Accident Insurance (Aflac)
Group Accident Insurance Fracture - once per covered accident, within 90 days of the accident Fracture Appliances - within six months of the accident Cane Maximum number of appliances per covered accident: No Maximum Schedule Hip/Thigh Ankle Brace Maximum number of appliances per covered accident: No Maximum Pelvis Walking Boot Maximum number of appliances per covered accident: No Maximum Vertebrae/Sternum Leg Walker Maximum number of appliances per covered accident: No Maximum Forearm/Hand/Wrist Foot/Ankle/Kneecap Crutches Maximum number of appliances per covered accident: No Maximum Shoulder Blade/Collar Bone Leg Brace Maximum number of appliances per covered accident: No Maximum Skull (Depressed) Upper Arm/Upper Jaw Facial Bones (except teeth) Vertebral Processes/Sacrum Coccyx/Rib/Finger/Toe $1,200 $480 Knee Scooter Maximum number of appliances per covered accident: No Maximum Cervical Collar Maximum number of appliances per covered accident: No Maximum Wheelchair Maximum number of appliances per covered accident: No Maximum $6,000 $5,400 $4,800 $4,500 $3,600 $3,000 $3,000 $2,400 $2,400 $2,100 $2,100 $1,800 $6,000 $5,400 $4,800 $4,500 $3,600 $3,000 $3,000 $2,400 $2,400 $2,100 $2,100 $1,800 $1,200 $480 Lower Jaw Skull (Simple) Group Accident Insurance After Care Category - Mid Body Jacket Maximum number of appliances per covered accident: No Maximum Back Brace Maximum number of appliances per covered accident: No Maximum Accident Follow-Up Treatment - within 6 months of the accident Initial treatment is received within 7 days of the accident
Employee Spouse Child
Open Reduction
Closed Reduction
$30
$30
$30
Employee Spouse Child Employee Spouse Child
$6,000 $5,400 $4,800 $4,500 $3,600 $3,000 $3,000 $2,400 $2,400 $2,100 $2,100 $1,800 $1,200 $480
$3,000 $2,700 $2,400 $2,250 $1,800 $1,500 $1,500 $1,200 $1,200 $1,050 $1,050 $75 $75 $30 $75 $75 $75
$3,000 $2,700 $2,400 $2,250 $1,800 $1,500 $1,500 $1,200 $1,200 $1,050 $1,050 $75 $75 $30 $75 $75 $75
$3,000 $2,700 $2,400 $2,250 $1,800 $1,500 $1,500 $1,200 $1,200 $1,050 $1,050 $75 $75 $300 $900 $600 $240 $300 $30 $75 $75 $75
$300
$300
$900 $600 $240
$900 $600 $240
$300
$300
Outpatient Surgery and Anesthesia (per day) - within one year of the accident Performed in a Hospital or Ambulatory Surgical Center Maximum number of payments per covered accident: No Maximum Performed in a Doctor's Office, Urgent Care Facility or Emergency Room Maximum number of payments per covered accident: 2 Facilities Fee for Outpatient Surgery - within one year of the accident Payable once per each Outpatient Surgery and Anesthesia Benefit (in a hospital or ambulatory surgical center). Maximum number of visits per covered accident: 6 Post Traumatic Stress Disorder (PTSD) - once per accident, within 6 months of the accident Inpatient Surgery and Anesthesia (per day) - within one year of the accident Maximum number of payments per covered accident: No Maximum Rehabilitation Unit (per day) Maximum number of days per confinement: 31 Transportation - within six months of the accident Maximum number of payments per covered accident: 3 Minimum Required Distance (miles): 100 Plane No more than 62 days total per calendar year for each insured Therapy - beginning within 90 days of the accident Initial treatment is received within 7 days of the accident Maximum number of visits per covered accident: 10 Chiropractic or Alternative Therapy - beginning within 90 days of the accident Initial treatment is received within 7 days of the accident
$300
$300
$300
$300
$300
$300
$300
$300
$300
$35
$35
$35
$35
$35
$35
$75 $150
$75 $150
$75
$150
$750 $75
$750 $75
$750
$75
$350 $150 $35
$350 $150 $35
$35
$350
Any ground transportation $150 (Surgical procedures may include, but are not limited to, surgical repair of: ruptured disc, tendons/ligaments, hernia, rotator cuff, torn knee cartilage, skin grafts, joint replacement, internal injuries requiring open abdominal or thoracic surgery, exploratory surgery (with or without repair), etc., unless otherwise noted due to an accidental injury.) Hospitalization Category - Mid Employee Spouse Child Hospital Admission (per confinement) - once per accident, within six months of the accident Maximum number of admissions per covered accident: 1 $900 $900 $900 Hospital Confinement (per day) - within 6 months of the accident Maximum days of confinement per covered accident: 365 $225 $225 $225 Hospital Intensive Care (per day) - within 6 months of the accident Maximum days of confinement per covered accident: 30 $300 $300 $300 Intermediate Intensive Care Step-Down Unit (per day) - within six months of the accident Maximum days of confinement per covered accident: 30 $150 $150 $150 Family Member Lodging (per day) - within six months of the accident Maximum days of lodging per covered accident: 30 $150 $150 $150 Minimum Required Distance (miles): 100 $25 $25 $25 Maximum number of visits per covered accident: 6 Life Changing Events Category - Mid Employee Spouse Child Dismemberment - once per accident, within six months of the accident Single Loss $8,750 $17,500 $3,750 $7,500 $375 $87.50 $1,750 $3,500 $175 $87.50 Double Loss Loss of one or more fingers or toes $875 $87.50 Partial Dismemberment (includes at least one joint of a finger or toe) Paralysis - once per accident, diagnosed by a doctor within six months of the accident Paraplegia $3,500 $7,500 $2,000 $3,500 $7,500 $2,000 $3,500 $7,500 $2,000 Quadriplegia Prosthesis - once per accident Maximum number of prosthetic devices per covered accident: 2 Prosthesis Repair/Replacement - once per prosthetic device, within three years of initial Prosthesis payment Residence/Vehicle Modification - once per accident, within one year of the accident $2,000 $1,500 $2,000 $1,500 $2,000 $1,500
Wellness Rider - Mid
Employee Spouse Child
Amount paid will be based on the certificate year in which the wellness test was performed: Maximum number of payments per calendar year, per insured: 1 Year 1 - Once per calendar year Year 2 - Once per calendar year Year 3 - Once per calendar year Year 4 - Once per calendar year Year 5 - Once per calendar year Group Accident Insurance
$25 $50 $50 $50 $75 $75
$25 $50 $50 $50 $75 $75
$25 $50 $50 $50 $75 $75
Year 6+ - Once per calendar year
Accidental Death Rider
Employee Spouse Child
14 THRUSH AIRCRAFT 2023 BENEFITS GUIDE GP-39730.PLAN-255321 Accidental Common-Carrier Death GP-39730.PLAN-255321 Accidental Death - within 90 days of the accident Accidental Death
Page 4 of 14 $20,000 Page 5 of 14 $10,000
$50,000 $100,000
$25,000 $50,000
Please request a sample policy for full benefit provisions and descriptions.
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