Your accident coverage
COVERAGE - DETAILS
Your Bi-weekly premium You and Spouse You and Child(ren)
$6.90 $10.79 $10.97 $14.85 On and Off Job Included
You, Spouse and Child(ren) Accident Coverage Type Portability - Allows you to take your Accident coverage with you if you terminate employment.
ACCIDENTAL DEATH AND DISMEMBERMENT
Employee $50,000 Spouse $25,000 Child $10,000 Quadriplegia, Loss of speech & hearing (both ears), Loss of Cognitive function: 100% of AD&D Hemiplegia & Paraplegia: 50% of AD&D 200% of AD&D benefit
Benefit Amount(s)
Catastrophic Loss
Common Carrier Common Disaster
200% of Spouse AD&D benefit Single: 50% of AD&D benefit Multiple: 100% of AD&D benefit 25% of AD&D benefit Seatbelts: $10,000 & Airbags: $15,000 $2,500 $50
Dismemberment - Hand, Foot, Sight
Dismemberment - Thumb/Index Finger Same Hand, Four Fingers Same Hand, All Toes Same Foot Seatbelts and Airbags
Reasonable Accommodation toHome orVehicle
WELLNESS BENEFIT - Per Year Limit
Children age birth to 26 years
Child(ren) Age Limits
FEATURES
Air Ambulance Ambulance Blood/Plasma/Platelets
$1,500 $300 $500 9 sq inches To 18 sq inches: $0/$2,000 18 sq inches To 35 sq inches: $1,000/$4,000 Over 35 sq inches: $3,000/$20,000 50% of burn benefit 25% increase to child benefits
Burns (2nd Degree/3rd Degree)
Burns - Skin Graft
Child Organized Sport - Benefit is paid if the covered accident occurred while your covered child, age 18 years or younger, is participating in an organized sport that is governed by an organization and requires formal registration to participate. Chiropractic Visits Coma
$50/visit, up to 6 visits
$10,000
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