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Coverage is available to paid Members after 30 days following the receipt
of the Membership application and the payment of the first months
dues by the Heartland Alliance of America. Coverage is underwritten
and administered by National Foundation Life Insurance Company (Freedom
Life Insurance Company of America in Florida and Michigan). Not available
in CT, MA, NH, NY and VT.
EXCESS MEDICAL EXPENSE COVERAGE MAXIMUM BENEFIT*
- $40,000 for each Covered Member, subject to a $100 deductible
per accident per Covered Member.
* The AD&D Maximum Benefit and Accident Excess Medical Expense
Coverage Maximum Benefit reduce by 50% at age 70.
Benefits
LIFETIME MAXIMUM BENEFIT PER MEMBER FAMILY ....................................
$75,000
ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) MAXIMUM BENEFITS*
- Primary Member .............................................
$2,500
- Spouse of Primary Member
(if listed on the Membership Enrollment Application or later added,
recorded and acknowledged by the Association) .......................
$2,500
- Eligible Dependent Children of Primary Member**
(if listed on the Membership Enrollment Application or later added,
recorded and acknowledged by the Association) ........ $2,500 per
child
** Eligible Dependent Children of Primary Member means an unmarried
dependent child of the Primary Insured who is under the age of nineteen
(19) years (24 if a full-time student).
| Loss |
Percentage of Maximum Benefit Payable |
| Loss of Life |
100% |
| Loss of two or more Limbs |
100% |
| Loss of Speech and Loss of Hearing (both ears) |
100% |
| Loss of Sight (both eyes) |
100% |
| Loss of one Limb |
50% |
| Loss of Speech |
50% |
| Loss of Hearing (both ears) |
50% |
| Loss of Sight (one eye) |
50% |
| Loss of one Hand |
50% |
| Loss of one Foot |
50% |
| Loss of Hearing (one ear) |
25% |
| Loss of Thumb and Index Finger (same hand) |
25% |
Note: The Excess Medical Expense Coverage Benefit provides benefits
for incurred medical expenses covered under this plan in excess of coverage
under any other valid insurance coverage, accident medical expense benefits
or health benefit plan coverage, including but not limited to coverage
or benefit entitlement under or pursuant to any uninsured/under-insured
motorist coverage, personal injury protection coverage under any automobile
policy, comprehensive major medical insurance, hospital/medical surgical
insurance, other indemnity health insurance, health coverage under an
HMO or PPO plan, workers compensation medical expense benefits,
FELA medical expense benefits, Jones Act medical expense benefits, Medicaid
and Medicare. Claims for benefits shall be administered based on the
Blanket Group Policy issued to the Heartland Alliance of America. A
copy of a Certificate of Coverage further outlining the Blanket Group
Policy is available from the Association upon request.
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