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Accident Insurance

A disabling injury occurs every second!

    26.2 million disabling injuries were reported in 2006; and 3.7 million of those were work related.

    Most people think that the majority of accidents happen on the job.  Workers’ compensation picks up the tab for medical expenses as well as lost wages, but 80 percent of accidents occur off the job, and  most employees don’t have coverage. Accident insurance can provide just off the job coverage or, both on- and off-the-job.

Be sure to carefully review each company’s contract for specifics. Exclusions and limitations vary from product to product and for each insurance company.

Typical Policy Provisions

The following are the most common provisions in accident insurance plans. Coverage may be provided by the base plan or an additional rider.

  • Accidental Death and Dismemberment—Pays a benefit when the insured dies  or suffers from a dismemberment (i.e., loses both arms and legs, both eyes, both hands or both feet, one arm and one leg, etc.).
  • Ambulance Benefit—Pays a benefit when the insured requires an ambulance and/or Air Ambulance to a hospital as a result of injuries from a covered accident.
  • Disability Benefit—Pays a benefit to the insured if they become totally disabled as a result of injuries sustained in a covered accident and has an income producing job.
  • Emergency Medical Services- Pays when the insured requires specified emergency medical services or treatments, including X-rays as a result of injuries received in a covered accident.

    Follow-up care –  Pays the insured for accident follow-up treatments such as physical therapy, doctor’s office visits, and prosthetic devices.

    Hospital Care—Pays an insured when they are confined to a hospital for treatment of injuries received in an covered accident. Double benefits may be paid while in hospital Intensive Care.

    Surgery Care- Pays the insured a scheduled benefit for a specific list of surgeries as a result of injuries sustained in a covered accident. May include Blood, and Plasma.

    Transportation/Lodging Assistance-may be afforded an insured if the covered accident is sustained 100 miles or more from home. May include coverage for family members lodging and a per trip additional benefit for the insured.

    Waiver of Premium Benefit—Waives the premium if the insured becomes disabled (as defined in the policy), as a result of injuries received in a covered accident, for as long as the insured is disabled or to a specific age.

  • Exclusions and Limitations—Most policies do not pay benefits for an accident incurred or resulting from war, flying except as a passenger, committing a felony, suicide and/or self-inflicted injury, specific sports (e.g.: parachuting, bungee jumping, mountain climbing, etc.).
Source: Injury Facts, National Safety council 2008 edition
 

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