HR, Payroll and Benefits News

Accident Insurance - For When the Unexpected Happens
March 17, 2020

What is Accident Insurance?
Accident Insurance is an affordable way to protect your wallet when the unexpected happens. Unlike disability insurance which replaces income, or health insurance which pays for medical bills, Accident Insurance provides a cash payment directly to you if you experience a covered accident and may be used to pay for any out-of-pocket expenses. The plan also provides an accidental death and dismemberment benefit.

Who can enroll and When?
If you are eligible for the State Group Health Insurance Program, you are eligible to enroll in the Accident Insurance Plan within 30 days of hire or becoming eligible for benefits. Coverage for your spouse and dependent child(ren) is also available.

If you choose not to enroll during your initial 30-day enrollment period, you may have an opportunity to enroll if you have a qualifying life event such as a birth or marriage. Otherwise an enrollment opportunity may be available during an Annual Benefits Enrollment period offered each October.

What to do When Injured from an Accident?
If you are enrolled in the Accident Insurance Plan and are injured in an accident, follow these steps to determine if you may be eligible for a benefit:

  1. Check the Plan Certificate for a list of covered injuries.
  2. If your injury is listed, medical treatment may have to be provided within a set number of hours or days after the accident occurs. For example, if you sustain a second or third degree burn, you must receive treatment from a physician within 72 hours of the accident to be eligible for a benefit.
  3. Provide written notice of your claim within 20 days of the date of loss resulting from a covered accident.

There are limits to the number of payments per covered accident, and the number of covered injuries that can be claimed per calendar year. For example, the concussion benefit is limited to one payment per person per covered accident per calendar year.

How to File a Claim
You (not your health care providers) are responsible for filing claims with Securian. To initiate a claim, contact the plan carrier, Securian:

Visit the Accident Insurance Plan webpage for additional information.

Source: UW System Human Resources
Categories: Insurance