Page 6 Benefit plan and Features - Low Plan Additional Benefits Employee Spouse Child Chiropractic (per visit, up to 10 times per Covered Accident) $50 $50 $50 Family & pet care (per day for qualifying expense) $100 $100 $100 Mental health therapy (per visit, up to 10 times per Covered Accident) $75 $75 $75 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 5 Page 7