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FOCUS ON BENEFITS 2020

Goodwill-Easter Seals Minnesota

ACCIDENT COVERAGE

This coverage is designed to help meet the out-of-pocket
expenses and extra bills which can follow an unexpected injury, If you have a claim to submit for any of the
whether minor or catastrophic. Benefits through Cigna are paid above plans, contact CIGNA to begin the
for accidents which occur outside of work and payment is sent process. Get started on cigna.com or by
directly to you based on the amount of coverage listed in the calling 800-754-3207.
schedule of benefits. The accident plan is guaranteed issue, so
no health questions are required.

SUBMITTING A CIGNA CLAIM
Features
When you submit a claim under any
Ambulance (ground/air) $200/$600 of the CIGNA policies, you will need

Emergency Care Treatment $200 to identify as an employee of
Goodwill-Easter Seals Minnesota.
Physician Office Visit $100
They service other Easter Seals
Diagnostic Exam Up to $75 clients, so you will need to mention

Follow-up Physician Visit $100 you are part of our organization.
Hospital/ICU Admission $1,000
Hospital Confinement per day $200 You can also provide the following

ICU Confinement per day $400 plan numbers:
Burns Up to $900
Coma $10,000
AI 960356 - Accident Plan
Concussion $150
CI 960367 - Critical Illness Plan
Surgery (open abdominal, thoracic) $1,500
HI 960062 - Hospital Indemnity Plan
Tendon, Ligament, and Rotator Cuff Up to $400

Dislocations and Fractures $2,000 non-surgical, $4,000 surgical
Paralysis (paraplegia/quadriplegia) $3,000/$6,000

Status Per Payroll Rates

Employee $5.38
Employee +Spouse $9.18
Employee +Child(ren) $9.34
Family $12.60

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