Page 14 - 2020 Thompson Coburn Benefits Guide

VOYA VOLUNTARY INSURANCE

Voya Accident Plan Accident Beneits Beneit Amount

Injuries occurring off the job can Emergency room $225
$225
Urgent care
be protected with Voya Accident Primary care physician $90
Insurance. This plan is designed Hospital admission $1,250
to pay cash directly to you, the Hospital coninement $375 per day
employee. This additional cash ICU coninement $600 per day
$1,764
Average non-surgical fracture beneit
support can be used at your Average non-surgical dislocation beneit $1,477
discretion and may help pay any Concussion $225
out-of-pocket expenses related to Burns $15,000
the injury. Lodging $180 per day
Transportation
$750 per trip
„ Covers accidents that occur Cut Fingers
off the job. Urgent care $225
$240
Stitches (3 inches)
„ Beneits are paid for Total Beneit $465
emergency room, doctors Broken Leg
ofice visits, diagnostic Emergency room $225
$45
imaging or scans, dislocations, X-Ray $2,500
Broken leg, close reduction (no surgery)
fractures, burns, cuts, Crutches $120
and more. Physical therapy (6 sessions) $270
„ $50 wellness beneit for Total Beneit $3,160
covered employees and Car Accident
spouses, $25 wellness beneit Ground ambulance $360
Emergency room
$225
for covered children. This Major diagnostic exam $240
beneit is payable once per Broken forearm, open reduction (surgery) $3,600
covered individual per year Broken ribs, closed reduction (no surgery) $400
$225
Concussion
upon the completion of any Hospital admission $1,250
health screening test. 3-Days in hospital $1,125
Medical equipment $120
Physical therapy (6 sessions) $270
Total Beneit $7,815

Accident Plan Premiums

Coverage Tier Per Pay Period Monthly Rate
Employee $5.89 $11.77
Employee + spouse $10.06 $20.11
Employee + child(ren) $11.70 $23.39
Family $15.87 $31.73

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