Accident Insurance
Cover yourself for all accidents 24 hours a day
$150 each time for emergency room
$1,000 for Hospital Admission
$25,000 Accidental Death Benefit
What benefit options are you interested in?
You Only - $3.60/week
You & Spouse - $5.25/week
You & Child(ren) - $7.07/week
Family - $8.72/week
Yes, I would like to enroll:
Name:
Day Time Phone Number:
Email address:
Submitting this information does not constitute enrollment in this benefit. You will need to speak with a benefit counselor to get enrolled in this benefit. By submitting your information above, a benefit counselor will contact you to complete enrollment.
