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Aflac

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.


Aflac Certificates
Aflac Group Accidental Injury Insurance Policy
Aflac Group Critical Illness Insurance Policy
Aflac Group Supplemental Hospital Indemnity Policy
Aflac Employee Enrollment Disclosures