Infratech Corporation - Class 2 - 2023 Benefits Guide

Accident Insurance

Voluntary Accident Insurance

Don’t let an accident catch you off guard. Protect your family’s finances with Accident Insurance from United of Omaha Life Insurance Company. An accident insurance policy supplements your medical coverage and provides a cash benefit for injuries you or an insured family member sustain from an accident. This benefit can be used to pay out-of- pocket medical expenses, help supplement your daily living expenses and cover unpaid time off work. As an active employee of Infratech Corporation, you may purchase this coverage for yourself and your family members, and premiums can be deducted from your paycheck. It’s a simple and affordable way

for your family to receive added financial protection. Coverage guidelines and benefits are outlined below.

This insurance offers financial protection by paying a cash benefit if you or an insured dependent are injured as a result of a covered accident. Unless otherwise stated, the benefit amount payable is the same for you and your insured dependent(s).

ELIGIBILITY - ALL ELIGIBLE EMPLOYEES Eligibility Requirement

You must be actively working a minimum of 30 hours per week to be eligible for coverage. To be eligible for coverage, your dependents must be able to perform normal activities, and not be confined (at home, in a hospital, or in any other care facility), and any child(ren) must be under age 26. In order for your spouse and/or children to be eligible for coverage, you must elect coverage for yourself. The premiums for this insurance are paid in full by you.

Dependent Eligibility Requirement

Premium Payment PLAN INFORMATION

INFORMATION / AMOUNT(S) Non-occupational (Off-job only)

Coverage Type Express Benefit

$100

Not Included

Annual Benefit Maximum (ABM)

Included

Portability

9 INFRATECH CORPORATION 2023 BENEFITS GUIDE

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