Page 12 - 2016 Enrollment
P. 12
12
Plan Highlights
Beneits are paid for accidents
which occur on or off the job
Aflac Accident Insurance
Beneits are payable regardless of
any other insurance programs Individual accident insurance is a way to stay ahead of the medical and
out-of-pocket expenses which add up quickly after an accidental injury—
Coverage is guaranteed-issue
not just for emergency treatment, hospital stays and medical exams, but
Inpatient and outpatient for other expenses you may face, such as transportation and lodging
treatment of covered accidents needs.
included
Beneits are available for spouse When you have an accident, Alac sends a cash beneit directly to you and
and/or dependent children you decide the best way to spend your beneit. It’s as simple as that.
There’s no limit on the number of
claims an insured can ile The chart highlights just some of the cash payments available to you in
this program:
Premiums are paid by convenient
payroll deduction Accident Insurance—Monthly Rates
Employee $11.40
Employee and spouse $18.26
Employee and dependent children $22.94
Family $29.80
Voluntary Accident Beneit Summary
Emergency Treatment/Medical Services
Emergency room $200 ($100 for observation only)
Urgent care $125 ($75 for child)
Ambulance (ground/air) $200/$1,000
Primary care physician $125 ($75 for child)
Diagnostic exams/medical imaging $200
Hospital beneits
Hospital admission beneit $1,000
Hospital daily beneit $200 (up to 365 days per accident)
Quantity of days payable 365 days per accident
ICU daily beneit $400 (up to 30 days per accident)
Accidental Death
Employee $50,000
Spouse $25,000
Each child $5,000
Shape Technologies Group
Plan Highlights
Beneits are paid for accidents
which occur on or off the job
Aflac Accident Insurance
Beneits are payable regardless of
any other insurance programs Individual accident insurance is a way to stay ahead of the medical and
out-of-pocket expenses which add up quickly after an accidental injury—
Coverage is guaranteed-issue
not just for emergency treatment, hospital stays and medical exams, but
Inpatient and outpatient for other expenses you may face, such as transportation and lodging
treatment of covered accidents needs.
included
Beneits are available for spouse When you have an accident, Alac sends a cash beneit directly to you and
and/or dependent children you decide the best way to spend your beneit. It’s as simple as that.
There’s no limit on the number of
claims an insured can ile The chart highlights just some of the cash payments available to you in
this program:
Premiums are paid by convenient
payroll deduction Accident Insurance—Monthly Rates
Employee $11.40
Employee and spouse $18.26
Employee and dependent children $22.94
Family $29.80
Voluntary Accident Beneit Summary
Emergency Treatment/Medical Services
Emergency room $200 ($100 for observation only)
Urgent care $125 ($75 for child)
Ambulance (ground/air) $200/$1,000
Primary care physician $125 ($75 for child)
Diagnostic exams/medical imaging $200
Hospital beneits
Hospital admission beneit $1,000
Hospital daily beneit $200 (up to 365 days per accident)
Quantity of days payable 365 days per accident
ICU daily beneit $400 (up to 30 days per accident)
Accidental Death
Employee $50,000
Spouse $25,000
Each child $5,000
Shape Technologies Group
