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Refer to your full plan summary for details on covered services.Accident InsuranceAccident Insurance is here to help cover costs from accident-related injuries, including medical expenses,lost income, child care, and deductibles. Coverage is available for you, your spouse, and children, providingfinancial support for the entire family in the event of an accident.DislocationsFracturesDental RepairBurnsLacerationsAccidental Death & DismembermentDiagnostics & Hospital StaysQualified SurgeriesAdditional Injuries Such as EyesThis plan pays cash benefits directly to you.Covered BenefitsAccident InsuranceEmployee $8.91 $4.11Employee + Spouse $14.92 $6.89Employee + Child(ren) $15.74 $7.26Family $21.75 $10.04Monthly Accident Insurance CostRefer to your plan summary for a full list of scheduled benefits.Provides a $50 per year benefit for completing certain routine wellness screenings or procedures (refer to PlanHighlights section for example procedures).28Visit guardianlife.com/us or call (800) 627-4200Filing a ClaimContact Guardian to file a accident claim. You and your doctor will be required tocomplete a claim form to provide information about your condition and expectedrecovery.Bi-Weekly Accident Insurance CostEmployee: $20,000Employee + Spouse/Domestic Partner: $10,000Child(ren): $5,000Benefit MaximumsPlease submit your enrollment using the link and QR code.https://form.jotform.com/250215172662147Questions on how to Enroll?contact Service@thecacompanies.com for assistance.