Occupational Accident Iinsurance Schedule of Benefits

Overview - Benefits - Applications

Accidental Death & Dismemberment
     $50,000 Lump Sum then $2,000
     monthly for 8 years 4 months

Temporary Total Disability
     subject to:
     70% of prior weekly earnings
     7 day waiting period (non-retroactive)
     104 week maximum benefit period

Long Term Total Disability
     subject to:
     70% of prior weekly earnings
     104 week waiting period
     Insured must qualify for Social Security Total Disability  Award
     Above SSDI payments are directly offset from the weekly benefit
     Maximum payment period to age 70

Accident Medical Expense
     subject to:
     $0 (zero dollar) deductible per occurrence
     104 week benefit period

Non-Occupational Benefits
     Subject to:
     Accidental Death &Dismemberment
     Accident Medical/Dental Expense (52 wks/ $0 deductible)

WORKERS' COMPENSATION INSURANCE

     Covers Owner Operator in his/her capacity as an employer

     Workers' Compensation
     Employers Liability
     Alternate Employer Endorsement naming SIRVA and Agent

WORKERS' COMPENSATION INSURANCE

     Occupational Accident Premium

     Workers' Compensation Premium

     Association Dues

Principal Sum:  $    250,000




Maximum Weekly Benefit:  $        500





Maximum Weekly Benefit:  $        500







Maximum Benefit:  $  1,000,000






$     10,000
$      5,000





Statutory Limits
$ 1M / $ 1M / $ 1M






$        330

$         26

$         10

 

 

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Ken Fontana
Novis D. Adkins
Patrick E. McAleenan
Thomas E. West

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425 North New Ballas Road
Suite 175
St. Louis, MO 63141

Phone: 800-221-7686
Fax: 314-997-7250
E-mail: KenF@irmmo.com