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
