Benefits At a Glance
Benefits are paid direct to employees for on/off the job accidents that occur. Employees can choose to cover spouse/children as well.
Cobb County Government is rated an “A” class for this policy, meaning that accident rates are the lowest available for employees to obtain Accident Insurance Coverage.
Rates
| Coverage | Rate |
|---|---|
| Employee Only | $11.38 |
| Employee and Spouse | $16.22 |
| One Parent Family | $19.12 |
| Two Parent Family | $24.78 |
Plan Details
A brief Accident Summary of Benefits are:
| Accident Treatment Emergency Room, Doctor Office or Other Facility |
$200 |
| Initial Hospitalization – 5 year building benefit | $1,500 Y1, $2,000 Y2, $2,500 Y3, $3,000 Y4, $3,500 Y5+ for confinement 18 hours+ |
| Initial Intensive Care Hospitalization – 5 year building | $3,000 Y1, $4,000 Y2, $5,500 Y3, $6,000 Y4, $7,000 Y5+ admitted directly to ICU |
| Confinement in the Hospital- 5 year building | $300 Y1, $350 Y2, $400 Y3, $450 Y4, $500 Y5+ per day up to 365 days, per acc |
| Intensive Care Unit- 5 year building | $600 Y1, $700 Y2, $800 Y3, $900 Y4, $1,000 Y5+per day up to 15 days, per acc |
| Ambulance Benefit | $300 ground or $2,000 air/water |
| Accident Follow-up (includes Therapy) | $35/day up to 30 treatments per acc |
| Prosthesis | $1,000 per accident |
| Prosthesis Repair/Replace | $1,000/lifetime |
| Rehabilitation Facility | $200/day up to 30 days |
| Home/Auto Modification | $4,000 per accident |
| Accident Specific Sum Injury | Variable $35 to $12,500 |
| Accidental Death | $150,000 EE/SP or $30,000 CH Common-Carrier |
| $40,000 EE/SP or $15,000 CH Other Accident | |
| Accidental Dismemberment | Variable $300 to $40,000 |
| Organized Sporting Event | $125/accident |
| Wellness Benefit | $100 per year |
| Transportation | $500/round trip 50+ miles up to 3 round trips/years |
| Continuation/Waiver of Premium | Continuation of coverage waives premium for 2 months, Waiver of Premium Yes |
This information is for Georgia Residents and for illustration purposes only.
Please refer to your Outline of Coverage within the brochure or your policy for specific details.
Brochure – Outline of Coverage
Accident Insurance 38000 – Level 2 – 24 hour coverage
PRIOR ACCIDENT PLAN RATES
Accident Advantage Option 3 – 24 Hour Coverage
Individual (18-64) $9.96
Husband/Wife $14.10
One Parent Family $16.14
Two Parent Family $21.00
Added Children have a $120/Emergency Room Benefit
Added X-Ray Benefit of $25/per ER Treatment
Epidural Pain Management Benefit of $100 (max 2/year)
Accidental Death Benefit included for Hazardous Activities (previously excluded)
Individual (18-64) $8.95
Husband/Wife $12.69
One Parent Family $14.82
Two Parent Family $18.78
Claims
Instructions for Online Filing and Direct Deposit
Additional Information / Claims
Contact
www.aflac.com
OR
Houze & Associates, Inc.: 1-880-523-7135 or 706-882-2864
