Page 15 - Sonsio 2021 Annual Benefits Enrollment
P. 15
2021
Dealer Tire Benefits Enrollment
Additional Voluntary Coverage
Regular expenses, big and small, can add up. Think about your ability to pay for those expenses if you or your
family member experienced a covered accident or are diagnosed with an unexpected illness. MetLife’s Accident
and Critical Illness coverage can supplement your health plan and provide you and your family with the
additional inancial protection you may need. These plans pay beneits directly to you and you decide how to use
the beneit.
Accident Coverage
Accidents can happen in an instant. When they do, medical bills can pile up quickly. Our accident insurance pays
you a tax-free beneit after a covered accident so you can focus on what’s truly important—getting better. More
than 150 events resulting from non-work-related injuries or accidents are covered by this plan.
Coverage Level Low Plan High Plan
Category Associate Spouse Child Associate Spouse Child
Basic Accidental Death $25,000 $12,500 $5,000 $50,000 $25,000 $10,000
Accidental Death Common Carrier $75,000 $37,500 $15,000 $150,000 $75,000 $30,000
Basic Dismemberment/Functional $750–$10,000 $750–$10,000 $750–$10,000 $1,000– $1,000– $1,000–
Loss Beneit $15,000 $15,000 $15,000
Catastrophic Dismemberment/ $20,000 $20,000 $20,000 $40,000 $40,000 $40,000
Functional Loss Beneit
Paralysis Beneit $10,000– $10,000– $10,000– $20,000– $20,000– $20,000–
$20,000 $20,000 $20,000 $40,000 $40,000 $40,000
Fracture Beneit (closed) $100–$4,000 $100–$4,000 $100–$4,000 $200–$5,000 $200–$5,000 $200–$5,000
Fracture Beneit (open) $200–$8,000 $200–$8,000 $200–$8,000 $400–$10,000 $400–$10,000 $400–$10,000
Dislocation Beneit (closed) $100–$4,000 $100–$4,000 $100–$4,000 $200–$5,000 $200–$5,000 $200–$5,000
Dislocation Beneit (open) $200–$8,000 $200–$8,000 $200–$8,000 $400–$10,000 $400–$10,000 $400–$10,000
Burn Beneit $75–$10,000 $75–$10,000 $75–$10,000 $100–$15,000 $100–$15,000 $100–$15,000
Concussion $250 $250 $250 $500 $500 $0
Coma $7,500 $7,500 $7,500 $10,000 $10,000 $10,000
Laceration $50 $400 $50 $400 $50 $400 $75 $700 $75 $700 $75 $700
Broken Tooth $25 $200 $25 $200 $25 $200 $50 $300 $50 $300 $50 $300
Eye Injury $300 $300 $300 $400 $400 $400
Ground/Air Ambulance $300–$1,000 $300–$1,000 $300–$1,000 $400–$1,250 $400–$1,250 $400–$1,250
Surgery $150–$1,500 $150–$1,500 $150–$1,500 $200–$2,000 $200–$2,000 $200–$2,000
Health Screening Beneit $50 $50 $50 $50 $50 $50
Bi-Weekly Rates
Low Plan High Plan
Associate $3 .25 $4 .65
Associate + Spouse $6 .42 $9 .15
Associate + Child(ren) $7 .47 $10 .60
Family $9 .13 $12 .96
15
Dealer Tire Benefits Enrollment
Additional Voluntary Coverage
Regular expenses, big and small, can add up. Think about your ability to pay for those expenses if you or your
family member experienced a covered accident or are diagnosed with an unexpected illness. MetLife’s Accident
and Critical Illness coverage can supplement your health plan and provide you and your family with the
additional inancial protection you may need. These plans pay beneits directly to you and you decide how to use
the beneit.
Accident Coverage
Accidents can happen in an instant. When they do, medical bills can pile up quickly. Our accident insurance pays
you a tax-free beneit after a covered accident so you can focus on what’s truly important—getting better. More
than 150 events resulting from non-work-related injuries or accidents are covered by this plan.
Coverage Level Low Plan High Plan
Category Associate Spouse Child Associate Spouse Child
Basic Accidental Death $25,000 $12,500 $5,000 $50,000 $25,000 $10,000
Accidental Death Common Carrier $75,000 $37,500 $15,000 $150,000 $75,000 $30,000
Basic Dismemberment/Functional $750–$10,000 $750–$10,000 $750–$10,000 $1,000– $1,000– $1,000–
Loss Beneit $15,000 $15,000 $15,000
Catastrophic Dismemberment/ $20,000 $20,000 $20,000 $40,000 $40,000 $40,000
Functional Loss Beneit
Paralysis Beneit $10,000– $10,000– $10,000– $20,000– $20,000– $20,000–
$20,000 $20,000 $20,000 $40,000 $40,000 $40,000
Fracture Beneit (closed) $100–$4,000 $100–$4,000 $100–$4,000 $200–$5,000 $200–$5,000 $200–$5,000
Fracture Beneit (open) $200–$8,000 $200–$8,000 $200–$8,000 $400–$10,000 $400–$10,000 $400–$10,000
Dislocation Beneit (closed) $100–$4,000 $100–$4,000 $100–$4,000 $200–$5,000 $200–$5,000 $200–$5,000
Dislocation Beneit (open) $200–$8,000 $200–$8,000 $200–$8,000 $400–$10,000 $400–$10,000 $400–$10,000
Burn Beneit $75–$10,000 $75–$10,000 $75–$10,000 $100–$15,000 $100–$15,000 $100–$15,000
Concussion $250 $250 $250 $500 $500 $0
Coma $7,500 $7,500 $7,500 $10,000 $10,000 $10,000
Laceration $50 $400 $50 $400 $50 $400 $75 $700 $75 $700 $75 $700
Broken Tooth $25 $200 $25 $200 $25 $200 $50 $300 $50 $300 $50 $300
Eye Injury $300 $300 $300 $400 $400 $400
Ground/Air Ambulance $300–$1,000 $300–$1,000 $300–$1,000 $400–$1,250 $400–$1,250 $400–$1,250
Surgery $150–$1,500 $150–$1,500 $150–$1,500 $200–$2,000 $200–$2,000 $200–$2,000
Health Screening Beneit $50 $50 $50 $50 $50 $50
Bi-Weekly Rates
Low Plan High Plan
Associate $3 .25 $4 .65
Associate + Spouse $6 .42 $9 .15
Associate + Child(ren) $7 .47 $10 .60
Family $9 .13 $12 .96
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