To file a claim please call Lee Harmer at 801-716-0084
Aflac Accident
Aflac Accident Plan Non-Occupational (Off the Job)
| Accidental Death (Employee / Spouse / Child) | $50,000 / $25,000 / $10,000 |
| Common Carrier / Accidental Death (Employee / Spouse / Child) | $100,000 / $50,000 / $20,000 |
| Dismemberment (Employee / Spouse / Child) | Up to $20,000 / $8,000 / $4,000 |
| Dislocation (Employee / Spouse / Child) | Up to $5,000 |
| Fracture (Employee / Spouse / Child) | Up to $6,000 |
| Hospital Admission Initial Hospital Confinement Hospital Confinement Care |
$100 Per Confinement $300 Per Day $600 Per Day |
| Initial Treatment Hospital Emergency Room Urgent Care Facility Doctors Office or Facility |
$225 with X-Ray / $175 without X-Ray $225 with X-Ray / $175 without X-Ray $150 with X-Ray / $100 without X-Ray |
| Concussion | $500 |
| Major Diagnostic Testing | $200 |
| Ambulance | $400 Regular Ambulance / $1,200 Air Ambulance |
| Outpatient Surgery & Anesthesia Performed in Dr Office, Urgent Care or ER Performed in Hospital or Ambulatory Surgical Center |
$50 $400 |
| Lacerations | $50 |
| Burns Less than 10% At least 10%, but less than 25% At least 25%, but less than 35% 35% or more |
$75 Second Degree / $750 Third Degree $150 Second Degree / $3,750 Third Degree $375 Second Degree / $7,500 Third Degree $750 Second Degree / $15,000 Third Degree |
| Appliance | $100 |
| Therapy | $50 Per Day |
| Rehabilitation Unit | $100 Per Day |
| Transportation | $200 Ground / $500 Plane |
| Family Member Lodging | $200 Per Night |
| Accident Follow-Up Treatment | $50 |
| Wellness Benefits | $50 |
Aflac Critical Illness
Aflac Critical Illness
| Low Option | High Option | |
| Heart Attack | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Stroke | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Coronary Artery By-Pass Surgery | $3,750 Employee / $1,875 Dependent | $7,500 Employee / $3,750 Dependent |
| Major Organ TransPlant | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Bone Marrow TransPlant | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| End Stage Renal Failure | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Severe Burn | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Coma | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Paralysis | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Loss of Sight | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Loss of Hearing | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Loss of Speech | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Sudden Cardiac Arrest | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Invasive Cancer | $15,000 Employee / $7,500 Dependent | $30,000 Employee / $15,000 Dependent |
| Carcinoma in Situ | $3,750 Employee / $1,875 Dependent | $7,500 Employee / $3,750 Dependent |
| Skin Cancer | $250 Employee & Dependent | $250 Employee & Dependent |
| Reoccurrence Benefit (Must be separated by 6 months) | Pays 100% of previously paid base policy benefit |
Pays 100% of previously paid base policy benefit |
| Additional Occurrence (Different Condition must be separated by 6 months) |
Pays 100% of previously paid base policy benefit |
Pays 100% of previously paid base policy benefit |
| Wellness Benefits (Per Year) | $50 (insured & spouse only) | $50 (insured & spouse only) |
| Waiver of Premium (Employee Only) |
Yes | Yes |
Aflac Hospital Indemnity
Aflac Group Hospital Indemnity
| Hospital Admission (Per Confinement) Once per covered sickness or accident per calendar year |
$1,000 |
| Hospital Confinement (Per Day) Maximum confinement period: 31 days per covered sickness/accident |
$150 |
| Hospital Intensive Care (Per Day) Maximum confinement period: 10 days per covered sickness/accident |
$150 |
| Intermediate Intensive Care Step-Down Unit (Per Day) Maximum confinement period: 10 days per covered sickness/accident |
$75 |
For more plan details and rates, please see Worksite Products Plan Summary.
If you would like to make a change to your AFLAC Insurance during Open Enrollment, please reach out to Insurance Services at (801) 567-8146 or insurance@jordandistrict.org.
Aflac Certificates
Aflac Group Accidental Injury Insurance Policy
Aflac Group Critical Illness Insurance Policy
Aflac Group Supplemental Hospital Indemnity Policy
Aflac Employee Enrollment Disclosures
Aflac Disclaimer