SCHEDULE OF BENEFITS FOR CLASS 1
Subscriber: Mid-America Apartments, L.P.
Effective Date: January 01, 2024
Minimum Participation Requirements: 10 enrolled Employees
Eligibility Waiting Period: First of the month coinciding with or next following 90 days from date of hire or Active Service. Credit will be given for the period of time of Active Service before the Policy effective date.
Waiting Period: 0 days unless otherwise specified
BENEFIT AMOUNTS PAYABLE All Employee benefits are payable at 100% of the Benefit Amount shown for the Eligible Employee. All Spouse benefits are payable at 100% of the Benefit Amount shown for the Employee. All Dependent Child(ren) benefits are payable at 100% of the Benefit Amount shown for the Employee.
ACCIDENT INDEMNITY BENEFITS
EMPLOYEE BENEFITS
PLAN 1
INITIAL CARE AND EMERGENCY CARE BENEFITS
Benefit Type
Benefit Amount
Emergency Care Treatment Benefit Amount
$300
Physician Office Visit (Includes urgent care) Benefit Amount
$100
Diagnostic Exam Benefit Amount Ground Ambulance Benefit Amount Water Ambulance Benefit Amount Air Ambulance Benefit Amount
$300
$400
$400
$1,600
HOSPITALIZATION BENEFITS
Benefit Type Hospital Admission Benefit Waiting Period
0 days $1,500
Benefit Amount
Hospital Stay Benefit Waiting Period
0 days
Benefit Amount
$200 per day Up to 365 days
Maximum Benefit Period
2
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