37.9 million of annual emergency room visits alone are related to injuries.1 And, despite having medical coverage, many people are not adequately prepared for the out-of-pocket expenses that may result from an accident.
Group voluntary accident insurance is a simple way to provide employees with added protection to meet their individual needs, without increasing benefits costs. It can complement existing medical coverage and help narrow gaps in coverage caused by out-of-pocket expenses such as deductibles, co-payments, and non-covered medical services.
- Benefits are paid regardless of what is covered by medical insurance
- Payments are made directly to the covered employee to spend as they choose
The Right Solutions
MetLife Accident Insurance plan designs are comprehensive and are based on market trends and industry benchmarks to provide more value to employees.
Common covered benefits:2
- Medical Services & Treatment
- Accidental Death
- Dismemberment, Loss of Limb, or Paralysis
- Supplemental Benefits
- Guaranteed issue coverage4
- No limitations on number of accidents covered5
- No age limitations on coverage for employee or spouse/domestic partner6
- Longer durations than typically offered in the industry between the date of an accident and the date care is received or a diagnosis is made
- Portable (continuation of coverage)
1. National Hospital Ambulatory Medical Care Survey: 2010 Emergency Department Summary Tables, tables 1, 4, 14, 24.
2. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife's Disclosure Statement or Outline of Coverage/Disclosure Document for full details.
3. Not available to groups in CA, CO, DC, KS, MO, NH, NJ, NY or VT or with employees residing in NH or VT or WA.
4. Coverage is guaranteed provided (1) the employee is actively at work and (2) dependents are not under a medical restriction as defined on the enrollment form and in the Certificate. Some states require the insured to have medical coverage. Additional restrictions apply to depends serving in the armed forces or living overseas.
5. There are annual limitations on the number of eye injuries and lacerations that will be covered.
6. Children are covered to age 26. There are benefit reductions that begin at age 65.
METLIFE'S ACCIDENT INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY. The policy is not intended to be a substitute for medical coverage. The policy or its provisions may vary or be unavailable in some states. There is a preexisting condition exclusion for hospital sickness benefits, if applicable. There is a benefit reduction at age 65. And, like most group accident and health insurance policies, polices offered by MetLife may include waiting periods and contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP12-AX or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York. In certain states, availability of MetLife's Group Accident Insurance is pending regulatory approval.