Page 14 - Guide
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2017 BENEFITS ENROLLMENT



Accident Insurance



All full-time employees working 20 hours or more per week are eligible to
purchase accident insurance through Humana. Humana pays cash beneits

directly to you for accidental injuries. This means you will have added
inancial resources to help with expenses incurred due to an injury, to help
with ongoing living expenses, or to help with any purpose you choose.


Many employees ind the accident plan to be of value when considering
higher deductibles and medical out-of-pocket maximums.


Beneits are paid for accident-related expenses such as:


ƒ Emergency or physician treatment
ƒ Ambulance rides

ƒ Hospital coninement

ƒ Dislocations and fractures

Refer to the policy for complete deinitions, details, limitations, and
exclusions. A copy can be found by logging on to fkgoil.choosemylo.com.


Policy Reimbursement Schedule Summary

Medical Expense for Accident Up to $1,000
Ambulance
ƒ Ground Up to $150
ƒ Air Up to $300
Fracture or Dislocation* Up to $1,500

* Varies based on injury


Your weekly rates will be paid for on a pre-tax basis. Weekly rates are
shown in the following table.

Weekly Rate for Ages 18 to 70
Employee $4 .56
Employee + Spouse $6 .86
Employee + Child(ren) $7 .99
Family $10 .54












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