THIS INSURANCE PROVIDES LIMITED BENEFITS.
Group Accident (GAC4000): Applicable policy form GACC1.0-P 76103 (including state abbreviations where used, for example: GACC1.0-P-TX).
Group Accident: Applicable policy form GACC1.0-P 76103 ( (including state abbreviations where used, for example: GACC1.0-P-TX).
Individual Accident (IAC4000): Applicable policy form IAC4000 81157 (including state abbreviations where used, for example: IAC4000-TX).
Individual Accident: Applicable policy form Accident 1.0-HS 71152, Accident 1.0-NS 71153.
Gunshot Wound: Applicable policy form PYWOL.
This coverage is a supplement to health insurance. It is not a substitute for essential health benefits or minimum essential coverage as defined in federal law. Insureds in some states must be covered by comprehensive health insurance before applying for this insurance.
This information is not intended to be a complete description of the insurance coverage available. The insurance or its provisions may vary or be unavailable in some states. The insurance has exclusions and limitations which may affect any benefits payable. For cost and complete details of coverage, call or write your benefits counselor or the company.
Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC