CRITICAL ACCIDENT
BENEFIT
- FORM RG21, -NC
- Maximum Benefit Amount per Accident: $5,000 $10,000
- Lifetime Maximum Benefit Amount: Same as selected Maximum Amount per Accident
- This Rider pays limited benefits for the following types of Injuries: hip and knee dislocation; fractures; and knee ligament and meniscus tears
- To be eligible for benefits, you must receive Medically Necessary services in an Emergency Room or Urgent Care
- Facility to treat such Injuries within forty-eight (48) hours of a covered Accident
- Benefit payment is subject to a thirty (30) Day
- Waiting Period
- Benefits are paid as a percentage of the Maximum Benefit Amount per Accident:
- Covered Injury Percentage of Maximum Benefit Amount Per Accident That
- Will be Payable
- Dislocation, hip 20%
- Dislocation, knee 10%
- Fracture, hip or skull 25%
- Fracture, all other 5%
- Tear, knee ligament or meniscus 10%
- If more than one (1) Fracture, Dislocation and / or Knee Ligament / Meniscus Tear is sustained as a result of a covered Injury, only one (1) benefit is payable
- The benefit payable will be that of the highest benefit amount associated with the sustained Fracture
- Dislocation, or Knee Ligament/Meniscus Tear
- A Loss of Life Benefit is payable in the event of death within 90 Days as a result of Injuries sustained in a covered Accident
- The
- Loss of Life Benefit is equal to the Maximum Benefit Amount Per Accident.
