Plan Highlights
Benefit Highlights
● If a Covered Person suffers a loss of life as a result of a Covered Injury, We will pay the applicable Principal Sum. The death must occur within 365 days of the Covered Injury. This benefit is subject to the limitations in Section VIII General Limitations.
● ACCIDENTAL DISMEMBERMENT AND PARALYSIS BENEFITS
If an Injury to a Covered Person results in any of the following Covered Losses, We will pay the benefit amount shown. The Covered Loss must occur within 365 days of the Accident. The benefit amounts are based on the Principal Sum of the person suffering the Covered Loss. Covered Loss of Benefit
1. Both Hands or Both Feet 100%
2. One Hand and One Foot 100%
3. One Hand or One Foot plus the loss of Sight of One Eye 100%
4. Sight of Both Eyes 100%
5. Speech or Hearing 100%
6. One Hand; One Foot; or Sight of One Eye 50% of Principal Sum
7. Thumb and Index Finger of the same Hand 25% of Principal Sum
8. Hearing in One Ear 50% of Principal Sum
Plegia
1. Quadriplegia (total paralysis of all four Limbs) 100% of Principal Sum
2. Paraplegia (total paralysis of both lower Limbs) 75% of Principal Sum
3. Hemiplegia (total paralysis of upper and lower
Limbs on one side of the body) 50% of Principal Sum
● For purposes of this benefit:
1. Covered Loss means:
a. For a foot or hand, actual severance through or above an ankle or wrist joint;
b. Actual severance through or above the metacarpophalangeal joint of a thumb or index finger;
c. Total and permanent loss of sight;
d. Total and permanent loss of speech;
e. Total and permanent loss of hearing.
2. Plegia must continue for twelve (12) consecutive months and be determined by Our competent medical authority to be permanent, complete and irreversible paralysis of two or more Limbs. A Limb means an arm or a leg. Proof of total paralysis may be required by Us on a periodic basis. Benefits are not payable for paralysis caused by a stroke. This benefit is subject to the limitations in Section VIII General Limitations.
YOUR EFFECTIVE AND TERMINATION DATES
Effective Date: Your coverage will become effective on the following date: the first day of the month next following the date the payment and completed and signed enrollment form is received by AIA, Inc.
Termination Date:
Your Insurance automatically terminates on the earliest of:
1. the date the Policy is terminated;
2. the date You cease to be eligible for insurance;
3. the date You fail to pay the required premium, if You are so required;
Your Covered Dependent's Insurance terminates on the earliest of:
1. the date Your insurance terminates;
2. the first premium due date after Your Covered Dependent no longer qualifies as a Covered Person
BENEFICIARY
Covered Losses resulting from Your death are paid to the named beneficiary at the time of death. If there is no beneficiary named or the named beneficiary predeceases or dies at the same time as You, We will pay the benefit Your survivors in the following order:
a. Your legally married Spouse;
b. Your Child(ren);
c. Your parents;
d. Your brothers and sisters;
e. Your estate.
2. Loss of Life of Your Covered Dependent. Covered Losses for the death of Your Covered Dependent will be paid to You. If You pre-decease or die at the same time as Your Covered Dependent, the benefit will be paid to the beneficiary unless the beneficiary designation has not been made or the beneficiary is no longer living at the time of death. In such case, the benefits will be paid to Your estate.