Benefits At a Glance
Employees can choose to elect Off-The-Job Accident Coverage through Aflac. Policies are owned by the employee and can be continued on direct home billing when you are no longer employed with Troup County.
Bi-weekly Premium Rates
|
Coverage
|
Rate
|
|---|---|
|
Employee Only
|
$8.82
|
|
One Parent Family
|
$14.82
|
|
Two Parent Family
|
$19.20
|
|
Employee and Spouse
|
$12.57
|
Covers Dependent Children up to age 26 regardless of student status
Plan Details
The Accident Option 2 is the new offering
Brochure- Accident Insurance Off the Job Option 2
A brief Summary of Benefits is linked and listed below
| 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.
Claims
Instructions for Online Filing and Direct Deposit
Additional Information / Claims
Contact
Worldwide Headquarters: Columbus, Georgia 31999 – http://www.aflac.com
Houze & Associates, Inc.
706-882-2864
308 Church Street, LaGrange, GA 30240
Older Accident Plans
Accident Advantage Option 3
- $170/Emergency Room Benefit
- $30 X-Ray Benefit per ER Treatment
- $1,000 hospital confinement benefit
- Epidural Pain Management Benefit of $100 (max 2/per covered accident, per covered person)
- Family Support Benefit
- Home Modification Benefit
- Organized sporting activity benefit includes additional 25% of the benefits payable, limited to $1,000 per policy, per calendar year
- Accidental Death Benefit included for Hazardous Activities (previously excluded)
- Coverage is available to age 75
Brochure and Policy Exclusions and Limitations
|
Coverage
|
Rate
|
|---|---|
|
Employee Only
|
$9.12
|
|
One Parent Family
|
$15.18
|
|
Two Parent Family
|
$19.74
|
|
Employee and Spouse
|
$12.96
|
Accident Indemnity L2 OTJ:
- Accident Emergency Treatment- $120 Employee and Child
- Follow- up Visits – $35 day up to 6
- X-Ray Benefit – $25 per incident
- Accident Hospital Confinement – $1000 admittance & $250/day & $2000 for ICU/$400 day
- Specific-Sum Injuries- based on schedule
- Wellness Benefits – $60 Annually
Brochure and Policy Limitations and Exclusions
|
Coverage
|
Rate
|
|---|---|
|
Employee Only
|
$10.38
|
|
One Parent Family
|
$15.66
|
|
Two Parent Family
|
$19.74
|
|
Employee and Spouse
|
$13.86
|
