Insurance is underwritten by Federal Insurance Company, a member insurer of the Chubb Group of Insurance Companies.
The coverage described in this literature is not available to residents of Arkansas, Idaho, Kansas, Maine, Maryland, North Carolina,
Oregon, South Dakota, Utah or Washington. This literature is descriptive only. Actual coverage is subject to the language of the policies as issued.
Exclusions & Limitations Apply. Chubb, Box 1615, Warren, N.J. 07061-1615.

Accident Medical Expense (AME) coverage

Up to $2500, $5000, $7500 or $10,000 in AME Coverage:
Many health policies have a high deductible due to the constant increases in health care costs. The average trip to an emergency room could require you to pay hundreds of dollars out-of-pocket! Can you afford this sudden expense?

You never know when an accident will happen, but when it does you should be prepared. For those without coverage this plan is affordable and one you shouldn't be without. The potential savings it offers for services and health-related products more than justifies the cost.

Take a look at the benefits you'll receive and just imagine the peace-of-mind this plan provides.

WHEN COVERAGE APPLIES:
Accident Insurance provides coverage 24 hours a day - worldwide - while on business or pleasure.

AME BENEFIT DESCRIPTION:
Accident Medical Expense Benefit Amounts for Members and their spouses/domestic partners and dependent children:

$2,500 or $5,000 benefit subject to a deductible of $195
WBA will pay $95 of your deductible as a member benefit

$7,500 or $10,000 benefit subject to a deductible of $275
WBA will pay $175 of your deductible as a member benefit

This benefit will reimburse medical expenses up to the maximum elected if accidental bodily injury causes an insured person to first incur medical expenses for care and treatment of the accidental bodily Injury within 90 days after an accident. The benefit amount for Accident Medical Expense is payable only for medical expenses incurred within 52 weeks after the date of the accident causing the accidental bodily Injury. The benefit amount is subject to a deductible. The deductible will be deducted from any benefit amount for Accident Medical Expense that the insurance company pays. This deductible applies separately to each insured person and each accident.

Limitation on Accident Medical Expense:
The benefit amount for Accident Medical Expense does not apply to charges and services: a) for which an insured person has no obligation to pay; b) for any injury where worker's compensation benefits or occupational injury benefits are payable; c) for any injury occurring while fighting, except in self-defense; or d) for treatment that is educational, experimental or investigational in nature or that does not constitute accepted medical practice; e) for treatment by a person employed or retained by the policyholder; or f) for treatment involving conditions caused by repetitive motion injuries, or cumulative trauma and not as the result of an accidental bodily Injury.

This insurance applies only to medically necessary charges and services.

Exclusions:
This policy does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing the insurance. In addition no benefits will be paid for any accident caused by or resulting from any of the following: 1) an Insured Person being in, entering, or exiting any aircraft: a) owned, leased or operated by the Policyholder or on the Policyholder's behalf; or b) operated by an employee of the Policyholder on the Policyholder's behalf; 2) an Insured Person riding as a passenger in, entering, or exiting any aircraft while acting or training as a pilot or crew member. (This exclusion does not apply to passengers who temporarily perform pilot or crew functions in a life threatening emergency.); 3) an Insured Person's emotional trauma, mental or physical illness, disease, pregnancy, childbirth or miscarriage, bacterial or viral infection, bodily malfunctions or medical or surgical treatment thereof. (This exclusion does not apply to an Insured Person's bacterial infection caused by an accident or by accidental consumption of a substance contaminated by bacteria.); 4) an Insured Person?s commission or attempted commission of any illegal act, including but not limited to any felony; 5) any occurrence while an Insured Person is incarcerated after conviction; 6) an Insured Person being intoxicated, at the time of an accident. Intoxication is defined by the laws of the jurisdiction where such accident occurs; 7) an Insured Person being under the influence of any narcotic or other controlled substance at the time of an accident. (This exclusion does not apply if any narcotic or other controlled substance is taken and used as prescribed by a Physician.); 8) an Insured Person being engaged in or participating in a motorized vehicular race or speed contest; 9) an Insured Person participating in military action while in active military service with the armed forces of any country or established international authority. (This exclusion does not apply to the first 60 consecutive days of active military service with the armed forces of any country or established international authority.); 10) an Insured Person traveling or flying on any aircraft engaged in Specialized Aviation Activities; 11) an Insured Person's suicide, or attempted suicide while sane or intentionally self-inflicted injury; 12) a declared or undeclared War.

Sample AME Certificate

Optional Temporary Total Disability (TTD) Benefit

TTD FEATURES:
Elimination period: 7 days.

Benefit period: Up to 52 weeks.

Occupation: True own occupation

Benefit amount: 65% of weekly salary to a maximum of $500. If unemployed at the time of accidental injury, the weekly benefit amount is $100.

Coverage available for Member AND Working Spouse/Domestic Partner

TTD benefit is not available to residents of California, Connecticut, Florida, Minnesota, New Jersey, New York or Vermont.


Who is going to pay the bills?
In the event of a serious injury, paying the medical bills may be the least of your worries. If you can't work, how will you pay the rest of your bills? You still need to put food on the table, pay rent or mortgage, auto loans and all the rest. Worse yet, what will you do if both you and your spouse are disabled and unable to work? Who is going to pay the bills?

The answer is simple. Include the optional AccidentSHIELD Accidental TDD benefit in your WBA membership.

TTD Benefit Description:
This benefit pays the weekly benefit amount elected, after the elimination period of seven days, if an accidental bodily injury causes an insured person to suffer Temporary Total Disability. Temporary Total Disability means that an accidental bodily injury solely and directly: a) prevents an insured person from performing the substantial and material duties of such insured person's regular occupation (or with respect to an insured person who is unemployed, prevents such insured person from engaging in the normal and customary activities of a person of like age and sex in good health); b) causes a condition which is medically determined, by a physician, to be continuous; and c) requires the continuous care of a physician. The weekly benefit amount for Temporary Total Disability will be paid until the earliest of the date on which: a) the insured person dies; b) the insured person fails to provide satisfactory evidence of a continuing Temporary Total Disability; c) the insured person no longer has a Temporary Total Disability; or d) the maximum benefit period of 52 weeks has ended.

Periods of Temporary Total Disability separated by less than fourteen (14) consecutive days of return to work will be considered one period of Temporary Total Disability, unless due to separate and unrelated causes. No additional elimination period will be required. However, the maximum benefit period of 52 weeks will be reduced by the number of weeks for which benefits have already been paid.

Limitations on TTD:
No Weekly Benefit Amount for Temporary Total Disability shall be paid for any period of time during which the insured person is not under the continuous care of a Physician.


Sample TTD Certificate

Accidental Death & Dismemberment (ADD)


ADD Benefit Description:
AD&D Benefit Amounts for Members and their spouses/domestic partners and dependent children: $2,500, $5,000, $7,500 or $10,000

100% of the Benefit Amount is payable for Accidental: Loss of Life; Loss of Speech and Loss of Hearing; Loss of Speech and one of: Loss of Hand, Foot or Sight of One Eye; Loss of Hearing and one of: Loss of Hand, Foot or Sight of One Eye; Loss of both Hands, both Feet, loss of Sight or any combination thereof; 50% of the Benefit Amount is payable for Accidental: Loss of Hand, Foot or Sight of One Eye (any one of each); Loss of Speech or Loss of Hearing; 25% of the Benefit Amount is payable for Accidental: Loss of Thumb and Index Finger of the same hand.

If an Insured Person suffers multiple covered Losses as the result of one (1) Accident, then We will only pay the single largest Benefit Amount applicable to all such covered Losses.

Optional ADD Upgrade


You may increase your AD&D benefit which allows you to add a substantial level of coverage for you and your family. Options available are as follows:

Member's Benefit Amount Family's Benefit Amount
$100,000 If you have dependent children your spouse or domestic partner's benefit amount is $50,000. If you have no dependent children your spouse or domestic partner's benefit amount is $60,000.

If you have a spouse or domestic partner each of your dependent children's benefit amount is $15,000. If you have no spouse or domestic partner each of your dependent children's benefit amount is $20,000.

$250,000 If you have dependent children your spouse or domestic partner's benefit amount is $125,000. If you have no dependent children your spouse or domestic partner's benefit amount is $150,000.

If you have a spouse or domestic partner each of your dependent children's benefit amount is $37,500. If you have no spouse or domestic partner each of your dependent children's benefit amount is $50,000.

The optional benefit amount payable reduces to 65% at age 70, to 45% at age 75, to 30% at age 80 and to 15% at age 85.

Sample ADD Certificate

© 2012 All text, images and other content of this web site are protected by copyright law and shall not be used or reproduced in any medium without the express, specific written consent of the site owner. Comprehensive Insurance Agency, LLC - All rights reserved.