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PROVIDENT INSURANCE
New Hampshire State Firemen's Association
Effective 01/01/2010
Emergency Responder 1
Benefits apply to all classes of membership while
performing an activity of the organization.
- Covered Injury Death Benefit - payable for bodily injuries that result in death and are directly related to a covered activity - $10,000
- Includes Dismemberment, Loss of sight, speech or hearing according to the Table of Losses - up to $10,000.
- Seat Belt Benefit - Pays an additional 20% of the Principal sum $2,000.
- Dependent Child Benefit - Pays an additional $10,000 per dependent child.
- Bereavement Benefit - Pays an additional 10% of the Principal Sum up to $1,000.
- Cosmetic Disfigurement from Burns - Payable for third and fourth degree burns, up to $10,000.
- Covered Illness Death Benefit - Payable for illness that are contracted or suffered during or resulting from a covered activity of the organization. $10,000.
- Total Weekly Disability Benefits - Covered injury(s) and illness payable up to 2 years. $75/wk
- Cost of Living Adjustment - COLA can triple disability payments, up to $225/week
- Transition Benefit - Payable up to 26 weeks when employer eliminates insured's position. $75/wk
- Medical Expense Benefit - No time limit for first medical treatment, up to $5,000
This program administered by Provident Agency, Inc.,
PO Box 11588,
Pittsburg, PA 15238-0588.
Toll-Free 1-800-447-0360. This is only an outline.
For actual policy language, see form 209 and 209-AMD, issued by
Provident Life and Accident
Insurance Co., Chattanooga, TN.
Benefits for Emergency Service Organizations Since 1928.
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