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    Personal Accident Insurance Plan
        The Plan at a Glance
        Participating in the Plan
        How the Plan Works
       
How Benefits Are Paid
        Filing a Claim
        Glossary
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How Benefits Are Paid
If you are eligible for benefits from the Plan, you or your beneficiary will receive a lump sum check.
Who will receive the benefit check?
If you suffer dismemberment, you will receive the benefit check directly.
If you die, your designated beneficiary will receive the benefit check.
What is considered salary for determining the amount of my Personal Accident Insurance benefit?
Salary for the purpose of this Plan is your annual base salary (excluding overtime, bonuses, commissions, and other extra compensation).
If my salary changes, what happens to my accidental death and dismemberment benefit?
Your Personal Accident Insurance benefit is based on your salary and will change when your salary changes (but the benefit will be limited to the maximum coverage level).
Will my benefits be reduced as I get older?
Yes. Your Personal Accident Insurance benefit will be reduced according to your age on the date of the accident as follows:
  • from age 70-74, your benefit reduces to 82.5%
  • from age 75-79, your benefit reduces to 57.5%
  • from age 80-84, your benefit reduces to 37.5%
  • over age 85, your benefit reduces to 20%
This reduction in benefit takes into consideration the increased cost in providing coverage at and after age 70.
What is the Retiree benefit?
Retired employees are eligible for $10,000 in coverage up to a maximum of $50,000, in multiples of $10,000 in either individual or family coverage. The amount selected cannot exceed that which the retired employee had as an active employee. At age 75, the amount reduces to $10,000, for both the retired employee and covered family members. If a retired employee and spouse are both eligible as retired employees, only one may enroll coverage for children. The premium is currently $0.67 per $1,000 of coverage annually. This reduction in benefit takes into consideration the increased cost in providing coverage at and after age 70.
If I become injured or ill as a result of an accident caused by a third party, what happens to any payment I may receive?
To the maximum extent permitted by law, the Plan is entitled to equitable or other permitted remedies, including a lien or constructive trust, to recover any amounts received as a result of a judgment, settlement or other means of compensation for conditions or injuries which have resulted in the payment of benefits under this Plan. This shall include, but is not limited to, damages for pain and suffering and lost income.
The Plan is entitled to recover these amounts from the participant, any covered family member or beneficiary, or any other person holding them, up to the amount of all payments made or payable in the future. The Plan has no priority to any and all funds recovered in any full or partial recovery, including funds intended to compensate for attorney's fees and other expenses.
As a condition of receiving benefits under this Plan, you agree that:
  • you will promptly notify the Claims Administrator of any settlement negotiations, settlement, or judgment in any litigation related to an event or condition for which you have received, or expect to receive, benefits under this Plan; and
  • future benefits (even for an unrelated event or condition) may be reduced by the amount of any judgment or settlement, or similar compensation which the Plan would be entitled to under the rules above but is unable to recover.
 
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