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Voluntary Accident Coverage
Accident coverage is designed to help meet the out-of-pocket expenses and extra
bills which can follow an accidental injury, whether minor or catastrophic. Beneits
for accidents which occur off-the-job are paid directly to you by Alac, based on the
amount of coverage listed in the schedule of beneits.
Summary of Benefits*
Emergency Treatment (physician, specialist, or urgent care) $150
(includes spouse and child)
Emergency Room Treatment $150
Ambulance (ground/air) $200/$1,000
Medical Imaging Test (MRI, MR, CT, CAT, EEG) $150
Hospitalization Benefits
Hospital Admission $1,000
Hospital Confinement (per day benefit) $200
Hospital Intensive Care (per day benefit) $400
Covered Injuries and Surgical Procedures
Burns up to $20,000
Coma $5,000
Concussion $200
Tendon, Ligament, and Rotator Cuff up to $600
Dislocations (closed reduction amount shown below; open reduction paid at 2x below amount)
Hip/Thigh $3,000
Forearm, Hand, Wrist, Foot, Ankle, Kneecap $2,000
Upper Arm, Upper Jaw, Skull $1,400
Finger, Toe $240
Fracture (closed reduction amount shown below; open reduction paid at 2x below amount)
Hip $4,000
Wellness Benefit Foot, Ankle $2,000
This benefit pays $50 per Hand $2,000
calendar year per insured Finger, Toe, Rib/Coccyx $320
individual if a covered
health screening test is * This list is not all-inclusive.
performed, including blood
tests, chest x-rays, stress
tests, mammograms, and Monthly Contributions
colonoscopies. A full list of
covered tests will be provided Employee $11.82
in your certificate. Benefit Employee + Spouse $19.80
payable after coverage is in- Employee + Child(ren) $24.49
force 12 months.
Family $32.47
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Airport Terminal Services
Accident coverage is designed to help meet the out-of-pocket expenses and extra
bills which can follow an accidental injury, whether minor or catastrophic. Beneits
for accidents which occur off-the-job are paid directly to you by Alac, based on the
amount of coverage listed in the schedule of beneits.
Summary of Benefits*
Emergency Treatment (physician, specialist, or urgent care) $150
(includes spouse and child)
Emergency Room Treatment $150
Ambulance (ground/air) $200/$1,000
Medical Imaging Test (MRI, MR, CT, CAT, EEG) $150
Hospitalization Benefits
Hospital Admission $1,000
Hospital Confinement (per day benefit) $200
Hospital Intensive Care (per day benefit) $400
Covered Injuries and Surgical Procedures
Burns up to $20,000
Coma $5,000
Concussion $200
Tendon, Ligament, and Rotator Cuff up to $600
Dislocations (closed reduction amount shown below; open reduction paid at 2x below amount)
Hip/Thigh $3,000
Forearm, Hand, Wrist, Foot, Ankle, Kneecap $2,000
Upper Arm, Upper Jaw, Skull $1,400
Finger, Toe $240
Fracture (closed reduction amount shown below; open reduction paid at 2x below amount)
Hip $4,000
Wellness Benefit Foot, Ankle $2,000
This benefit pays $50 per Hand $2,000
calendar year per insured Finger, Toe, Rib/Coccyx $320
individual if a covered
health screening test is * This list is not all-inclusive.
performed, including blood
tests, chest x-rays, stress
tests, mammograms, and Monthly Contributions
colonoscopies. A full list of
covered tests will be provided Employee $11.82
in your certificate. Benefit Employee + Spouse $19.80
payable after coverage is in- Employee + Child(ren) $24.49
force 12 months.
Family $32.47
20
Airport Terminal Services
