Q. 11. What Type of Benefits Does an Occupational Accident Policy
Typical Plan Highlights:
- Combined Single Limit (CSL) of $1,000,000.00 up to $6,000,000.00 with an aggregate limit of liability of up to $25,000,000.00 per accident.
- Benefit Period of one two or 3 years
- 7/28 Elimination period of disability
- CSL is the aggregate of expenses incurred for Medical, Disability and Accidental Dismemberment and Death Benefits.
- Employers Liability including defense costs.
- Insured by respected A Rated or Better Insurance Companies.
AN OCCUPATIONAL ACCIDENT PLAN HAS FOUR KEY BENEFITS:
1. ACCIDENTAL DEATH AND DISMEMBERMENT:
In the event of an on- the- job accidental death or dismemberment, the plan will pay up to $150,000 to the Employee or his beneficiary.Burial: The plan also pays a burial benefit of $5,000.All other occurrences of dismemberment are paid in accordance with a policy schedule.
2. WEEKLY DISABILITY:
If an employee earns $8.50 per hour or greater; benefit equals 70% of his hourly wage If an employee earns less than $8.50 per hour; benefit equals 75% of hourly wage. Maximum weekly disability benefits range from $600 to $1,000 per week. This benefit is described as a 7/28 benefit. This simply means that benefits are paid after a waiting period of 7 days and if the disability extends beyond 28 days, the first seven days are paid for retroactively.
3. MEDICAL EXPENSE COVERAGE:
The plan pays for a range of medical expenses incurred as a result of an on the job accident. The plan pays 100% of expenses after a deductible. Coverage is for usual customary and reasonable charges for medically necessary services ordered by a physician. Please refer to the policy for exclusions.
4. EMPLOYER'S LIABILITY:
This covers amounts paid to obtain a release of liability or settle a claim for workplace negligence brought by a covered employee as the result of a covered injury.Amounts paid to satisfy a judgement for an Employer Indemnity claimDefense costs and expenses related to an Employer Indemnity claim
Return To FAQ page