SUPPLEMENTAL BENEFITS
Group Accident Insurance - Continued
Dislocation
Non-Surgical
Surgical
Hip
$3,000
$6,000
Knee (except patella)
$1,500
$3,000
Ankle, bone or bones of the foot (other than toes)
$1,200
$2,400
Collarbone (sternoclavicular)
$800
$1,600
Collarbone (acromioclavicular or separation)
$200
$400
Lower jaw
$720
$1,440
Shoulder (glenohumeral)
$1,200
$2,400
Elbow
$450
$900
Wrist
$600
$1,200
Bone(s) of the hand (other than fingers)
$810
$1,620
Finger, toe
$200
$400
Incomplete dislocation or dislocation reductions without anesthesia
25% of the applicable non-surgical amount
Fracture
Non-Surgical
Surgical
Skull, depressed fracture (except face/nose)
$3,750
$7,500
Skull, simple non-depressed facture (except face/nose)
$1,800
$3,600
Hip, thigh (femur)
$3,150
$6,300
Body of vertebrae (excluding vertebral processes)
$2,700
$5,400
Pelvis
$2,400
$4,800
Leg (tibia and/or fibula)
$1,800
$3,600
Bones of the face or nose (except mandible or maxilla)
$910
$1,820
Upper jaw, maxilla, upper arm between elbow and shoulder
$1,050
$2,100
Lower jaw, mandible
$1,200
$2,400
Kneecap, ankle, foot
$1,200
$2,400
Shoulder blade, collarbone
$1,200
$2,400
Vertebral processes
$630
$1,260
Forearm, hand, wrist
$1,200
$2,400
Rib
$375
$750
Coccyx
$320
$640
Finger, toe
$200
$400
Chip fracture
25% of the applicable non-surgical amount
CONMB Employee Benefit Guide 2025
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