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Benefits

Voluntary Benefits

Transamerica | Accident—continued

ACCIDENT INSURANCE

Low Plan High Plan

Hospital Coverage due to an Accident
Hospital Admission Benefit $600 $900
Hospital Confinement Benefit
 Non‐ICU $125/day— Up to 365 days $200/day— Up to 365 days
 ICU $375/day—Up to 15 days $600/day—Up to 15 days

Accidental Death
Basic Accidental Death Benefit
 Employee Up to $22,000 Up to 44,000
 Spouse Up to $22,000 Up to $44,000
 Child Up to $11,000 Up to $22,000
Accidental Death Common Carrier
 Employee $30,000 $60,000
 Spouse $30,000 $60,000
 Child $15,000 $30,000
Paralysis Benefit $3,750 or $7,500 $5,250 or $10,500
(varies by type and severity of paralysis) (varies by type and severity of paralysis)
Lodging $75 per day if more than 100 miles from $105 per day if more than 100 miles from
insureds primary residence insureds primary residence

Semi Monthly Premium Rates

Employee $5.06 $7.62
Employee + Spouse $7.88 $11.86
Employee + Child(ren) $6.76 $10.09
Employee + Family $9.81 $14.72

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