Premium
24-Hour
ACCIDENTAL DEATH AND DISMEMBERMENT – TRAVEL ACCIDENT
We will pay this benefit, up to the amount on the Schedule, if you are injured in an Accident, which occurs while you are on a Trip, and covered under the Policy, and you suffer one of the losses listed below within 365 days of the Accident. The principal sum is the benefit amount shown on the Schedule.
| Loss: | Percentage of Principal Sum Payable: |
| Life | 100% |
| Both Hands; Both Feet or Sight of Both Eyes | 100% |
| One Hand and One Foot | 100% |
| One Hand and Sight of One Eye | 100% |
| One Foot and Sight of One Eye | 100% |
| One Hand; One Foot or Sight of One Eye | 50% |
Exclusions
We will not pay for loss caused by or resulting from:
1. Sickness of any kind;
2. service in the armed forces of any country.
T001BR02.01NW (05/11)
...
FOR MAINE RESIDENTS
The following is added to ACCIDENTAL DEATH AND DISMEMBERMENT AIR FLIGHT ACCIDENT and ACCIDENTAL DEATH AND DISMEMBERMENT TRAVEL ACCIDENT:
Notwithstanding any provisions to the contrary, accidental death and dismemberment amounts payable under this Description of Coverage will be at least $2,000. Single dismemberment amounts payable will be at least $1,000.
T001AD01.01ME (06/11)
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