Page 14 - Enrollment Guide Core

Open 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.locktonmarketplace.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 + child(ren) $7.99
Family $10.54

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