Page 17 - 2016 New Hire Guide (Non-PA)
P. 17
Ainsworth Pet Nutrition
Accident Insurance
Accident insurance by Unum pays beneits directly to you for Weekly Accident Premium
accidents which occur outside of work. The plan provides a lump With Without
sum beneit based on the type of injury (or covered incident) you Coverage Sickness Sickness
sustain or the type of treatment you need. Examples of covered Tier Hospital Hospital
Beneit
Beneit
accidents include broken bones, eye injuries, cuts repaired by stitches, Employee $5.22 $4.19
burns, and some emergency room treatments. Each year during open Employee + $8.86 $6.80
enrollment, you can elect coverage for yourself and family without spouse
any medical questions. Employee + $9.70 $7.56
child(ren)
Family $13.34 $10.17
Beneit Coverage
Ambulance (ground/air) $400/$1,500
Medical imaging test (MRI, MR, CT, CAT, $200
EEG)
Emergency room treatment $150
Emergency treatment in physician ofice or $75
urgent care facility
Covered Injuries and Surgical Procedures
Burns Up to $10, 500
Coma $10,000
Concussion $150
Surgery (open abdominal or thoracic/ $1,500/$150/$150
exploratory without repair/hernia repair)
Tendon, ligament and rotator cuff (one/ $800/$1,200/$150
two or more/exploratory)
Dislocations (separated joint) Up to $3,000 for closed reduction
Up to $6,000 for open reduction
Fracture (broken bone) Up to $3,750 for closed reduction
Up to $7,500 for open reduction
During the online enrollment, you will have the option to elect the below
sickness hospital beneit which pays a daily beneit, directly to you, if you’re
hospitalized for a sickness instead of an accident which would be covered in
the above beneit summary.
Sickness hospital coninement beneit $300 per day, to a maximum
of 30 days, for employees and
spouse, and $225 per day for
children
Pre-existing condition period for sickness 3/12 Limit (3 month look-back,
hospital coninement beneit 12 months treatment-free)
Hospitalization Beneits Hospital ICU
Admission $1,000 $1,500
Coninement (per day beneit) $200 (up $400 (up to 15
to 365 days days per covered
per covered accident)
accident)
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Accident Insurance
Accident insurance by Unum pays beneits directly to you for Weekly Accident Premium
accidents which occur outside of work. The plan provides a lump With Without
sum beneit based on the type of injury (or covered incident) you Coverage Sickness Sickness
sustain or the type of treatment you need. Examples of covered Tier Hospital Hospital
Beneit
Beneit
accidents include broken bones, eye injuries, cuts repaired by stitches, Employee $5.22 $4.19
burns, and some emergency room treatments. Each year during open Employee + $8.86 $6.80
enrollment, you can elect coverage for yourself and family without spouse
any medical questions. Employee + $9.70 $7.56
child(ren)
Family $13.34 $10.17
Beneit Coverage
Ambulance (ground/air) $400/$1,500
Medical imaging test (MRI, MR, CT, CAT, $200
EEG)
Emergency room treatment $150
Emergency treatment in physician ofice or $75
urgent care facility
Covered Injuries and Surgical Procedures
Burns Up to $10, 500
Coma $10,000
Concussion $150
Surgery (open abdominal or thoracic/ $1,500/$150/$150
exploratory without repair/hernia repair)
Tendon, ligament and rotator cuff (one/ $800/$1,200/$150
two or more/exploratory)
Dislocations (separated joint) Up to $3,000 for closed reduction
Up to $6,000 for open reduction
Fracture (broken bone) Up to $3,750 for closed reduction
Up to $7,500 for open reduction
During the online enrollment, you will have the option to elect the below
sickness hospital beneit which pays a daily beneit, directly to you, if you’re
hospitalized for a sickness instead of an accident which would be covered in
the above beneit summary.
Sickness hospital coninement beneit $300 per day, to a maximum
of 30 days, for employees and
spouse, and $225 per day for
children
Pre-existing condition period for sickness 3/12 Limit (3 month look-back,
hospital coninement beneit 12 months treatment-free)
Hospitalization Beneits Hospital ICU
Admission $1,000 $1,500
Coninement (per day beneit) $200 (up $400 (up to 15
to 365 days days per covered
per covered accident)
accident)
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