Printer-friendly format
         |
| Benefit Plans > Group Term Life > Personal Accident Insurance Plan |  |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Personal Accident Insurance Plan Eligibility Requirements: You do not need to be enrolled in any other SAMBA plan to take advantage of Personal Accident Insurance ("PAI"). You, your spouse, and your dependent children under age 22 may enroll at any time — no health statement is required. • 24/7 Coverage: This plan provides a lump-sum benefit that gives your family around-the-clock insurance protection in the event you, your spouse or a dependent child experience an accidental bodily injury that results in death or the loss of hands, feet, or eyesight. Unmarried dependent children may be covered until age 22. There is no waiting period for covering newborns. Benefits are payable regardless of any other insurance you may have, and will not reduce any payments to which you are entitled under other SAMBA insurance plans.
Other Benefits • Monthly Mortgage Payment Benefit: If a member suffers an accidental bodily injury that results in loss of life within 365 days 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. Benefits will be payable to your surviving spouse who is the co-borrower on the mortgage 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 dependent 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, and $5,000 a year up to four consecutive years or until the child reaches age thirteen. This benefit applies only if the child is under age thirteen and is enrolled in a licensed or certified day care center on the date of the member's death, or within 90 days of that date. Benefits are paid to the spouse or legal guardian. • Seat Belt and Air Bag Benefit: The plan will pay an additional benefit of 10% of the principal amount (up to a maximum of $25,000) if an insured person dies in an automobile accident in which the insured person's seat belt was properly employed. Also, if the insured person dies in an accident in an automobile which is equipped with an air bag for the location in which the insured person was sitting and the air bag properly deploys for that location (and the person was wearing his or her seat belt), the Plan will pay an additional benefit of $5,000. • Special Education
Assistance (employee only): The plan will pay an additional benefit equal to 5 percent of your Benefit Amount if you are survived by at least one dependent child enrolled (currently or within 12 months of your death) as a full-time student in an institution of higher learning beyond the twelfth grade. The benefit will continue on an annual basis, not to exceed four years. This benefit will be paid for each such eligible dependent child. • Limited Disability Benefit (employee only): If you become totally and permanently disabled (unable to work in any gainful occupation) before age 65 and within 180 days of an accidental bodily injury covered under the terms of the Plan and you remain disabled beyond 365 days from the date of injury, you’ll receive an additional monthly benefit equal to 1 percent of your insurance amount, where the insurance amount will be reduced by any other benefits payable under this policy for that same injury. The additional monthly benefit will remain payable during your continued disability for up to 100 months. This benefit ends at age 65. • After Retirement: Your plan may be continued into retirement. However, at age 70 your coverage amount may not exceed $50,000; at age 75, $10,000.
Personal Accident Insurance Benefits are not payable for any loss which is caused by or results from: suicide or intentionally self-inflicted injury, while sane or insane (for MO residents, while sane); you or your dependent's commission of, or attempt to commit, an assault or felony; bodily or mental infirmity, disease of any kind, or medical or surgical treatment for any such infirmity or disease; your voluntary use (except as prescribed by a Doctor) of: (1) PCP (also known as "Angel Dust"); (2) LSD or other hallucinogens; (3) Cocaine, heroin or other narcotics; (4) Amphetamines or other stimulants; (5) Barbiturates or other sedatives or tranquilizers; or (6) any combination of two or more of these substances; any poison or gas voluntarily taken, administered, absorbed, or inhaled; any bacterial infection, except when caused by accidental bodily injury; war, whether or not declared; taking part in an insurrection. Minimum coverage is $10,000, maximum $500,000. Children under age 22 are limited to a maximum coverage of $50,000 per eligible child. Age 70 through age 74 (active or retired employee) -- Coverage is limited to $50,000. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Health | Life | Disability | Dental/Vision | Dependent Children | Legal/Financial | Long Term Care
