Group supplemental health insurance
Accident insurance
Accidents don’t need to be big to be expensive. Even common injuries like sprained ankles can have a significant impact on employee finances.
That’s why accident insurance can be an important part of any group benefits plan.
Two types of coverage
Scheduled benefit accident
This coverage pays benefits based on a “schedule” of covered accidents. A fixed amount is paid based on the type of injury. In general, the more serious the accident, the greater the benefits paid.
This coverage is a great fit for employers who prioritize catastrophic injury protection.
Per-occurrence accident
This coverage pays 100% of eligible services and supplies, up to a plan maximum. Plans can be customized between $500 and $10,000 per accident, and cover one or three accidents per insured per year.
If you prioritize accidents that tend to be more common, per-occurrence accident insurance is the way to go.
Which type of coverage is right for your group?
Use the chart below to compare scheduled benefit and per-occurrence accident plans.
|
Guaranteed issue | ||
Flexible plan designs | ||
Tiered rates | ||
No coordination of benefits | ||
Automatic direct payroll deductions | ||
Additional coverage options | ||
Portability, continuation and/or extension of coverage | ||
Accidental death and dismemberment (AD&D) coverage | ||
Broad definition of qualifying injuries |
Next steps
To learn more, contact your benefits broker or consultant.
Scheduled benefit accident coverage is insured by First Symetra National Life Insurance Company of New York, New York, NY. Mailing address: P.O. Box 34690, Seattle, WA 98124. It pays a fixed amount and does not cover losses due to sickness, nor does it cover the cost of all hospital and medical services. It is not a replacement for major medical or other comprehensive coverage and does not satisfy the minimum essential coverage requirements of the Affordable Care Act. Policy form number is SBC-03510/NY 1/18.
Per-occurence accident coverage is insured by First Symetra National Life Insurance Company of New York, New York, NY. Mailing address: P.O. Box 34690, Seattle, WA 98124. It pays benefits up to a preselected, per occurrence amount and does not cover losses due to sickness, nor does it cover the cost of all hospital and medical services It is not a replacement for major medical or other
comprehensive coverage and does not satisfy the minimum essential coverage requirements of the Affordable Care Act. Certificate form number is LGC-10011C/NY 10/11.
Coverage may be subject to exclusions, limitations, reductions and termination of benefit provisions.
WEB-1384/NY 11/24