(Hourly) 2019 McKibbon Benefit Guide

ACCIDENT INSURANCE

McKibbon Hospitality offers accident coverage through United Healthcare. Accident coverage provides direct payment for set injuries and services associated with an off the job accident. There are two accident plans available.

BASE PLAN

ENHANCED PLAN

Accidental Death & Dismemberment Life

$20,000

$20,000

One hand or foot / Both hands or feet or combo One finger or toe / Two + fingers or toes or combo

$10,000 / $20,000

$10,000 / $20,000

$2,000 / $4,000

$2,000 / $4,000

Accidental Death Common Carrier

$80,000 Child benefit is 50% of employee/spouse

$80,000 Child benefit is 50% of employee/spouse

Initial Care Ground Ambulance / Air Ambulance Emergency Room Treatment / Physician Office or Urgent Care

$200 / $1,200 $100 / $40

$200 / $1,200 $100 / $40

Hospital Care Hospital Confinement / Admission Hospital ICU Confinement / Admission Follow Up Care Major Diagnostic Exam Follow up Physician Visit / Physical Therapy Medical Appliances Prosthetic (one / two or more) Rehabilitation Unit

$800 / $160 $2,500 / $500

$800 / $160 $2,500 / $500

$160 $40 / $30 $140 $500 / $1,00 $80 $280 $100 - $1,000 $500 - $8,000 $140 / $10,000 $80 - $200 $200

Common Injuries Blood, Plasma, Platelets Adnominal / Thoracic Surgery Burns

Concussion / Coma Dental Emergency Eye Surgery

Dislocations Surgical reduction type: (Hip/Knee/Ankle/Foot/Collarbone/Lower Jaw/Shoulder/Elbow/Wrist/Hand/Toe/Finger)

$80 - $3,200

Fractures Surgical reduction type:

(Skull/Hip/Vertebrae/Pelvis/Leg/Face/Upper Jaw/ Arm/Shoulder blade/Collarbone/Vertebral process/ Hand/Wrist/Kneecap/Foot/Ankle/Rib/Coccyx/Finger/Toe) Lacerations No stitches, staples or glue / Not more than 5cm Greater than 5cm but not more than 15 cm / 15cm +

$80 - $4,000

$30 / $50 $200 / $400

Paralysis

$400 - $10,000

Tendons / Ligaments / Rotator / Knee Cartilage

Exploratory / Surgery to repair one / more than one

$140 / $400 / $800

Organized Sporting Activity Injury Family Child Daycare (Per day, 30 day max) Family Lodging (per day) Transportation(special treatment, 100+ miles away)

$28 $140 $400

Bi-Weekly Cost for Coverage

$1.98

$4.56

Employee Only

$2.66

$6.54

Employee + Spouse

$2.33

$6.54

Employee + Child(ren)

$3.01

$8.51

Employee + Family

Benefits under the Accident coverage are only payable if it is a result of an accident .

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