300,000 per individual |
| Long-Term Care | $300,000 per individual |
What Is Covered
ALDIGA covers:
Covered Policies
- Individual life insurance
- Group life insurance (Alabama residents)
- Annuities
- Health insurance
- Disability income insurance
- Long-term care insurance
Not Covered
- Policies from insurers not licensed in Alabama
- Policies from insurers not members of ALDIGA
- Self-funded employer plans
- Government programs
- Surplus lines policies
- Amounts above coverage limits
Funding
ALDIGA is funded by assessments:
- Member insurers pay assessments when needed
- Assessments based on premium volume in Alabama
- May be passed through to policyholders in some cases
- Recouped through rate surcharges over time
Producer Restrictions
Advertising Prohibition
Producers cannot:
- Use ALDIGA coverage as a selling point
- Advertise ALDIGA protection
- Imply policies are "guaranteed" by the association
- Compare ALDIGA to FDIC insurance
- Use guaranty coverage to induce sales
Required Disclosures
- Cannot misrepresent guaranty association coverage
- Must provide accurate information if asked
- Cannot suggest coverage exceeds actual limits
Exam Tip: Remember that producers CANNOT use guaranty association coverage as a selling point. This is a frequently tested rule.
Claim Process
When an insurer becomes insolvent:
- Policyholder notified by liquidator
- Coverage assessed - ALDIGA reviews policies
- Benefits continued or transferred to healthy insurer
- Claims processed within coverage limits
For questions about ALDIGA coverage, contact:
- Alabama Life and Disability Insurance Guaranty Association
- Or visit the ALDOI website
What is the maximum death benefit coverage provided by ALDIGA for a life insurance policy?
Can an Alabama insurance producer use ALDIGA coverage as a selling point?
What is the maximum annuity coverage provided by ALDIGA?
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