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Accident Insurance
Accidents can happen in an instant affecting you or a loved one. Accident
Insurance is designed to help families plan for the healthcare bumps ahead
and take some of the uncertainty and inancial insecurity out of getting
better. The tax-free beneit resulting from non-work-related injuries or
accidents covers more than 150 events.
You may elect coverage and pay premium with after tax contributions as
shown below. Please see the additional beneit summary in ADP/WFN.
Coverage Tier Bi-Weekly Weekly
Employee $7 .24 $3 .34
Employee/Spouse $13 .71 $6 .33
Employee/Child(ren) $15 .72 $7 .26
Family $19 .67 $9 .08
Benefit Type 1 MetLife Accident Insurance Benefit Type 1 MetLife Accident Insurance
Pays YOU
Pays YOU
Injuries Hospital Coverage (Accident)
Fractures $400–$10,000 Admission $1,000 (non-ICU)–$2,000
Dislocations $350–$8,000 (ICU) per accident
Second and Third Degree $100–$10,000 Confinement $200 a day (non-ICU)–up
Burns to 365 days
$400 a day (ICU)–up to 30
Concussions $450 days
Cuts/Lacerations $50–$400 Inpatient Rehab $200 a day, up to 15 days
Eye Injuries $420 (paid per accident)
Medical Services & Treatment Other Benefits
Ambulance $600-$2,500 Lodging—Pays for $225 per night, up to 31
lodging for companion up nights; up to $6,975 in total
Emergency Care $120–$250 to 31 nights per calendar lodging benefits available
Non-Emergency Care $50 year per calendar year
$50 payable 1x per
Physician Follow-Up $120 Health Screening Benefit calendar year
(Wellness)
Therapy Services $25–$75 benefit provided if the
(including physical covered insured takes one
therapy) of the covered screening/
Medical Testing Benefit $500 prevention tests
Medical Appliances $100–$1,000
Inpatient Surgery $200–$2,500
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Accidents can happen in an instant affecting you or a loved one. Accident
Insurance is designed to help families plan for the healthcare bumps ahead
and take some of the uncertainty and inancial insecurity out of getting
better. The tax-free beneit resulting from non-work-related injuries or
accidents covers more than 150 events.
You may elect coverage and pay premium with after tax contributions as
shown below. Please see the additional beneit summary in ADP/WFN.
Coverage Tier Bi-Weekly Weekly
Employee $7 .24 $3 .34
Employee/Spouse $13 .71 $6 .33
Employee/Child(ren) $15 .72 $7 .26
Family $19 .67 $9 .08
Benefit Type 1 MetLife Accident Insurance Benefit Type 1 MetLife Accident Insurance
Pays YOU
Pays YOU
Injuries Hospital Coverage (Accident)
Fractures $400–$10,000 Admission $1,000 (non-ICU)–$2,000
Dislocations $350–$8,000 (ICU) per accident
Second and Third Degree $100–$10,000 Confinement $200 a day (non-ICU)–up
Burns to 365 days
$400 a day (ICU)–up to 30
Concussions $450 days
Cuts/Lacerations $50–$400 Inpatient Rehab $200 a day, up to 15 days
Eye Injuries $420 (paid per accident)
Medical Services & Treatment Other Benefits
Ambulance $600-$2,500 Lodging—Pays for $225 per night, up to 31
lodging for companion up nights; up to $6,975 in total
Emergency Care $120–$250 to 31 nights per calendar lodging benefits available
Non-Emergency Care $50 year per calendar year
$50 payable 1x per
Physician Follow-Up $120 Health Screening Benefit calendar year
(Wellness)
Therapy Services $25–$75 benefit provided if the
(including physical covered insured takes one
therapy) of the covered screening/
Medical Testing Benefit $500 prevention tests
Medical Appliances $100–$1,000
Inpatient Surgery $200–$2,500
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