Page 15 - Hussmann- Bridgeton OE Guide 2015 Plan Year
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Hussmann Corporation
Supplemental Accidental Death &
Dismemberment Insurance Supplemental
You may purchase Supplemental AD&D Insurance from one to eight Coverages
times your base pay (rounded to the nearest $1,000), up to $1,000,000.
Rates are based on the amount of insurance you purchase.
What is Accident Insurance?
Accident insurance can help you pay expenses if you or your eligible
dependent is seriously injured or killed in a covered accident.
A covered accident is a sudden, unforeseeable, external event, resulting
directly and independently of all other causes, in a covered injury or
covered loss that occurs while coverage is in force. To help survivors of
severe accidents adjust to new living circumstances, we will pay beneits
according to the chart below.
If, Within 365 Days of a Covered Accident, We Will Pay This % of the
Bodily Injuries Result in: Beneit Amount
Loss of life, or 100%
Total paralysis of upper and lower limbs, or
Loss of any combination of two: hands, feet, or
eyesight, or
Loss of speech and hearing in both ears
Total paralysis of both lower or upper limbs, or 75%
Loss of one arm or one leg
Total paralysis of upper and lower limbs on one 50%
side of the body, or
Loss of hand, foot, or sight in one eyes, or
Loss of speech, or
Loss of hearing in both ears, or
Severance and reattachment of one hand or
foot
Total paralysis of one upper or lower limb, or 25%
Loss of all four ingers of the same hand, or
Loss of thumb and index inger of the same
hand
Loss of all toes of the same foot 20%
Coma 1%
If the same accident causes more than one of these losses, we will pay only one amount,
but it will be the largest amount which applies.
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Supplemental Accidental Death &
Dismemberment Insurance Supplemental
You may purchase Supplemental AD&D Insurance from one to eight Coverages
times your base pay (rounded to the nearest $1,000), up to $1,000,000.
Rates are based on the amount of insurance you purchase.
What is Accident Insurance?
Accident insurance can help you pay expenses if you or your eligible
dependent is seriously injured or killed in a covered accident.
A covered accident is a sudden, unforeseeable, external event, resulting
directly and independently of all other causes, in a covered injury or
covered loss that occurs while coverage is in force. To help survivors of
severe accidents adjust to new living circumstances, we will pay beneits
according to the chart below.
If, Within 365 Days of a Covered Accident, We Will Pay This % of the
Bodily Injuries Result in: Beneit Amount
Loss of life, or 100%
Total paralysis of upper and lower limbs, or
Loss of any combination of two: hands, feet, or
eyesight, or
Loss of speech and hearing in both ears
Total paralysis of both lower or upper limbs, or 75%
Loss of one arm or one leg
Total paralysis of upper and lower limbs on one 50%
side of the body, or
Loss of hand, foot, or sight in one eyes, or
Loss of speech, or
Loss of hearing in both ears, or
Severance and reattachment of one hand or
foot
Total paralysis of one upper or lower limb, or 25%
Loss of all four ingers of the same hand, or
Loss of thumb and index inger of the same
hand
Loss of all toes of the same foot 20%
Coma 1%
If the same accident causes more than one of these losses, we will pay only one amount,
but it will be the largest amount which applies.
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