Page 14 - Thompson Coburn 2021 Annual Benefits Enrollment
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VOYA VOLUNTARY INSURANCE
Voya Accident Plan Accident Beneits Beneit Amount
Injuries occurring off the job can be protected with Emergency room $225
$225
Urgent care
Voya accident insurance. This plan is designed to pay Primary care physician $90
cash directly to you, the employee. This additional Hospital admission $1,250
cash support can be used at your discretion and may Hospital coninement $375 per day
help pay any out-of-pocket expenses related to the ICU coninement $600 per day
$1,764
Average non-surgical fracture beneit
injury. Average non-surgical dislocation beneit $1,477
Concussion $225
Covers accidents that occur off the job. Burns $15,000
Beneits are paid for emergency room, doctors Lodging $180 per day
$750 per trip
Transportation
ofice visits, diagnostic imaging or scans, Cut Fingers
dislocations, fractures, burns, cuts, and more. Urgent care $225
$50 wellness beneit for covered employees Stitches (3 inches) $240
and spouses, $25 wellness beneit for covered Total Beneit $465
children. This beneit is payable once per covered Broken Leg
individual per year upon the completion of any Emergency room $225
X-Ray
$45
health screening test. Broken leg, close reduction (no surgery) $2,500
Crutches $120
Accident Plan Premiums Physical therapy (6 sessions) $270
Coverage Tier Per Pay Period Monthly Rate Total Beneit $3,160
Car Accident
Employee $5.89 $11.77 Ground ambulance $360
Employee + spouse $10.06 $20.11 Emergency room $225
Employee + child(ren) $11.70 $23.39 Major diagnostic exam $240
Family $15.87 $31.73 Broken forearm, open reduction $3,600
(surgery)
Note: Spouse coverage—if you have coverage on yourself, you may Broken ribs, closed reduction (no $400
surgery)
enroll your spouse, as long as your spouse is under age 70 and is not
covered under your employer’s plan as an employee. Concussion $225
Hospital admission $1,250
3 days in hospital $1,125
Medical equipment $120
Physical therapy (6 sessions) $270
Total Beneit $7,815
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Voya Accident Plan Accident Beneits Beneit Amount
Injuries occurring off the job can be protected with Emergency room $225
$225
Urgent care
Voya accident insurance. This plan is designed to pay Primary care physician $90
cash directly to you, the employee. This additional Hospital admission $1,250
cash support can be used at your discretion and may Hospital coninement $375 per day
help pay any out-of-pocket expenses related to the ICU coninement $600 per day
$1,764
Average non-surgical fracture beneit
injury. Average non-surgical dislocation beneit $1,477
Concussion $225
Covers accidents that occur off the job. Burns $15,000
Beneits are paid for emergency room, doctors Lodging $180 per day
$750 per trip
Transportation
ofice visits, diagnostic imaging or scans, Cut Fingers
dislocations, fractures, burns, cuts, and more. Urgent care $225
$50 wellness beneit for covered employees Stitches (3 inches) $240
and spouses, $25 wellness beneit for covered Total Beneit $465
children. This beneit is payable once per covered Broken Leg
individual per year upon the completion of any Emergency room $225
X-Ray
$45
health screening test. Broken leg, close reduction (no surgery) $2,500
Crutches $120
Accident Plan Premiums Physical therapy (6 sessions) $270
Coverage Tier Per Pay Period Monthly Rate Total Beneit $3,160
Car Accident
Employee $5.89 $11.77 Ground ambulance $360
Employee + spouse $10.06 $20.11 Emergency room $225
Employee + child(ren) $11.70 $23.39 Major diagnostic exam $240
Family $15.87 $31.73 Broken forearm, open reduction $3,600
(surgery)
Note: Spouse coverage—if you have coverage on yourself, you may Broken ribs, closed reduction (no $400
surgery)
enroll your spouse, as long as your spouse is under age 70 and is not
covered under your employer’s plan as an employee. Concussion $225
Hospital admission $1,250
3 days in hospital $1,125
Medical equipment $120
Physical therapy (6 sessions) $270
Total Beneit $7,815
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