Page 15 - Patton19
P. 15
2019
Patton Logistics Benefits Enrollment
Accident Insurance
Injuries occurring off the job can be protected with Alac Accident
Insurance. This plan is designed to pay cash directly to you, the employee.
This additional cash support can be used to help pay any out-of-pocket
expenses related to the injury. Payments are made tax free, to be used at
your direction.
Coverage Tier Bi-Weekly Weekly
Employee $6.48 $3 .24
Employee/Spouse $10.88 $5 .44
Employee/Child(ren) $14 .90 $7 .45
Family $19 .31 $9 .65
Beneit Type 1 Alac Accident Insurance Beneit Type 1 Alac Accident Insurance
Pays YOU
Pays YOU
Injuries Hospital Coverage (Accident)
Fractures $320–$8,000 Admission $1,000
Dislocations $240–$6,000 Coninement $200 a day (non-ICU)–up to
Second and Third Degree up to $20,000 365 days
Burns $500 a day (ICU)–up to 30
Concussions $500 days
Cuts/Lacerations up to $800 Inpatient Rehab $100 a day, up to 31 days
Eye Injuries $250 (paid per accident)
Medical Services & Treatment Wellness Beneit
Ambulance $400–$1,200 Health Screening Beneit $50 payable 1x per calendar
(Wellness)
year
Emergency Care $200 beneit provided if the
Non-Emergency Care $100 covered insured takes one
Physician Follow-Up $50 of the covered screening/
Therapy Services (including $50 prevention tests
physical therapy)
Medical Testing Beneit $200
Medical Appliances up to $400
Inpatient Surgery $1,000
15
Patton Logistics Benefits Enrollment
Accident Insurance
Injuries occurring off the job can be protected with Alac Accident
Insurance. This plan is designed to pay cash directly to you, the employee.
This additional cash support can be used to help pay any out-of-pocket
expenses related to the injury. Payments are made tax free, to be used at
your direction.
Coverage Tier Bi-Weekly Weekly
Employee $6.48 $3 .24
Employee/Spouse $10.88 $5 .44
Employee/Child(ren) $14 .90 $7 .45
Family $19 .31 $9 .65
Beneit Type 1 Alac Accident Insurance Beneit Type 1 Alac Accident Insurance
Pays YOU
Pays YOU
Injuries Hospital Coverage (Accident)
Fractures $320–$8,000 Admission $1,000
Dislocations $240–$6,000 Coninement $200 a day (non-ICU)–up to
Second and Third Degree up to $20,000 365 days
Burns $500 a day (ICU)–up to 30
Concussions $500 days
Cuts/Lacerations up to $800 Inpatient Rehab $100 a day, up to 31 days
Eye Injuries $250 (paid per accident)
Medical Services & Treatment Wellness Beneit
Ambulance $400–$1,200 Health Screening Beneit $50 payable 1x per calendar
(Wellness)
year
Emergency Care $200 beneit provided if the
Non-Emergency Care $100 covered insured takes one
Physician Follow-Up $50 of the covered screening/
Therapy Services (including $50 prevention tests
physical therapy)
Medical Testing Beneit $200
Medical Appliances up to $400
Inpatient Surgery $1,000
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