An Eligible Person is an individual who meets all of the requirements shown below:
Principal Sum: All registered umpires of the Policyholder $10,000
The benefits provided by this Policy will be paid, subject to applicable conditions, limitations and exclusions, under the following coverages:
Covered Activities:
While participating in all baseball officiating activities including but not limited to teaching baseball and officiating clinics. Participating is not limited to Policyholder sponsored and supervised events. Travel to and from the activities is not covered.
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BENEFITS
Aggregate Limit of Indemnity
Applies to
Accidental Death and Dismemberment
Benefit Amount
$500,000
Not more than the Aggregate Limit of Indemnity specified above will be paid for all Covered Losses, Covered Accidents, Covered Injuries and Covered Expenses suffered by all Insured Persons as the result of any one Covered Loss that occurs under one of the Conditions of Coverage, as specified above. If this amount does not allow all Insured Persons to be paid the amounts this Policy otherwise provides, the amount paid will be the proportion of the Insured Person’s loss to the total of all losses, multiplied by the Aggregate Limit of Indemnity.
ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS
Covered Loss must occur within
Benefit
Loss of Life
Loss of Two or More Hands or Feet Loss of Sight of Both Eyes
Loss of Speech and Hearing (in Both Ears) Loss of One Hand or Foot and Sight in One Eye Loss of One Hand or Foot
Loss of Sight in One Eye
Severance and Reattachment of One Hand or Foot Loss of Speech
Loss of Hearing (in Both Ears)
Loss of Thumb and Index Fingers of the Same Hand Loss of all Four Fingers of the Same Hand
Loss of all the Toes of the Same Foot
Exposure and Disappearance
365 days of the Covered Accident
Benefit Amount
100% of the Principal Sum 100% of the Principal Sum 100% of the Principal Sum 100% of the Principal Sum 100% of the Principal Sum 50% of the Principal Sum 50% of the Principal Sum 50% of the Principal Sum 50% of the Principal Sum 50% of the Principal Sum 25% of the Principal Sum 25% of the Principal Sum 25% of the Principal Sum
Included
ACCIDENT MEDICAL BENEFIT
Scope of Coverage Applicable to Accident Medical Benefits
Any benefit limits and benefit percentages apply, unless otherwise specified, on a per Insured Person – per Covered Loss basis. Any applicable Deductibles must be satisfied within the time periods specified before benefits are payable.
Full Excess Medical Expense Other Health Plan Reduction – 0%
Total Maximum for all Accident Medical Benefits- $10,000
First Covered Expenses must be incurred within – 90 days after the Covered Accident Benefit Period – 104 weeks from the date of the Covered Accident Deductible – $100, applies to – each Covered Loss
Covered Expenses Benefit Percentage and Other Limits Determination of the amount of each Covered Expense, and where applicable, each Usual and Customary Charge will be made solely by the Company.
In-Patient Hospital Services
Room and Board Expenses, Intensive Care Unit, Semi-Private Room – 100% of Usual and Customary Charges
Inpatient X-ray, CT scan, MRI Laboratory Tests – 100% of Usual and Customary Charges
Miscellaneous Expenses
In-Hospital Physiotherapy, Nurse Services – 100% of Usual and Customary Charges
Outpatient Orthopedic Appliances – 100% of Usual and Customary Charges
Ambulatory Medical Center
100% of Usual and Customary Charges
Emergency Room Treatment
100% of Usual and Customary Charges
Physician Services
Surgery, Assistant Surgeon, Physician Assistant – 100% of Usual and Customary Charges
Use of Physician’s Surgical Facilities, Second Opinion or Consultation, Anesthesia and its Administration – 100% of Usual and Customary Charges
In-Hospital Visits Office Visits – 100% of Usual and Customary Charges
OUTPATIENT X-Ray, CT Scan, MRI and Laboratory Tests
100% of Usual and Customary Charges
Outpatient Physiotherapy, Outpatient Nursing Services, Ambulance Services 100% of Usual and Customary Charges
Medical Equipment Rental, Dental Services, Prescription Drugs
100% of Usual and Customary Charges
Expanded Medical Benefit for Covered Sports Conditions – Excluded
Heart and Circulatory Conditions, Covered Heart and Circulatory Conditions Included heat exhaustion; heart attack; stroke; burst aneurysm
HMO/PPO Denial Benefit
100% of Usual and Customary Charges
TOTAL DISABILITY WEEKLY INCOME BENEFIT
Weekly Benefit Maximum Benefit Period – $100
Maximum Benefit Period – 26 weeks
Total Disability must begin within – 30 days of the Covered Accident
Waiting Period – 1 day
When Benefit Begin – End of the Waiting Period