sports
camp
martial
arts
dance
studio
baseball/softball
accident coverage
baseball/
softball
liability coverage
tackle
football
accident coverage
tackle
football
liability coverage
youth
sports
accident coverage
adult
sports
accident coverage
youth
/ adult
sports liability
day
care
youth
group
adult
group
special
events
Boxing
& Wrestling
Pro
Athlete
Insurance
JROTC
K-12/College
Fire Dept
LODD
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In the past, accident medical coverage for day cares, nursery schools
and child care facilities was either too costly, too limited, or not available
at all. Individuals were either forced to pay extremely high insurance
premiums or to run facilities without proper insurance protection, therefore
running the risk of personal exposure to lawsuits or a child or staff
member's injury claim.
However, now a comprehensive program has been developed to specifically
cover the inherent risks involved for today's day cares, nursery schools
and child care facilities. This Accident Medical Insurance Program is
designed to help eliminate the financial and emotional burden one can
incur as a result of injury in today's child caring facilities.
The Accident Medical Coverage
Pays the medical bills of an injured child or staff member
Who Is Covered
All participants of the Policyholder are covered while participating in
sponsored activities. A member is also covered while traveling, directly
and without interruption, to and from any Policyholder sponsored activity
and his or her home or place of residence.
Accidental Death & Dismemberment
If a covered injury results in any of the losses specified below within
one year after the date of the accident, the Company will pay the applicable
amount.
- Full Principal Sum for loss of life ($10,000.00)
- Full Principal Sum for double dismemberment ($10,000.00)
- 50% of the Principal Sum for loss of one hand, one foot or sight of
one eye ($5,000.00)
- 25% of the Principal Sum for loss of index finger and thumb of same
hand ($2,500.00)
If the Principal sum is payable, no indemnity will be paid for dismemberment.
In any event, the double dismemberment indemnity is the maximum amount
payable under this Benefit for all losses resulting from one accident.
Maximum Medical Expense Benefit
If the Covered Person incurs eligible expenses as the result of a covered
injury, the Company will pay the charges incurred for such expense within
52 weeks, beginning on the date of accident. Payment will be made for
eligible expenses not to exceed the Maximum Medical Expense Benefit of
$25,000.00, subject to the applicable deductible amount (if any). The
first such expense must be incurred within 60 days after the date of the
accident.
| Note: |
Primary Coverage pays benefits under the plan without offset
for other insurance. Excess Coverage does not cover treatment
or service for which benefits are payable under any other insurance
or medical service plan available to the insured. |
Exclusions and Limitations
This Plan does not cover any loss to or resulting from:
- Sickness or disease in any form, except pyogenic infections due to
an accidental cut or wound.
- The use of drugs or narcotics, unless administered under the advice
of a physician.
- War or any act of war, whether or not declared.
- Participation in any riot or civil commotion.
- Air travel or the use of any device or equipment for aerial navigation,
except as a fare-paying passenger on a regularly scheduled commercial
airline.
- Suicide or any attempt thereat or any self-inflicted injury.
Nor does the Plan cover:
- Service provided by any person or facility employed or retained by
the Policyholder or member organization.
- Service provided by any member of the Insured Person's family or household.
- Dental treatment, except as the result of a covered injury.
- The repair or replacement of any artificial dental restoration.
- Expenses payable under any Workers Compensation Law or similar legislation.
- Injury sustained while riding in or on any two or three wheeled engine
driven vehicle.
Premium Rates [Minimum
Premium: $300.00]
Following are the per participant premium rates
Accidental
Death
Benefit |
Maximum
Medical
Benefit |
Deduc-
tible |
One Year Covg.
Excess Primary |
9 months
Excess Primary |
3 months
Excess Primary |
| $10,000 |
$25,000 |
$0 |
$4.00 |
$6.15 |
$3.70 |
$4.95 |
$1.90 |
$2.50 |
| $10,000 |
$25,000 |
$25 |
$3.20 |
$5.00 |
$3.00 |
$4.05 |
$1.55 |
$2.05 |
| $10,000 |
$25,000 |
$50 |
$2.80 |
$4.10 |
$2.60 |
$3.35 |
$1.30 |
$1.75 |
| $10,000 |
$25,000 |
$100 |
$2.40 |
$3.70 |
$2.20 |
$3.10 |
$1.05 |
$1.45 |
| Dental injury max. is
$250 Per Tooth, $1000 overall maximum limit |
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