AC
GROUP ACCIDENT
Benefits available for spouse and/or dependent children. Benefits for both inpatient and outpatient treatment of covered accidents. Guaranteed Issue - No underwriting required to qualify for coverage.
PLAN FEATURES 24-Hour or Non-occupational Coverage. No limit on the number of claims. Supplements and pays regardless of any other insurance programs.
PLAN BENEFITS
Accidental Death and Dismemberment Accidental Common Carrier Death (Plane,Train, Boat or Ship) $100,000 Accidental Death $50,000 Double Dismemberment $25,000 Single Dismemberment $6,250 Loss of One or More Fingers or Toes $1,250 Partial Amputation of Fingers or Toes (Including at least $100 onejoint)
Major Injuries Fractures* (open reduction) Hip/Thigh
$6,750 $6,075 $5,400 $5,062 $4,050 $3,375 $3,375 $2,700 $2,700 $2,362 $2,362 $2,025 $1,350
Vertebrae (except processes)
Pelvis
Skull (depressed)
Leg
Forearm/Hand/Wrist Foot/Ankle/Knee cap
Hospital Benefits Paralysis Hospital Admission
Shoulder blade/Collar bone
$10,000 $1,000
Lower Jaw (Mandible)
Skull (Simple)
$400 $200 $125
Hospital Intensive Care (per day) Hospital Confinement (per day)
Upper Arm/Upper Jaw Facial bones (except teeth) Vertebral Processes Coccyx/Rib/Finger/Toe Dislocations* (open reduction) Hip
Medical Fees
$540
Specific Injuries Burns
$100–$10,000
$5,400 $3,900 $3,000 $2,400 $2,100 $1,800 $1,500 $1,200
$25–$400 $100–$400 $400–$600 $100–$400 $50–$250
Lacerations
Knee (not knee cap)
Ruptured Disc
Shoulder
Tendons/Ligaments Torn Knee Cartilage
Foot/Ankle
Hand
Eye Injuries
Lower Jaw
$10,000
Coma
Wrist
$200
Concussion
Elbow
$50–$150
Emergency Dental Work
$480
Finger/Toe
Additional Benefits Internal Injuries
Catastrophic Accident Rider $100,000 We will provide this benefit due to an accidental injury that re- sults in the loss and irrecoverable use of sight (in both eyes), hear- ing (in both ears), speech, arms or legs. Benefit reduces by 50% at age 65. Benefit payable after 365 day elimination period. $250 We will pay this benefit if the insured is admitted to a hospital and confined as a resident bed patient due to a covered sickness. We will pay this benefit once for each covered sickness. $100 We will provide this benefit beginning on the first day of hospi- tal confinement, per day, for up to 30 days, per hospital confine- ment. Sickness Rider Hospital Admission Hospital Confinement
$1,000
$500 $500
Air Ambulance
Prosthesis
$150–$300
Transportation
$250 $100 $100 $100 $100
Exploratory Surgery
Ambulance Blood/Plasma
Appliances
Family Lodging Benefit
$60 $25 $25
Wellness Benefit
Accident Follow-up Treatment
Physical Therapy
*Closed reduction pays a benefit 150% less than open reduction.
CAI7780
12 YATES LLC 2022 BENEFIT GUIDE
Made with FlippingBook - professional solution for displaying marketing and sales documents online