Personal Accident Insurance

Personal Accident Insurance pays a benefit based upon a schedule of benefits in the event of accidental death, dismemberment, or permanent total disability as the result of an accident. Individual or family coverage may be purchased in $10,000 increments, with a minimum of $50,000 in coverage to a maximum of 10 times annual salary (up to $750,000).

The monthly premium for each $10,000 unit of Principal Sum is:

Individual Plan: $.012/$10,000

Family Plan: $.25/$10,000

Sample Rates

*A minimum of $50,000 in coverage to a maximum of 10 times annual salary (up to $750,000) can be selected. Additional details can be found at: hr.duke.edu/personalaccident

Key Terms

Co-insurance: is the percentage of costs that you pay for a service after you meet your benefit period deductible

Co-payment: is a fixed dollar amount that you must pay for a medical service

Deductible: the amount you are responsible for paying before your insurance plan begins to pay for covered services.

In-Network Provider: any healthcare provider (physician, hospital, urgent care or other facility) that is contracted by the insurance administrator to provide health care services

Out-of-Network Provider: any healthcare provider that does not belong to your insurance company’s preferred provider network. If the Out-of-Network provider charges more for a service than your insurance company agrees to pay, you will need to pay the difference. This payment does not count toward your out-of-pocket limit.

Out-of-Pocket Limit: the maximum dollar amount that a member or family could pay in a year for covered services before the plan pays 100%. Any deductible, co-payment, and co-insurance amounts that you pay count towards the out-of-pocket limit.