Page 15 - Guide
P. 15
2017 BENEFITS ENROLLMENT
Accident Insurance
You are eligible to purchase accident insurance through Humana.
Humana pays cash beneits directly to you for accidental injuries. This
means that 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:
Emergency or physician Hospital coninement
treatment Dislocations and fractures
Ambulance rides
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
Ground Up to $150
Air Up to $300
Fracture or dislocation* Up to $1,500
* Varies based on injury
Your monthly rates will be paid 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/children $7.99
Employee/family $10.54
MOTOMART 15
Accident Insurance
You are eligible to purchase accident insurance through Humana.
Humana pays cash beneits directly to you for accidental injuries. This
means that 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:
Emergency or physician Hospital coninement
treatment Dislocations and fractures
Ambulance rides
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
Ground Up to $150
Air Up to $300
Fracture or dislocation* Up to $1,500
* Varies based on injury
Your monthly rates will be paid 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/children $7.99
Employee/family $10.54
MOTOMART 15
