5280 Insurance Brokers, LLC
INSURANCE AND RETIREMENT SOLUTIONS FOR BUSINESSES AND INDIVIDUALS
ACCIDENT EXPENSE BENEFIT
BENEFIT 1 UNIT 2 UNITS ACCIDENTAL INJURY BENEFIT This benefit pays the actual charges for medical treatment due to accidental injury up to the amount shown per unit. Covered expenses include physician’s fees, surgery, x-rays, fracture reduction and dislocations or other emergency first-aid expenses.
All covered expenses must be incurred within 45 days of the accident causing injury. If the expenses are incurred at a hospital emergency room, a $50 deductible will apply for each accidental injury. ACCIDENTAL DEATH BENEFIT This benefit pays a fixed amount per unit if an insured suffers a fatality as a result of an accident.
GROUND OR AIR AMBULANCE This benefit pays the actual charges for ground or air ambulance transportation due to an accidental injury, up to the amount shown per unit. HOSPITAL INCOME BENEFIT If an insured is hospitalized for an accidental injury, we will pay a fixed amount per day, beginning the first day of confinement, subject to the number of units purchased.
Payment will be made up to 30 days per hospital confinement resulting from any one accidental injury. DISMEMBERMENT BENEFITS This benefit pays a fixed amount per unit if the Primary Insured suffers any of the following dismemberments as a result of accidental injury.
Benefits are for the Primary Insured only. Loss of Finger or Toe Single Loss Benefit Multiple Loss Benefit Loss of Hand, Arm, Foot or Leg Single Loss Benefit Multiple Loss Benefit Loss of Sight Single Loss Benefit (One Eye) Multiple Loss Benefit (Both Eyes