How much does it cost? This table shows your rates for Accident Insurance. The cost provided below includes Accident Insurance premium and a fee for Voya Travel Assistance. Bi-Weekly Rates (26 Pay Periods) Employee Employee and Employee and Family Spouse Children $4.69 $7.70 $8.91 $11.92 Your spouse will be covered for the same Accident benefits as you. If you have coverage on yourself, your natural children, stepchildren, adopted children or children for whom you are legal guardian can be covered up to age 26. Your children will be covered for the same benefit amounts as you. One premium amount covers all of your eligible children. What’s covered? Accident Insurance provides a benefit payment after a covered accident that results in the specific injuries and treatments listed in this document. This plan covers you 24 hours a day. Some of the most common treatments and conditions we pay benefits for include: ER treatment X-rays Physical therapy Stitches Follow-up doctor treatment(s) Sample payment amounts If one of these events happens to you, and your claim is approved, you’d receive a benefit payment in the amount listed below. Use it however you’d like: Accident-related treatment Benefit Emergency room treatment $250 X-ray $90 Physical or occupational therapy (up to six per accident) $60 Stitches (for lacerations, up to 2”) $90 Follow-up doctor treatment $100 Hospital admission $1,500 Hospital confinement (per day, up to 365 days) $375 This is only a small preview of the benefits available to you. See the full Schedule of Benefits toward the end of this document.