Page 15 Benefit plan and Features - High Plan Additional Benefits Employee Spouse Child Chiropractic (per visit, up to 10 times per Covered Accident) $100 $100 $100 Family & pet care (per day for qualifying expense) $200 $200 $200 Mental health therapy (per visit, up to 10 times per Covered Accident) $150 $150 $150 Organized sports injury benefit modifier 25% 25% 25% Wellness benefit Employee Spouse Child Wellness screening benefit (once per benefit year) $50 $50 $50
Accident Insurance Benefit Summary Page 14 Page 16