PERSONAL ACCIDENT INSURANCE
Issued by the Prudential Insurance Company of America


Keep accidents from robbing your family of a future

Eligibility Requirements


To 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.


Additional Benefits

(explain)

Levels of Coverage


Choose 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)



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

How Benefits are Paid Under Family Coverage
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)


Premium Rates



BIWEEKLY RATES
$10,000 $25,000 $50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $400,000 $500,000
Member Only Coverage $ 0.14 $ 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
$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