Page 25 - Dawson 2021 New Hire Guide
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2021 Benefits Guide
Accident Insurance Beneit Type 1 The Hartford Accident
Injuries occurring off the job can be protected Insurance Pays YOU
with The Hartford Accident Insurance. This plan is Injuries
designed to pay cash directly to you, the employee. This Fractures $400–$10,000
additional cash support can be used to help pay any Dislocations $300–$8,000
out-of-pocket expenses related to the injury. Payments Second and Third Degree up to $15,000
Burns
are made tax free, to be used at your direction. Concussions $200
Cuts/Lacerations up to $600
Coverage Tier Bi-Weekly Weekly Eye Injuries up to $600
Employee $5.58 $2.58 Medical Services and Treatment
Employee/Spouse $8.90 $4.11 Ambulance $400–$1,200
Employee/Child(ren) $9.65 $4.45 Emergency Care $100–$250
Family $15.07 $6.95 Physician Follow-Up $100
Therapy Services $50
(including physical therapy)
Medical Testing Beneit $300 ($75 for X-Ray)
Medical Appliances $150
Inpatient Surgery $200–$3,000
Hospital Coverage (Accident)
Admission $1,000 (non-ICU)–$2,000 (ICU)
per accident
Daily Coninement $300 a day (non-ICU)—up to
365 days
$600 a day (ICU)—up to
30 days
Inpatient Rehab $150 a day, up to 15 days
(paid per accident)
Other Beneits
Lodging—pays for lodging for $150
companion up to 30 nights
per calendar year
Health Screening Beneit $50 payable 1× per year
(Wellness)—beneit provided per insured
if the covered insured
takes one of the covered
screening/prevention tests
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Accident Insurance Beneit Type 1 The Hartford Accident
Injuries occurring off the job can be protected Insurance Pays YOU
with The Hartford Accident Insurance. This plan is Injuries
designed to pay cash directly to you, the employee. This Fractures $400–$10,000
additional cash support can be used to help pay any Dislocations $300–$8,000
out-of-pocket expenses related to the injury. Payments Second and Third Degree up to $15,000
Burns
are made tax free, to be used at your direction. Concussions $200
Cuts/Lacerations up to $600
Coverage Tier Bi-Weekly Weekly Eye Injuries up to $600
Employee $5.58 $2.58 Medical Services and Treatment
Employee/Spouse $8.90 $4.11 Ambulance $400–$1,200
Employee/Child(ren) $9.65 $4.45 Emergency Care $100–$250
Family $15.07 $6.95 Physician Follow-Up $100
Therapy Services $50
(including physical therapy)
Medical Testing Beneit $300 ($75 for X-Ray)
Medical Appliances $150
Inpatient Surgery $200–$3,000
Hospital Coverage (Accident)
Admission $1,000 (non-ICU)–$2,000 (ICU)
per accident
Daily Coninement $300 a day (non-ICU)—up to
365 days
$600 a day (ICU)—up to
30 days
Inpatient Rehab $150 a day, up to 15 days
(paid per accident)
Other Beneits
Lodging—pays for lodging for $150
companion up to 30 nights
per calendar year
Health Screening Beneit $50 payable 1× per year
(Wellness)—beneit provided per insured
if the covered insured
takes one of the covered
screening/prevention tests
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