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Table of Benefits |
Annual Group Accident Policy $1.00 Regular Member per year $2.00 Horse/Special Member per year |
| For expense incurred within 52 weeks of the date of Accident for Medical and Surgical Treatment, x-Ray Examinations, Hospital Confinement and Ambulance Expense, up to a maximum of... |
$ 2,500.00 |
| Dental Services incurred within 52 weeks of the Accident, Involving Sound, Natural Teeth, up to a maximum of... | $ 500.00 |
| For losses within 100 days of the accident which result in the loss of life... | $ 5,000.00 |
| For losses within 100 days of the accident which cause loss of both hands, or both feet, or the total sight of both eyes or one hand and one foot... | $10,000.00 |
| For losses within 100 days of the accident which cause loss of one hand, foot, arm, leg ... | $ 5,000.00 |
| For losses within 100 days of the accident which cause the loss of sight of one eye... | $ 3,000.00 |
This policy does not cover the following:
Illness -Eyeglass Replacement -Suicide -Aviation Accidents
- Hernia in any form -Staff Employees covered under Worker's Compensation
- Loss covered under Medicare -Injuries sustained while downhill skiing, tobogganing, bobsledding, or snow tubing
Put your Group Member's Safety First--
Make sure your programs are age-appropriate and in compliance with your State guidelines.
Policy Number SRP 103 - REV. 4/81