Laserfiche WebLink
<br />',,- <br /> <br />ACCIDENT MEDICAL INSURANCE <br /> <br />FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO <br />THE POLICY DOCUMENT <br /> <br />ACCIDRNT AL DBA TH & SPECIFIC LOSS (*) <br />Loss of Life Principal Sum $10,000 <br />Single Dismemberment Principal Sum $ 5,000 <br />Double Dismemberment Principal Sum $10,000 <br />Loss Period: Loss within 180 Days of Injury <br />Group Travel Only <br />Coverage: Full Excess <br /> <br />ACCIDENT MEDICAL EXPENSE (*) <br />Maximum Benefit <br />Accident Medical Deductible (Corridor) <br />Loss Period: <br />Benefit Period: <br />Group Travel Only <br />Coverage: Full Excess <br /> <br />$25,000 <br />$ 100 <br />Initial treatment received within 30 days of injury <br />Benefits payable for 52 weeks from accident date <br /> <br />. Cove/'age Limits /nllsl bd IIltima/ery chosen by the Insured. We as Agen/s ca/lIIol ,'scommelld the adeql/Qte 1/ml/ <br />ofp,'olecffon. Higher "mi/s nl/U' be available. Please leI liS /01011' if a quote Is dell/'ed. <br /> <br />ELIGIBILITY <br />All registered youth (ages 18 and under), adult participants and staff members of the Day Camp <br />activities sponsored and supervised by the Policyholder. <br /> <br />COVERED ACTIVITIES <br />Coverage is provided while participating in the follOWing activities, sponsored and supervised by <br />the Policyholder; while traveling during such activities as a member of a group in transportation <br />furnished or arranged by the Policyholder. <br /> <br /> # of PIR <br /> Activitv AJ!,e8 RCJ!,istronts Rates <br />Le1l2ues Soccer (Season Rates) , r' ~ ....:.. : 3-12 150 $8.25 <br /> BasebaWSoftball ,. .~. . " .5-12 75 $6.25 <br /> V ollevball . ' 5-12 50 $6.25 <br /> - <br /> Basketball 3-14 150 $6.25 <br /> . <br /> ChcerlcBdinR 5-12 40 $8.25 <br /> Karate $-12 20 $8.25 <br /> Fief!. Football 5-12 $0.00 <br /> Soccer Lea~e Adult 210 $25.00 <br /> Basketball League Adult 60 $12.25 <br /> Volleyball League <br /> Adult 30 $12.25 <br /> Summer Camp - Sports I Week (Weekly Rate) <br />Sport Basketball, Baseball, Cheerleading, Volloyball, Soccer, Softball <br />Camps & Camo Olvmpics 3-15 350 $1.50 <br /> <br />Brown & Brow'? of Florida, hlc. <br />