Page 32 - Product Summary of Colonial Life_Neat

Group accident insurance benefits overview

This overview shows just a few of the benefits for accidental injuries available on all four plan levels: Economy, Basic, Preferred and
Premier. Actual benefit amounts vary based on the plan level selected.

Provides a benefit when a covered person is injured and treated by a doctor in a hospital emergency room,
Accident emergency treatment
urgent care facility or doctor's office.

Accident follow-up doctor visit Provides a benefit for a follow-up doctor's office visit.

Provides a benefit for accidental death or loss (or loss of use) of hand, arm, foot, leg, sight of an eye,
Accidental death & dismemberment
finger or toe.

Ambulance Provides a benefit for transportation in a ground or air ambulance.

Provides a benefit for devices used to help patients recover from an accident.
Appliance
Examples include neck brace, crutches, walking boot, cane, walker and wheelchair.
Provides a benefit for surgical or non-surgical correction (with anesthesia, for dislocations) by a doctor.
Dislocations and fractures
Incomplete dislocations and chip fractures are covered at 25% of the relevant amount.
Provides a benefit if an insured person is admitted to the hospital or hospital intensive care unit
Hospital admission
for a covered injury.
Provides a daily benefit for a stay in a hospital or hospital intensive care unit.
Hospital confinement
Observation room benefits are also available.

Laceration Pays a benefit for a variety of cuts that either do or do not require stitches.

Medical imaging study Provides a benefit for studies including CT, CAT Scan, EEG, MR and MRI.

Provides a benefit for surgeries, including (but not limited to) cranial, abdominal, hernia, exploratory and
Surgery
arthroscopic. Benefits are also available for repair of injuries such as torn ligaments and ruptured discs.
Therapy Provides a daily benefit for services prescribed by a doctor and rendered by a licensed occupational
(occupational and physical) or physical therapist.

X-rays Pays for an X-ray as inpatient or outpatient in a hospital, or in a doctor's office.

Employer optional benefits

Health screening Provides one benefit per covered person per calendar year for 24 different health screening tests.

Hospital confinement Provides a daily sickness hospital confinement benefit.
due to a covered sickness

Calendar year maximum and lifetime maximums may apply. Waiting periods may apply.

THIS POLICY AND CERTIFICATE PROVIDES LIMITED BENEFITS.
This information is not intended to be a complete description of the insurance coverage available. This coverage has exclusions and limitations that may affect
benefits payable. For cost and complete details, see your Colonial Life representative. Applicable to policy form GACC1.0-P and certificate form GACC1.0-C
(plus state abbreviations where applicable, such as policy form GACC1.0-P-EE-TX and certificate form GACC1.0-C-EE-TX). Coverage may vary by state and may
not be available in all states.

Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC
©2018 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a
registered trademark and marketing brand of Colonial Life & Accident Insurance Company. 4-18 | 101871