



Designing a Personal Accident Plan is simple - only two decisions to make!
(any amount within the range below, in $100 increments):
Your Annual Benefit Bank represents the total dollar amount available to you or your family for covered services rendered each calendar year.
Choose from $100, $250, or $500
Your Annual Deductible represents the dollar amount that an individual must incur in covered services in a calendar year before benefits are payable under the policy.
On January 1st of each calendar year, your Annual Deductible Amount will decrease by 20% if no benefits are payable for the preceding calendar year. If no benefits are payable for five consecutive calendar years, your Annual Deductible Amount will be eliminated beginning with the next calendar year. Once your Annual Deductible Amount reaches zero, it will not reset.
Notes: Your policy must be in force for at least three full months before the first reduction of the deductible will occur. Prior to the deductible reaching zero, if any benefits are payable for covered services rendered during a calendar year, your Annual Deductible Amount will reset on the following January 1 to the original Annual Deductible Amount.
If you or a covered family member suffers an accidental injury as the result of a covered accident and receive initial care within 72 hours, simply submit the proof of claim, based on the amount of medical or recovery expenses incurred, to received benefits paid via check or electronic funds transfer (EFT). While you may have other insurance benefits from this plan pay in addition to other coverage and require no coordination of benefits. All benefits are paid directly to you.