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$100,000 Travel Accident Insurance Policy (Common Carrier)

Up to $100,000 will be paid for accidental death of the primary member while riding as a passenger on any common carrier. This benefit is underwritten by an "A" rated licensed insurance company.

Covered Activities
All hazards to which an Insured may be exposed subject to the policy limitations and exclusions. Coverage Includes while riding as a passenger and not as a pilot nor learning to operate nor as a member of the crew, in any civil aircraft.

Benefits

Life The Principal Sum
Both Hands or Both Feet The Principal Sum
Sight of Both Eyes The Principal Sum
A Hand or Foot & Sight of One Eye The Principal Sum
One Hand and One Foot The Principal Sum
Speech and Hearing The Principal Sum
A Hand, A Foot or Sight of One Eye One-Half Principal Sum
Speech or Hearing One-Half Principal Sum
Thumb & Index Finger on Same Hand One-Quarter Principal Sum
Use of Four Limbs The Principal Sum
Use of Three Limbs Three-Fourths Principal Sum
Use of Two Limbs Two-Thirds Principal Sum
Use of One Limb One-Third Principal Sum


Benefit Amount: Common Carrier Accident: $100,000.00

A Police report of the accident must support each claim.

Benefits are subject to all terms and conditions of the policy.

In the event of a claim, please contact:
ACE American Insurance Company
Through:
Modern Benefits, Inc.
600 Jefferson Street
Suite 320
Rockville, MD 20852

*Or call the Member Services Department on the back of your membership ID card.

This is a brief description of the important features of the plan. It is not a contract. Terms and conditions of this coverage are set forth in the Group Master Policy issued to Modern Benefits, Inc. This information merely summarizes the coverage and benefits of this policy.



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