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Summary Of Benefits

United Hockey Union — Import Insurance 

Accident & Sickness Insurance Benefits

Coverage, Benefit, Limit and Rate Summary

BENEFITS & LIMITS 

·        Accident Medical Expense $25,000 (per covered person, per condition) 

·        Sickness Medical Expense $50,000 (per covered person, per condition)

·        Benefit Amount 80% of the Usual & Customary Charge, player pays 20%

·        Deductible $750 

·        Accident Dental Expense Included in Medical

·        Benefit Period 52 Weeks from the Date of Loss

·        Accidental Death & Dismemberment $25,000

·        AD&D Aggregate $1,000,000

·        Emergency Medical Evacuation $25,000

·        Repatriation of Remains $25,000

·        Travel Assistance Services Offered Through On Call International

·        All Claims payments are based on normal and customary charges

·        There is no coverage if the player is injured due to involvement in a fight

·        Players who do not wear a full face shield (full facemask) waive insurance benefits for facial, dental, eye injury only.  All other benefits remain full force and effect

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