Accident Supplemental Health
ACCIDENT INSURANCE
This insurance pays benefits directly to you to help offset the out-of-pocket expenses associated with an unexpected injury requiring medical treatment, such as deductibles or copays. Benefit payments are based on a schedule of injuries and treatments. The benefit is yours to use however you want, including paying for healthcare expenses, mortgage, rent, or other bills.
Over 80 Injuries and Services Covered
Below is a short list of injuries and services that may qualify for a benefit payment: • Ambulance services • Burns & Lacerations (cuts) • Concussions • Emergency room and urgent care • Fractures/dislocations • Hospital admissions and stays • Medical appliances (e.g., crutches, wheelchairs) • Physical Therapy
EXAMPLE CLAIM: Jim crashed his bicycle and was taken to the emergency room for treatment. He was diagnosed with a torn ligament. He required surgery to repair his torn ligament, and he missed several days of work. Fortunately, Jim’s Accidental Injury plan paid him $2,437.50 to help keep him afloat financially while he made a full recovery.
Coverage Options: Coverage is available to employees, spouses and dependent children.
Injuries & Treatment
Plan 1 Benefits
Organized and Personal Sports Benefits
Ambulance
$200
The plan will pay benefits when you or covered family member are injured while participating in an organized sport or personal sporting activity for physical fitness. ▪ Scholastic or amateur athletic competition or supervised practice ▪ Any sport or physical activity with the goal to improve physical fitness ▪ Enhances benefit payout by 25%
Emergency Room
$300
Diagnostic MRI
$300
Surgical repair of ACL
$600
Crutches (medical appliance)
$150
3 Follow Up Visits
$150
Physical Therapy (10 visits)
$250
Sports Injury Benefit Enhancement
+25%
Portability included – allowing you to take the policy with you if you end employment.
Total Benefit
$2,437.50
Please refer to the benefit plan summaries for a full schedule of benefits and more coverage details.
Bi-weekly Cost for Accident Insurance
EE only EE & SP EE & CH FAM
$5.69
$9.30
$9.37
$12.98
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