SECTION 4 - INSURANCE BENEFITS (Continued)
ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
Benefits
When is Your Accidental Death and Dismemberment Insurance Benefit Payable? Accidental Death and Dismemberment benefits are payable when you or your Covered Dependent suffers a loss solely as the result of accidental Injury that occurs while covered. The loss must occur within 365 days after the date of the accident. The benefit payable is called the Full Amount. It is shown in the Schedule of Benefits.
Loss Schedule:
Benefit Payable:
Life
Full Amount Full Amount Full Amount Full Amount Full Amount Full Amount Full Amount
Both Hands or Both Feet Sight of Both Eyes One Hand and One Foot
One Hand and Sight of One Eye One Foot and Sight of One Eye Speech and Hearing in Both Ears
One Hand or One Foot Sight of One Eye
One-half Full Amount One-half Full Amount One-half Full Amount One-quarter Full Amount
Speech or Hearing in Both Ears
Thumb and Index Finger of the Same Hand
Payment is made for loss due to each accident without regard to loss resulting from any prior accident. In no event may the total amount payable for all losses due to any one accident exceed the Full Amount. Loss of hands or feet means complete severance through or above the wrist or ankle joint. Loss of sight, speech or hearing must be total and irrecoverable. Loss of thumb and index finger means that all of the thumb and index finger are cut off at or above the joint closest to the wrist. This benefit is not payable if a benefit is payable for the loss of the same entire hand.
GLC-ADD-1
Accidental Death and Dismemberment Insurance
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