Page 8 - AtlasGroup_Specimen
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Accidental Death & Dismemberment
(excludes loss due to Common Carrier
Accident)

Ages 18 through 69 Lifetime Maximum - $50,000
Death - $50,000
Loss of 2 Limbs - $50,000
Loss of 1 Limb - $25,000

Under age 18SPECIMEN Lifetime Maximum - $5,000
Death - $5,000
Ages 70 through 74 Loss of 2 Limbs - $5,000
Loss of 1 Limb - $2,500
Ages 75 and older
Lifetime Maximum - $12,500
Optional Accidental Death & Death - $12,500
Dismemberment Rider (only available to Loss of 2 Limbs - $12,500
members age 18 through age 69) Loss of 1 Limb - $6,250

Lost Checked Luggage Lifetime Maximum - $6,250
Travel Delay Death - $6,250
Border Entry Protection Loss of 2 Limbs - $6,250
Natural Disaster - Replacement Loss of 1 Limb - $3,125
Accommodations
Hospital Indemnity $250,000 maximum benefit any one family or group.
Personal Liability - not subject to deductible or overall maximum limit

Optional Personal Liability Rider Lifetime Maximum - $50,000
Death - $50,000
Loss of 2 Limbs - $50,000
Loss of 1 Limb - $25,000
- not subject to deductible or overall maximum limit

Up to $500 - not subject to deductible

Up to $100 a day after a 12-hour delay period requiring an
unplanned overnight stay. Subject to a maximum of 2 days. - not
subject to deductible

Up to $500 if traveling on a valid B-2 visa and denied entrance at
the U.S. border. - not subject to deductible

Up to $250 a day for 5 days - not subject to deductible

$100 per day of inpatient hospitalization - not subject to deductible

Up to:
$10,000 lifetime maximum
$10,000 third person injury
$10,000 third person property
$2,500 related third person property
- not subject to deductible or overall maximum limit

Up to $90,000 lifetime maximum - not subject to deductible or
overall maximum limit

Certificate Period means the period of time beginning on the date and time of the certificate
effective date and ending on the date and time of the certificate termination date.

8 Atlas Group Description of Coverage | Tokio Marine HCC - MIS Group
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