Advantage Series Accident

BENEFIT DESCRIPTION

VALUE CLASSIC PREFERRED

Dismemberment* Payable according to a schedule based on the specific loss incurred. Common Carrier* Payable if death results from an accident while the insured is a fare paying passenger on a commercial airline, passenger train, or intercity bus.

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$50,000 $75,000

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$100,000 $150,000

Blood and Plasma Payable if received within 90 days of covered accident.

$50 - $250

$50 - $500

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One: $750 Multiple: $1,500

One: $750 Multiple: $1,500

Prosthesis (One or Multiple) Payable once per accident for a device or devices needed due to an accident.

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Train/Plane: $100 Bus: $50

Train/Plane: $100 Bus: $50

Train/Plane: $200 Bus: $100

Transportation Payable if the insured person needs care not available locally and more than 50 miles away from their residence. Family Lodging Payable for an adult family member if an insured person is hospitalized more than 100 miles from home. Maximum 30 days. Burns Payable according to a schedule for 2nd and 3rd degree burns if treatment is received within 72 hours of the covered accident. Fractures Payable according to a schedule if diagnosed and treated by a doctor within 90 days of the covered accident. Dislocations Payable according to a schedule if diagnosed and treated by a doctor within 90 days of the covered accident. Lacerations Pays a benefit if a covered person receives a laceration from an injury received because of a covered accident. Laceration must be repaired with stitches by a doctor within 72 hours after the covered accident. The amount paid will be based on the length of the laceration. The covered person may receive a laceration that does not require stitches. If treated by a doctor within 72 hours after the covered accident, benefit will pay the appropriate amount shown in the certificate. Repaired Ligaments Payable if treatment is received within 60 days of the covered accident and surgical repair is performed within 90 days. Repaired Tendons Payable if treatment is received within 60 days of the covered accident and surgical repair is performed within 90 days.

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$50/night $100/night

$100 - $10,000

$100 - $10,000

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$70 - $6,000

$140 - $12,000

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$10 - $3,600

$20 - $7,200

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$25 - $100 $50 - $200

$300 - $600

$600 - $1,200

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$300 - $600

$600 - $1,200

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* 50% of employee benefit for spouse and 25% of employee benefit for child(ren)

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