PET Sponsored
Accidental Death & Dismemberment Insurance
Plan Description
Up to $300,0001 in Accident Insurance
What if? Life is filled with what ifs.
What if you should lose your job? You're probably protected financially by unemployment Insurance.
What if you were injured on the job? There's Workers' Compensation.
What if you should have an accident outside of work? What financial protection do you have for yourself and your family?
The answer may be Accidental Death and Dismemberment (AD&D) insurance. When income is lost because of covered Injury or death, AD&D provides a monetary bridge for families to help get them through the troubled times. It can prevent a major decline in your income and lifestyle while a key family member recovers and it can provide a source of funds to prepare the injured person for a new career, if that should become necessary.
You and your dependents are covered 24 hours a day, anywhere in the world. You're covered whether you're at home, at work or on vacation. And these benefits are payable in addition to any other insurance you have (Workers’ Compensation, Unemployment Compensation or Social Security).
1At age 65, or if you are already age 65, all benefit amounts are reduced by 50%.
BASIC COVERAGE
PET automatically provides its members $10,000* of AD&D Coverage.
Optional Coverage Amounts and Quarterly Premiums
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Premiums by Benefit Amount |
$100,000 |
$200,000
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$300,000
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Member Only
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$15.00
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$30.00
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$45.00
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Member & Spouse
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$30.00
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$60.00
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$90.00
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Member & Child(ren)*
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$18.00
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$36.00
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$54.00
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Family (Member, Spouse & Children)*
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$33.00
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$66.00
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$99.00
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*All children have $10,000 of coverage. Coverage ends at age 70. Other coverage amounts are available by calling the administrator. You cannot be singled out for a rate increase, rates can be increased on a class basis only.
Rates and/or benefits can be changed on a class basis.
Premiums are billed quarterly.
ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE
If any of the following losses result from an Injury sustained in a covered accident, and the loss occurs within 365 days after that accident, this plan will pay:
For Loss of:
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Life ....................................................................100% of Benefit Amount
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Both Hands or Both Feet or Sight of Both Eyes.. 100% of Benefit Amount
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One Hand and One Foot ....................................100% of Benefit Amount
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Either Hand and Sight of One Eye .......…............100% of Benefit Amount
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Either Foot and Sight of One Eye ........................100% of Benefit Amount
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Either Hand or Foot ............................................. 50% of Benefit Amount
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Sight of One Eye .................................................. 50% of Benefit Amount
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Speech ……………............................................ 50% of Benefit Amount
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Hearing in Both Ears..............................................50% of Benefit Amount
The Benefit Amount you choose and pay for you and your covered family will be shown in your schedule.
DOUBLE BENEFITS for COMMON CARRIER
If your Injury results in loss of life within 365 days after the date of the covered accident, the plan will pay the Benefit Amount. If the loss occurs while riding as a passenger on any Common Carrier, the plan will double the amount of Benefit Amount to a maximum of $600,000.
ACCIDENT HOSPITAL INCOME BENEFIT
We will pay the daily benefit amount of $100 when you or your covered dependents are hospital-confined if the Confinement is due to Injury received in a covered accident. The first day of confinement must occur within 90 days after the accident. We will not pay for any day of Confinement which: a) exceeds the payment period of 365 days; b) occurs after 2 years from the date of accident; or c) exceeds the daily benefit amount. A confinement for the same Injury within 180 days of the original confinement will be considered the same period of Confinement.
EDUCATION BENEFIT
If your children are covered under this plan and a Benefit Amount is payable because of your death, the plan will pay an Education Benefit to each of your eligible dependent children who qualifies. The Education Benefit will be 2% of your Benefit Amount, payable once per year for up to four years.
SATISFACTION GUARANTEED
You have a 30 day right to examine the Certificate of Insurance. The certificate may be returned within 30 days of the effective date and all premiums, minus any claims paid, will be refunded.
Eligibility and Effective Date
All members under age 70 who are Actively-at-Work (20 or more hours per week) and who are full-time residents of the United States are eligible for this coverage. Spouses under age 70 who are full-time residents of the United States and not legally separated or divorced from the Eligible member as well as unmarried dependent children over 14 days but under age 19 (25 if a full-time student) who are primarily dependent on you for support are also eligible. Coverage ends at age 70. Your effective date will be the first date of the month on or next following the date we receive the request and your premium payment.
In no event, will the amount of Benefit Amount in force upon the Spouse exceed the amount in force upon the Insured Person.
ELIGIBILITY RESTRICTIONS: An Eligible Person may not be covered under more than one Certificate of Insurance under this Policy at any time.
Termination
Coverage of each of your eligible dependents terminates on the premium due date next following the earlier of: a) the date you cease to be an Insured Person, or the date he or she ceases to qualify as an eligible dependent. Your coverage as an Insured Person terminates on the earlier of the date you request that your coverage be terminated; b) the premium due date on or next following the date you cease to be eligible for coverage, or if you fail to pay any required premium.
Summary of Advantages
* Covered 24 hours a day, 365 days a year, anywhere in the world.
* Benefits paid in addition to other insurance, Workers’ Compensation, Unemployment Compensation,
or Social Security.
* Economical cost because of mass buying power… you could pay less for the same protection under a comparable individual policy.
* Selection of benefit amounts from $100,000 to $300,000.
* Applications automatically accepted… no medical questions asked.
DEFINITIONS
(Please see the Certificate of Insurance for additional defined terms)
Common Carrier means a conveyance operated by a concern, other than the Policyholder, organized and licensed for the transportation of passengers for hire and operated by an employee of that concern. Confined and Confinement means: a) being admitted to a Hospital for receiving inpatient hospital services; and b) the patient is charged for at least one day's room and board by the hospital for each time a Covered Person is admitted. A period of Confinement
consists of consecutive days of Confinement following the date the Covered Person is admitted as an inpatient. The last calendar day of a period of Confinement is not counted as a day of Confinement unless a charge is made for the last day. Injury means bodily injury resulting directly from accident and independently of all other causes which occurs while the Covered Person is covered under the policy. Loss resulting from: a) sickness or disease, except a pus-forming infection which occurs through an accidental wound; or b) medical or surgical treatment of a sickness or disease; is not considered as resulting from injury. Loss means with regard to: a) hands and feet, actual severance through or above the wrist or ankle joints; b) sight, speech or hearing, entire and irrecoverable loss thereof; c) thumb and index finger, actual severance through or above the metacarpophalangeal joints.
Hospital does not mean any institution
or part thereof which is used primarily as: a) a nursing home, convalescent
home, or skilled nursing facility; b) a place for drug addicts or
alcoholics; or c) a place for rest, custodial care, or for the aged.
EXCLUSIONS
This policy does not cover any loss resulting from: 1. intentionally self-inflicted Injury, suicide or attempted suicide, whether sane or insane; 2. war or act of war, whether declared or undeclared; 3. Injury sustained while riding On any aircraft except a Civil or Public Aircraft, or Military Transport Aircraft; 4. Injury sustained while riding On any aircraft: a) as a pilot, crewmember or student pilot; b) as a flight instructor or examiner; or c) if it is owned, operated or leased by or on behalf of the Policyholder, or any employer or organization whose eligible persons are covered under the policy; 5. Injury sustained while voluntarily taking drugs which federal law prohibits dispensing without a prescription, including sedatives, narcotics, barbiturates, amphetamines, or hallucinogens, unless the drug is taken as prescribed or administered by a licensed physician; 7. Injury sustained while legally intoxicated from the use of alcohol.
Administered by: NEBCO
8500 Freeport Parkwas South, Ste. 450
Irving TX 75063
Phone # 1-800-759-0101 |
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Underwritten by:
Hartford Life and Accident Insurance Company
Simsbury CT 06089 |
This website explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by the Hartford Life and Accident Insurance Company detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or dis continued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.
The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries, including issuing
company Hartford Life and Accident Insurance Company.
National Employee Benefit Companies, is the Plan Administrator that administers the insurance plan on behalf of the Hartford Life and Accident Insurance Company for the benefit of the Group Policyholder. National Employee Benefit Companies and Copeland Insurance Services, Inc., are compensated for the placement of insurance and for the services it provides to customers on behalf of the insurance company, in addition to other compensation it may receive.
Policy Form #7582 Form 7582 A2 (11038)
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