Accidental Death & Dismemberment Insurance

Eligibility. As a Pioneer Mutual Federal Credit Union Member, age 18-69, you are eligible for $50,000 of Basic Accidental Death & Dismemberment (AD&D) coverage, fully paid for by Pioneer Mutual Federal Credit Union. As such, you are eligible to enroll in the Voluntary AD&D plan, up to $500,000. Premiums for additional coverage will be conveniently deducted from your Pioneer Mutual Federal Credit Union account. (Coverage not available in CO, CT, FL or ME.) VALUE ADDED BENEFITS. (See Certificate of Insurance for complete descriptions of coverages and benefits, including exclusions and definitions.) Bereavement & Trauma Counseling Benefit. Counseling sessions will be covered if the Covered Person requires counseling as a result of a Covered Accident. Home Alteration & Vehicle Modification Benefit. Home Alteration & Vehicle Modifications will be payable if the Covered Person suffers a Covered Loss other than a Loss of Life, resulting from a Covered Accident. Rehabilitation Benefit. Rehabilitation costs for the Covered Person will be payable if resulting directly from a Covered Accident and all conditions and exclusions are met. Seatbelt Benefit. A benefit may be payable if the Covered Person dies from a Covered Accident while wearing a seatbelt and operating or riding as a passenger in an Automobile. Exposure and Disappearance Coverage. Benefits for AD&D will be payable if a Covered Person suffers a Covered Loss which results directly from unavoidable exposure to the elements following a Covered Accident. The benefit will not be paid in addition to any other AD&D benefits payable. UP TO $500,000 OF ADDITIONAL COVERAGE ADDITIONAL BENEFITS WITH THE PURCHASE OF VOLUNTARY COVERAGE. (See Certificate of Insurance for complete descriptions of coverages and benefits, including exclusions and definitions.) Family Coverage. All eligible members and their spouses or domestic partners and their unmarried dependent children are eligible for Voluntary Coverage. Your spouse/domestic partner will be covered for 50% of your Voluntary Principal Sum. Each eligible dependent child (unmarried and under age 25 or 29 if full-time student) will be insured for 20% of your Voluntary Principal Sum. Burial and Cremation Benefit. The plan will pay an additional burial or cremation benefit for the Covered Person who dies from a Covered Accident. Common Carrier Benefit. The plan will pay an additional benefit if a Covered Person is riding as a paying passenger on a Common Carrier and suffers a Covered Loss that results directly from a Covered Accident. Felonious Assault and Violent Crime Benefit. The plan will pay an additional benefit when a Covered Person suffers a Covered Loss from a Covered Accident that occurs during a violent crime or felonious assault. Hospital Stay Benefit. The plan will pay additional daily benefits if the Covered Person requires a Hospital Stay due to a Covered Loss from a Covered Accident. Effective Date of Coverage. A Certificate of Insurance and Schedule of Benefits will be mailed to you. A Covered Person's coverage starts on the Covered Person's Effective Date stated in the Schedule of Benefits. Voluntary Coverage stays in-force for the period for which the Covered Person's premium is paid. 30-Day No Obligation. When you receive your Certificate of Insurance, read it carefully. If you are not completely satisfied with the terms of your new insurance, simply return your Certificate, without claim, within 30 days and your premium will be promptly refunded. Your insurance will then be invalidated. Current Monthly Premiums as of 2012.

Individual Coverage: $4.75 per $50,000 Family Coverage: $7.15 per $50,000

Termination. 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# 610394

Coverage may not be available in all jurisdictions and is subject to the underwriters's review.

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