Page 15 - Future Steps
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Accident Coverage 2017 Beneits Enrollment
Accident coverage is designed to help meet the out-of-pocket expenses and extra
bills which can follow an unexpected injury, whether minor or catastrophic. Beneits
through Cigna are paid for accidents which occur outside of work and payment
is sent directly to you based on the amount of coverage listed in the schedule of
beneits. The accident plan is guaranteed issue, so no health questions are required.
Summary of Benefits*
Ambulance (ground/air) $200/$600
Emergency Care Treatment $200
Physician Office Visit $100
Diagnostic Exam Up to $75
Follow-Up Physician Office Visit $100
Hospitalization Benefits
Hospital/ICU Admission $1,000
Hospital Confinement (per day benefit) $200
ICU Confinement (per day benefit) $400
Covered Injuries and Surgical Procedures
Burns Up to $900
Coma $10,000
Concussion $150
Surgery (open abdominal, thoracic) $1,500
Tendon, Ligament, and Rotator Cuff Up to $400
Dislocations (separated joint) Up to $2,000 for non-surgical, up to $4,000 for
surgical
Fracture (broken bone) Up to $2,000 for non-surgical, up to $4,000 for
surgical
Paralysis (paraplegia/quadriplegia) $3,000/$6,000
* This list is not all-inclusive
Accident Premiums (bi-weekly)
Employee $5.38
Employee and Spouse $9.18
Employee and Child(ren) $9.34
Family $12.60
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Accident coverage is designed to help meet the out-of-pocket expenses and extra
bills which can follow an unexpected injury, whether minor or catastrophic. Beneits
through Cigna are paid for accidents which occur outside of work and payment
is sent directly to you based on the amount of coverage listed in the schedule of
beneits. The accident plan is guaranteed issue, so no health questions are required.
Summary of Benefits*
Ambulance (ground/air) $200/$600
Emergency Care Treatment $200
Physician Office Visit $100
Diagnostic Exam Up to $75
Follow-Up Physician Office Visit $100
Hospitalization Benefits
Hospital/ICU Admission $1,000
Hospital Confinement (per day benefit) $200
ICU Confinement (per day benefit) $400
Covered Injuries and Surgical Procedures
Burns Up to $900
Coma $10,000
Concussion $150
Surgery (open abdominal, thoracic) $1,500
Tendon, Ligament, and Rotator Cuff Up to $400
Dislocations (separated joint) Up to $2,000 for non-surgical, up to $4,000 for
surgical
Fracture (broken bone) Up to $2,000 for non-surgical, up to $4,000 for
surgical
Paralysis (paraplegia/quadriplegia) $3,000/$6,000
* This list is not all-inclusive
Accident Premiums (bi-weekly)
Employee $5.38
Employee and Spouse $9.18
Employee and Child(ren) $9.34
Family $12.60
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