2021 Employee Benefits Guide 2021 Employee Benefits Guide | Page 25

OTHER BENEFIT PLANS

A C C I D E N T I N S U R A N C E

When an accident occurs , work-related or not , your medical plan will only cover a portion of the expenses . Accident Insurance through Allstate can help pick up where your medical plan leaves off , by paying cash benefits to you based on the circumstance of the accident .
How it works :
In addition to what your medical plan paid , your Accident Insurance also paid : Ambulance Service $ 200
Hospital Admission $ 500 Open abdominal or thoracic surgery $ 1,000 Surgery expenses $ 500
You are injured in an accident and require medical care
You are transported by ambulance to a local hospital
While in the hospital , you have surgery and incur other expenses
Initial Hospital Confinement $ 1,000
3-Day Hospital Stay $ 600
Outpatient Doctor Visit $ 50
Total Costs Covered $ 3,850
* For illustrative purposes only . Payouts may vary based upon your situation and treatment .
RATE INFORMATION
Category
Employee
Employee + Spouse
Employee + Children
Employee + Family
Bi-Weekly Cost
Monthly Cost
$ 5.50 $ 10.04 $ 10.88 $ 13.18
$ 11.92 $ 21.72 $ 23.55 $ 28.52
* Note that Spousal benefits are reduced to 50 % and children are reduced to 25 % of stated coverage amounts
Visit
the Human Resources Portal to view the plan summary documents or contact Human Resources at 817-459-6869 for more information and limitations on Group Accident plans .
City of Arlington / EMPLOYEE BENEFITS GUIDE 2021
25