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[Class Employees at Sample Company]:
Accident insurance with affordable group rates
Protect yourself.
And your loved ones.
[Option 1] Accidents happen, no matter how careful we try to be. And while you
can’t always prevent them, you can protect yourself and your loved ones.
The Lincoln Accident Here’s how this important coverage works.
Insurance [Choice Plan]:
If you or a loved one is injured in a covered accident, you receive a cash benefit
in addition to any other insurance you may have. For example, if one of you were
• Provides cash benefits if you to suffer a broken leg, you could receive:
or a covered family member is • [$150] for an ambulance
accidentally injured [while off • [$150] for a trip to the ER
• [$100] for a major diagnostic exam
the job] • [$1,000] for a surgical fracture
• [$1,000] for hospital admission
• Features group rates for • [$600] for a hospital stay ([$200] per day)
[Sample employees] • [$25] for crutches
• [$300] for follow-up doctor and physical therapy visits ([$50] per visit)
• Includes valuable support Total: [$3,325] for a single accident!
services, which give you As you can see, your cash benefits really add up. And you can use the money to
help cover your medical costs or however you like.
and your family confidential
A complete Summary of Benefits is included on the next few pages.
access to counselors as well as
personal, legal, and financial Here’s how little you pay with group rates.
assistance As a [Sample employee], you can take advantage of this accident insurance plan for
less than [0¢] a day. Plus, you can add loved ones to the plan for just a little more.
• Also includes travel assistance [Monthly [Biweekly [Weekly
Coverage Premium] Premium] Premium]
services, which give you
Employee only [$0.00] [$0.00] [$0.00]
and your family access to
Employee & spouse[/domestic partner] [$0.00] [$0.00] [$0.00]
emergency medical assistance Employee & child/children [$0.00] [$0.00] [$0.00]
and other services when you’re Employee & family [(spouse/domestic [$0.00] [$0.00] [$0.00]
traveling partner and child/children)]
[Plan benefit options are available for an additional cost.
See the Summary of Benefits for details.]
[Complete and return Note: This coverage is guaranteed for as long as you continue to pay your premium,
and will not change due to your age. The premium for employee & child/children
your Enrollment Form by and employee & family coverage includes all children.
Month XX, 2017.] No money is due at enrollment. Your premium simply comes out of your paycheck.
