Page 20 - Guide
P. 20
2017 Benefits Enrollment
Accident Insurance
Accident Insurance by Cigna pays beneits directly to you for accidents
which occur outside of work. The plan provides a lump sum beneit
based on the type of injury (or covered incident) you sustain or the type
of treatment you need. Examples of covered accidents include broken
bones, eye injuries, cuts repaired by stitches, burns, and some emergency
room treatments. Each year during open enrollment, you may elect
coverage for yourself and family on the Cigna Beneits Technology
Solutions online enrollment platform without any medical questions.
Employees must be actively at work to elect this beneit.
Plan Summary
Initial and Emergency Care
Emergency care treatment $200
Physician ofice visit $100
Diagnostic exam $25
Ground/air ambulance $200/$600
Hospitalization
Hospital admission beneit $1,000
Hospital daily beneit $200 per day (up to 365 days per accident)
ICU daily beneit $400 per day (up to 365 days per accident)
Schedule of Fractures
Skull $2,000
Hip or thigh $2,000
Vertebrae or pelvis $1,500
Upper arm $1,000
Shoulder or collarbone $1,000
Leg $1,000
Ankle $800
Kneecap $800
Lower arm $800
Foot $800
Hand or wrist $800
Upper jaw $600
Lower jaw $600
Bones of the face or nose $600
Vertebral processes $600
Rib $200
Coccyx $200
Finger or toe $100
Sternum $100
Heel $100
Chip fracture 25% of closed fracture beneit
Open reduction (requires surgery) 2x non-surgical beneit (above)
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Accident Insurance
Accident Insurance by Cigna pays beneits directly to you for accidents
which occur outside of work. The plan provides a lump sum beneit
based on the type of injury (or covered incident) you sustain or the type
of treatment you need. Examples of covered accidents include broken
bones, eye injuries, cuts repaired by stitches, burns, and some emergency
room treatments. Each year during open enrollment, you may elect
coverage for yourself and family on the Cigna Beneits Technology
Solutions online enrollment platform without any medical questions.
Employees must be actively at work to elect this beneit.
Plan Summary
Initial and Emergency Care
Emergency care treatment $200
Physician ofice visit $100
Diagnostic exam $25
Ground/air ambulance $200/$600
Hospitalization
Hospital admission beneit $1,000
Hospital daily beneit $200 per day (up to 365 days per accident)
ICU daily beneit $400 per day (up to 365 days per accident)
Schedule of Fractures
Skull $2,000
Hip or thigh $2,000
Vertebrae or pelvis $1,500
Upper arm $1,000
Shoulder or collarbone $1,000
Leg $1,000
Ankle $800
Kneecap $800
Lower arm $800
Foot $800
Hand or wrist $800
Upper jaw $600
Lower jaw $600
Bones of the face or nose $600
Vertebral processes $600
Rib $200
Coccyx $200
Finger or toe $100
Sternum $100
Heel $100
Chip fracture 25% of closed fracture beneit
Open reduction (requires surgery) 2x non-surgical beneit (above)
20
