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Health Fund

Requesting Benefits

If the accidental injuryBodily harm caused by an accident. The injury must also result, for the purposes of accidental death and dismemberment coverage, directly and independently of all other causes, in a loss covered by the plan. you sustain results in your death, your benefits will be paid to the beneficiary you have on file with the Administrative Office in accordance with the procedures for the payment of your life insurance benefit. (See "Requesting Benefits" for more information.) Benefits for all other losses will be paid to you directly as a lump-sum payment.

To initiate a request for benefits, you or your beneficiary should call the Administrative Office within 20 days after the accident occurs. If notice cannot be given within that time, it should be provided as soon as possible after that.

Within 15 days after receiving notice of a request for benefits, you or your beneficiary will receive forms to complete for proof of the loss. Satisfactory written proof must be submitted to the Fund within 90 days. (For more information about filing claims, see "Claims and Appeals Rules".)