ACCIDENTAL DEATH & DISMEMBERMENT

This is an optional benefit chosen by the firm for all eligible CAs and employees. The amount is equal to the
term life benefit.

Benefit Payable

The benefit is paid if you suffer any of the losses described in the following schedule. If the benefit is paid as a result
of death, it is paid to the designated beneficiary. In the event of loss by dismemberment or loss of use, the benefit
is paid to you. When injury results in any of the following losses within 365 days after the date of the accident, the insurer will pay for:

 

% of Principal Sum

Life
100%
Both Arms or Both Legs or Feet or Sight of Both Eyes
100%
One Hand or Foot and Sight of One Eye
100%
One Hand and One Foot
100%
Speech and Hearing
100%
Quadriplegia, Paraplegia, Hemiplegia
200%
One Arm or Hand or Leg or Foot
80%
Entire Sight of One Eye
75%
Speech or Hearing in Both Ears
66.6%
Thumb and Index Finger of One Hand
40%
Four Fingers of Either Hand or Hearing in One Ear
33.3%
All Toes of One Foot
25%
Critical Illness*
10%

* Payable if you are diagnosed with one of the follow-ing diseases at least 90 days after this insurance becomes effective and become totally disabled for a period of nine months. Total disability is defined as the inability to perform any occupation. Benefits are limited to the first covered critical disease in a person’s life-time: Poliomyelitis, Parkinson’s Disease, Huntington’s Chorea, Multiple Sclerosis, Alzheimer’s Disease, Type 1 Diabetes (Insulin Dependent), Amyotrophic Lateral Sclerosis (ALS), Peripheral Vascular Disease, Necrotizing Fascitis.

In addition, the following benefits may be payable if you die in a covered accident:

Repatriation up to $15,000
Spousal Retraining up to $15,000
Day Care / Education up to $5,000 / 4 years

The following benefits may be payable if you suffer an accidental loss paid under the loss schedule other than death:

Rehabilitation up to $15,000
Eyeglasses, Contact Lenses and Hearing Aids up to $1,000
Family Transportation up to $15,000
Home Alteration or Vehicle Modification up to $15,000

Limitations and Exclusions

“LOSS OF USE OF” must be total and irrecoverable and must be continuous for twelve consecutive months after which the benefit for Loss of Use is payable, provided such damage is determined to be permanent.

Any loss (except Critical Illness) must be the result of an accident, must occur within 365 days of the accident, and must be complete and irrecoverable. Payment will be made only for one loss, the greatest incurred as the result of one accident.

Losses caused by self-inflicted injury, war, full-time service in the armed forces, or flying (except as a passenger on a valid commercial airline) are not covered.

Premium

The monthly premium rate is $0.021 per $1,000 of benefit.

The accidental death and dismemberment benefitis underwritten by the Industrial Alliance Pacific Life Insurance Company, Policy Number 100005361.


Notice of a claim must be provided within 30 days of an accident or diagnosis of a critical illness.