Group Hospital Indemnity Insurance

For members ages 18-64 and their families, underwritten by New York Life Insurance Company

female hospital patient


Think about what would happen if you or a family member were hospitalized and facing mounting medical bills.

Most health care policies do not cover all medical costs, especially when it comes to hospital stays. These policies generally feature co-pays and deductibles that could leave you with thousands of dollars in out-of-pocket expenses when you or a family member is hospitalized. Additionally, hospitalizations often mean extra bills for travel, meals and lodging, unexpected childcare, elder care, pet care expenses, or extra costs for household help.

The Texas Society of Certified Public Accountants (TXCPA) Group Hospital Indemnity Insurance is specifically designed to help provide income while you are hospitalized, giving you added financial protection to help pay those extra bills.

Features of this Coverage:

  • Guaranteed acceptance if eligible for members, spouses and dependent children
  • Benefits begin on the first day of a covered hospitalization
  • Up to $100 in daily benefits
  • Benefits paid directly to you, to use as you wish
  • Full maternity coverage
  • Full-time employees of TXCPA members and their family members also are eligible for coverage

You select a daily benefit amount of $50, $75 or $100 for each day of a covered hospitalization. Your selected amount will be paid directly to you (unless you specify otherwise).

Your benefits begin on the first day of a covered hospitalization and will continue for up to 365 days (maximum for a single confinement).

Note: Separate confinements due to the same cause will be recognized as a single confinement unless separated by a return to full-time work for at least one week (for members/employees), and for dependent coverage, these confinements will be recognized as a single confinement unless separated by at least three months. All daily benefit amounts reduce by 50% on January 1 coinciding with or next following the member’s/employee’s or spouse’s 65th birthday.

This insurance can provide excellent supplemental protection when combined with your basic health insurance coverage. It puts money in your pocket to be used for anything you need—you can even put it in a savings account for future use.

If you are a TXCPA member, or a full-time employee of a member working at least 20 hours per week, under age 65, you are eligible to apply. Lawful spouses under age 65, and unmarried dependent children to age 25 of TXCPA members and full-time employees of members also are eligible.

If both parents are insured as members/employees, only one parent may request coverage for eligible dependents. This coverage is not available to individuals who are on Active Military Duty in the Armed Forces.

Coverage is available to residents of the U.S.

Premiums are based on a member’s/employee’s issue age and will adjust when the member/employee enters each new age class.

Rates may be changed by New York Life Insurance Company on any premium due date and on any date benefits are changed. However, your rates may only change if they are changed for all others in the same class of insureds under the group policy. For example, a “class” is a group of people with the same issue age and gender.

Current 2024 Monthly Rates

Member /
Employee Only
Plus One
Plus Two or
More Dependents
 Under 40$2.25$5.08$7.95

** Rates shown for ages 65-69 reflect a 50% daily benefit reduction for both member/employee and dependents. Renewal only at ages 65-69.

This chart shows the monthly cost for each $25 unit of coverage you request (minimum two units/maximum four units). To calculate your monthly premium:

  • For $50 daily benefit, multiply listed premiums by two
  • For $75 daily benefit, multiply listed premiums by three
  • For $100 daily benefit, multiply listed premiums by four

Coverage Effective Date.  All coverage is subject to underwriting approval. Approved coverage will take effect on the date approved by New York Life Insurance Company, provided your premium contribution has been paid and you and your eligible dependents (if also to be insured) are performing the normal activities* of a person in good health of like age on this date. If a person is not performing normal activities* on the date their coverage is effective, their effective date will be deferred until they are performing the required activities,* provided they resume normal activities within three months of their original effective date and they remain eligible.

* Residents of NC: Any reference to “performing the normal activities of a person in good health of like age” is replaced with “by the requirement that the health status of the proposed insured remains the same as stated in your application.”

Full Benefits for Maternity. Hospital confinements due to pregnancy will be payable the same as for any illness.

Exclusions & Limitations. Benefits are provided only for confinements that begin while you are insured, and which are recommended by a doctor as necessary to treat an illness or accident. Benefits are not provided for confinement resulting from: war; self-inflicted injury (while sane or insane); “well baby care” of a newborn child; cosmetic surgery or dental care (except as provided in the Certificate of Insurance); mental, nervous, or emotional disorders; alcoholism; drug addiction; or pre-existing conditions (except as defined below).

Pre-existing Conditions. A pre-existing condition is an illness or any condition related to such illness for which you received medical care during the 12-month period immediately prior to the effective date of your coverage.

Benefits will not be payable for any confinement due to a pre-existing condition until after the earlier of: (a) 12 consecutive months after the effective date of coverage during which no treatment or medical advice was received or; (b) 24 consecutive months of coverage under this program.

Coverage Renewal. Your coverage can remain in effect until you reach age 70, as long as you remain an employee of a TXCPA member, you pay your premiums when due, you do not enter Active Duty in the Armed Forces, and the group policy is not terminated or modified so you are no longer eligible. Insured dependents can retain their coverage as long as they meet dependent status requirements and you remain insured. Upon the insured’s death, coverage for insured dependents may continue as described in the group policy. This group policy may be terminated by the TXCPA Insurance Trust or New York Life Insurance Company.

Complete your application online. Please provide all requested information; failure to do so may result in a delay of application processing.

You may choose from two payment options when you apply online:

  • Electronic funds transfer (EFT) from a bank account you designate and your choice of monthly, quarterly, semiannual or annual billing frequency.
  • Direct bill mailed to you when you choose quarterly, semiannual, or annual billing frequency.

After your coverage is approved, you can change your payment method to credit card or debit card by contacting the group insurance administrator.

30-Day Free Look
You’ll have 30 days after you receive your Certificate of Insurance to make sure you’re completely satisfied. If you change your mind, you can return your certificate within that 30-day period, without claim, and get a full refund of any premium paid. Your coverage will then be invalidated.


This website explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this website and the policy (Group Policy No. G-14046-3 issued to the Trustees of the Texas Society of Certified Public Accountants Insurance Trust), the terms of the policy apply.

All benefits are subject to the terms and conditions of the policy. Policies underwritten by New York Life Insurance Company detail exclusions, limitations, and terms under which the policies may be continued in full or discontinued.

Complete details are in the certificate of insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.

New York Life is licensed/authorized to transact business in all of the 50 United States, the District of Columbia, Puerto Rico and Canada. However, not all group policies it underwrites are available in all jurisdictions. New York Life’s state of domicile is New York, and its NAIC ID # is 66915.




Sponsored by:
Texas Society of Certified Public Accountants (TXCPA)



Underwritten by:
New York Life Insurance Company
51 Madison Avenue
New York, NY 10010

Under Group Policy G-14046-3
On Policy Form GMR-FACE/G-14046-3



Administered by:
Forrest T. Jones & Company*
P.O. Box 418131
Kansas City, MO 64141-8131

*For Arizona residents, the administrator is Forrest T. Jones Consulting Company