Individual Coverage: $4.75 per $50,000 Family Coverage: $7.15 per $50,000Termination. The insurance on a Covered Person will end on the earliest date below: 1) the date the Policy or insurance is terminated; 2) the date the Policyholder's coverage under the Policy ends; 3) the next premium due date after the date the Covered Person no longer satisfies eligibility requirements under the policy; 4) the last day of the last period for which premium is paid; 5) with respect to a Spouse or Dependent Child, the date of the death of the Covered Member; and 6) the date the plan of benefits under which the Covered Person is insured is terminated. Benefit Payment Summary. If a specified loss is caused directly and independently by an accidental injury while coverage is in force, and said loss occurs within 365 days of the injury, the plan will pay the following percentage of coverage for loss of: Life 100%, Two Limbs 100%, One Limb 100%, Sight of Both Eyes 100%, Both Speech and Hearing (in both ears) 100%, Sight in One Eye 50%, Severance and Reattachment of One Hand or Foot 50%, Speech 50%, Hearing (in both ears) 50%, Thumb and Index Finger of the Same Hand 25%, all four Fingers of the Same Hand 25%, and all the Toes of the Same Foot 20%. Loss of limb means actual severance at or above the wrist or ankle joint. Loss of sight, speech, and hearing means complete and irrevocable loss thereof. The total benefit payable for all losses due to a single accident will not be more than the Principal Sum. Only one amount, the largest to which the Covered Person is entitled, is paid for all losses resulting from one accident. Exclusions and Limitations. Benefits will not be paid for any Covered Injury or Covered Loss which, directly or indirectly, in whole or in part, is caused by or results from any of the following: Intentionally self-inflicted Injury, suicide or any attempt thereat while sane or insane; commission or attempt to commit a felony or an assault; commission of or active participation in: a riot; insurrection; or Terrorist Act; bungee jumping; parachuting; skydiving; parasailing; hang-gliding; declared or undeclared war or act of war; flight in, boarding or alighting from an Aircraft or any craft designed to fly above the Earth's surface, except as: a fare-paying passenger on a regularly scheduled commercial or charter airline; a passenger in a non-scheduled, private Aircraft used for pleasure purposes with no commercial intent during the flight; a passenger in a military Aircraft flown by the Air Mobility Command or its foreign equivalent; travel in or on any off-road motorized vehicle not requiring licensing as a motor vehicle; participation in any motorized race or contest of speed; an accident if the Covered Person is the operator of a motor vehicle and does not possess a valid motor vehicle operator's license; except while participating in Driver's Education Program; Sickness; disease; bodily or mental infirmity; bacterial or viral infection or medical or surgical treatment thereof; except for any bacterial infection resulting from: an accidental external cut or wound; or accidental ingestion of contaminated food; medical or surgical treatment; diagnostic procedure; administration of anesthesia; or medical mishap or negligence, including malpractice; travel in any Aircraft owned; leased; or controlled by the Policyholder; or any of its subsidiaries or affiliates. An Aircraft will be deemed to be "controlled" by the Policyholder if the Aircraft may be used as the Policyholder wishes for more than 10 straight days, or more than 15 days in any year; the Covered Person's intoxication as determined according to the laws of the jurisdiction in which the Covered Accident occurred; voluntary ingestion of any narcotic; drug; poison; gas; or fumes; unless: prescribed or taken under the direction of a Physician; and taken in accordance with the prescribed dosage; a Covered Accident that occurs while on active duty service in: the military; naval; or air force of any country or international organization. Underwritten by: Catlin Insurance Company, Inc. 2800 Post Oak Blvd, Suite 4050, Houston, TX 77056. Group Policy Number: XXX on Policy Form XXX
Administered by: Selman & Company, 6110 Parkland Blvd, Cleveland, OH 44124. Phone Number: 1-877-665-7563. AR lic# 232779 / CA lic# 610394Coverage may not be available in all jurisdictions and is subject to the underwriters's review.