40 Accident Plan Accident Plan New plan for 1/1/18 44,500 - - PowerPoint PPT Presentation

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Accident Plan

Accident Plan

• New plan for 1/1/18
• 44,500 enrolled to date
• To date - 677 claims filed with the average claim paying out $1,200
• Benefits are paid directly to member
• Sport rider – additional payout - up to $1,000
• To file a claims call: 1-877-464-5111 (press or say 2)

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Accident Plan

Accident Care Benefit Payable Initial doctor visit $100 Follow up doctor treatment $100 Emergency room visit $300 Ground Ambulance $360 X-Ray $75 Hospital Admission $1,250 Physical therapy $60 Coma (5+ days) $10,000

Examples of benefits payable for common injuries

Common Injuries Benefit Payable Emergency Dental Work (crown) $480 Eye injury (removal

• f object)

$100 Concussion $450 Nose Fracture (closed) $750 Collarbone Fracture (closed) $2,000 Dislocated Elbow (closed) $1,500 Dislocated Hip (closed) $4,000

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Group Term Life

Group Term Life

• 2019 Updates:
• No rate increases for 2019
• Same Guaranteed Issue amounts as last year
• Same EOI rules
• Pure Term Life – no accumulated cash value
• Spouse & dependent coverage available (on a post tax basis)
• Additional Plan Benefits
• Accelerated Death Benefit – with Continuous Confinement Benefit

Option on both employee and spouse policies

• Disability Waiver of premiums
• Funeral Planning & Concierge Services – by Everest Funeral Package,

LLC in Houston, TX

Group Term Life

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Evidence of Insurability (EOI)

• New Hire/Newly Eligible
• Employees: up to $200,000 guarantee issue
• Spouse: up to $50,000 guarantee issue-post tax deduction
• Child(ren): $10,000 guarantee issue-post tax deduction
• Open enrollment
• Currently enrolled employees/spouse may increase election$10,000 or $20,000

without EOI (employees up to $200,000 & spouse up to $50,000)

• Late entrants: Employees who had the opportunity to enroll previously but did

not, may elect up to $20,000 of coverage on themselves and spouse without EOI (if you have not been previously denied)

• Child coverage can be added at annual enrollment without having to provide

EOI

• Qualifying Life Event (adding or increasing coverage)
• Same rules as New Hire/Newly Eligible as long as event is consistent with

change

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Group Term Life

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Core Accidental Death & Dismemberment

Core AD&D

• $10,000 of coverage – Totally FREE
• This core coverage includes the Voya Travel Assistance
• Coverage is only for the employee
• All employees who are eligible for NCFlex are eligible for this free benefit
• Employees must elect the Core AD&D Coverage during annual

enrollment or as a new hire to receive coverage

• Beneficiaries may be the same for Core and Voluntary AD&D

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Voluntary Accident Death and Dismemberment

Voluntary AD&D

• Coverage amounts from $50,000 to $500,000
• Employee and Family coverage options available
• No dual coverage allowed
• Examples of Additional Benefits* for all covered members
• Travel Assistance
• Coma Benefit – additional 1% of full amount per month for up to 24

months*

• Rehabilitation Benefit – additional 2% of full amount for up to 12

months*

• Seat Belt Benefit (loss of life) – additional 10% of full amount maximum

$25,000*

• Funeral Expense Benefit – up to $5,000*
• Survivor’s Benefit – additional 1% of full amount per month for up to 12

months to each of your surviving insured dependent children under age 18*

• *For more details see the Voluntary AD&D certificate of insurance on
• ur website www.ncflex.org

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Voluntary AD&D

Monthly Cost