Accident Medical Insurance
For
JROTC Programs
Need assistance? You may Direct Dial the following specialists:
Tom Wojciechowski at 1-800-986-5350
In today's fast-paced society, accidents can happen anytime, anywhere.....while
traveling with a business group, vacationing, attending school, participating
in athletics or a variety of other situations. Many families have little
or no medical insurance, and those who do have coverage may be required
to meet large deductibles before their insurance pays any benefits.
However, now a comprehensive program has been developed to specifically
cover the inherent risks involved for today's JROTC programs. 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 JROTC
program activities.
The Accident Medical Coverage
Pays the medical bills of an injured participant or staff member
Who Is Covered
All members of the Policyholder.
Covered Activity
All activities sponsored and supervised by the Policyholder, including
travel with a group in connection with such activities.
Medical Expense Benefit
(Pays medical bills of an injured participant)
If any participant incurs eligible expenses as the result of a covered injury,
directly and independently of all other causes, the Company will pay
the charges incurred for such expense within 1 year beginning on the
date of accident. Payment will be made for eligible expenses in excess
of other applicable insurance, not to exceed the Maximum Medical Expense
Benefit chosen, subject to the chosen deductible.The first such expense must
be incurred within 60 days after the date of the accident.
“ Eligible expenses” means charges for the following necessary
treatment and service, not to exceed
the usual and customary charges in the area where provided.• Medical
and surgical care by a physician
- Radiology (X-Rays)
- Prescription drugs and medicines
- Dental treatment of sound natural teeth
- Hospital care and service in semi-private accommodations or as an
outpatient
- Ambulance service from the scene of the accident to the nearest hospital
- Orthopedic appliances necessary to promote healing
- Physiotherapy
Accidental Death and Dismemberment Benefit
If covered injury results in any of the losses specified below within
1 year (not applicable in Pennsylvania) after the date of the accident,
the Company will pay the applicable amount:
- Full Principal Sum for loss of life
- Full Principal Sum for double dismemberment
- Full Principal Sum for loss of sight of both eyes
- 50% of the Principal Sum for loss of one hand, one foot or sight
of one eye
- 25% of the Principal Sum for loss of index finger and thumb of same
hand
Exclusions
This Plan does not cover any loss to or resulting from:
- intentionally self-inflicted Injury, suicide while sane or insane
or any attempt thereat (in Missouri
this applies only while sane);• voluntary self-administration
of any drug or chemical substance
not prescribed by, and taken according to the directions of the Insured
Person’s Physician.
- participation in a riot or insurrection;
- an act of declared or undeclared war;
- active duty service in any Armed Forces of any country, and, in such
event, the prorata unearned premium will be returned upon proof of
service.This does not include Reserve or National Guard
active duty or training unless it extends beyond 31 days;
- parachuting, except for self preservation;
- bungee jumping, flight in an ultralight aircraft, hang gliding;
- sickness, disease,bodily or mental infirmity or medical or surgical treatment
thereof, bacterial infection, regardless of how contracted.This does
not exclude bacterial infection that is the natural and foreseeable
result of an Injury or accidental food poisoning;
- services or treatment rendered by a(n) Physician, Nurse or any other
person who is:
– employed or retained bythe Policyholder; or
– is the Insured Person or anImmediate Family Member;
- flight in an Aircraft, except as a fare-paying passenger;
- dental treatment, except as otherwise provided, and only when Injury
occurs to sound natural teeth:
- any loss for which benefits are paid under state or federal worker’s compensation,
employers
liability, or occupational disease law;
- treatment in any Veteran Administration or Federal Hospital, except
if there is a legal obligation to pay;
- cosmetic surgery, except for reconstructive surgery due to a covered
injury;
- charges which the Insured Person would not have to pay if He did
not have insurance;
- eyeglasses, contact lenses, hearing aids;
- charges which are in excess of Usual, Customary and Reasonable charges.
Click
here for Premium Rates
Minimum Premium: $200.00
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