PERSONAL ACCIDENT INSURANCE
Issued by the Prudential Insurance Company of America
Keep accidents from robbing your family of a future
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Eligibility RequirementsTo enroll, you must be an active federal employee or retiree, full-time or part-time. You, your spouse, and your dependent children under the age of 22 may enroll at any time -- no health statement is required.
Benefits offered by the Plan:24/7 Coverage: This plan provides a lump-sum benefit that gives you around-the-clock protection in the event you experience an accidental bodily injury that results in death or the loss of hands, feet, or eyesight. View Benefit Chart.
Monthly Mortgage Payment Benefit: If you suffer an accidental bodily injury that results in loss of life within 365 of the accident, the plan will pay a monthly benefit amount equal to the lesser of the amount of your monthly mortgage payment or $2,500 for a maximum of 12 months.
Day Care Expense Benefit : (available to members enrolled under Family Coverage): The plan provides a benefit for day care expenses of a covered depndent child under the age of thirteen if the member dies in a covered accident. The annual benefit is the least of the actual cost charged by the child care center per year, 5% of the member's covered amount, or $5,000 a year up to four consecutive years or until the child reaches age thirteen.
Levels of CoverageChoose the amount that's right for you
There are 10 levels -- from $10,000 to $500,000 View Coverage and Premium Chart
After Retirement -- You may continue coverage into retirement. At age 70 your coverage amount may not exceed $50,000; at age 75, $10,000.
Limitations and Exclusions (explain)
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Benefit Amount Payable
| Loss of: |
% of Principal Sum |
| Life |
100% |
| Both Hands or Both Feet |
100% |
| Sight in Both Eyes |
100% |
| One Hand and Foot |
100% |
| One Hand or One Foot and Sight of One Eye |
100% |
| One Hand or One Foot |
50% |
| Sight of One Eye |
50% |
| Speech and Hearing in Both Ears |
100% |
| Hearing in Both Ears |
50% |
| Speech |
50% |
| Thumb & Index Finger of Same Hand |
25% |
| Quadriplegia |
100% |
| Paraplegia |
75% |
| Hemiplegia |
50% |
| Seat Belt |
Lesser of Additional 10% and $25,000 |
| Airbag |
Lesser of Additional 10% and $5,000 |
| Coma |
1% up to 100 months, less any other Principal Sum benefits paid |
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How Benefits are Paid Under Family Coverage
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| Member: |
Full insured amount |
| Spouse only: |
60% of Member coverage |
| Child(ren) only: |
20% of Member coverage (maximum $50,000/child) |
| Spouse and Child(ren): |
50% of Member coverage for spouse / 15% of Member coverage for child(ren) (maximum $50,000/child) |
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Premium Rates
BIWEEKLY RATES |
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$10,000 |
$25,000 |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
$300,000 |
$400,000 |
$500,000 |
| Member Only Coverage |
$ 0.14 |
$ 0.35 |
$ 0.70 |
$ 1.40 |
$ 2.10 |
$ 2.80 |
$ 3.50 |
$ 4.20 |
$ 5.60 |
$ 7.00 |
| Family Coverage |
$ 0.23 |
$ 0.57 |
$ 1.15 |
$ 2.29 |
$ 3.44 |
$ 4.58 |
$ 5.73 |
$ 6.88 |
$ 9.17 |
$11.46 |
MONTHLY RATES |
| |
$10,000 |
$25,000 |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
$300,000 |
$400,000 |
$500,000 |
| Member Only Coverage |
$ 0.30 |
$ 0.76 |
$ 1.52 |
$ 3.03 |
$ 4.55 |
$ 6.07 |
$ 7.58 |
$ 9.10 |
$12.13 |
$15.17 |
| Family Coverage |
$ 0.50 |
$ 1.24 |
$ 2.48 |
$ 4.97 |
$ 7.45 |
$ 9.93 |
$12.42 |
$14.90 |
$19.87 |
$24.83 |
QUARTERLY RATES |
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$10,000 |
$25,000 |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
$300,000 |
$400,000 |
$500,000 |
| Member Only Coverage |
$ 0.91 |
$ 2.28 |
$ 4.55 |
$ 9.10 |
$13.65 |
$18.20 |
$22.75 |
$27.30 |
$36.40 |
$45.50 |
| Family Coverage |
$ 1.49 |
$ 3.73 |
$ 7.45 |
$14.90 |
$22.35 |
$29.80 |
$37.25 |
$44.70 |
$59.60 |
$74.50 |
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