SunlifeBuchanan Hauling & Rigging%2c Inc. - Generic Weekly …

Accident Q&A

Q. What about coverage for my family? A. If you elect coverage for yourself, you can elect coverage for your eligible family members. Eligible family members include your spouse and children who are less than age 26. See your certificate or group insurance policy for additional eligibility details. Q. When will my coverage become effective? A.  Your coverage starts on the entry date specified in the group policy, provided you are at active work on that date. Otherwise, your coverage will become effective on the day you return to full-time duties. If a family member is in a hospital on the day insurance would otherwise take effect, then insurance will take effect on the day after the family member leaves the hospital. How much does Accident insurance cost? The financial assistance that Accident insurance provides doesn’t have to take a big bite out of your wallet. Review the costs and benefits below to determine if Accident insurance is right for you. We’ve included an example of how benefits can be paid under this plan to help you with your decision. Treatment Benefit* Treatment Benefit* Broken Finger (no surgery) $175 Broken Leg (no surgery) $800 Emergency Treatment $150 Emergency Treatment $150 Follow-up Visit (2) $50 Ambulance $200 Total Payment $375 Initial Hospitalization $1,000 Hospital Benefit (1 day) $250 Crutches $125 Follow-up Visit (3) $75 Physical Therapy (2x) $50 Total Payment $2,650 *These hypothetical examples are for illustrative purposes only.

Your Weekly (52) Premium Deduction Non-occupational Coverage

$3.54

For you

$4.64

For you and your spouse

$5.48

For you and your child(ren)

$6.58

For you and your family

Premiums will not change due to age changes.

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