Department of Personnel Administration
Governor Brown
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BAM

Benefits Administration Manual

Common Carrier Travel and Accident Insurance

801.5. Level of Coverage

The level of coverage for each eligible employee is up to $150,000 (i.e., the principle sum) for accidental death and dismemberment.

If an insured employee suffers one or more of the losses shown below as a result of "injury", payments will be for the sum shown below for the loss. The loss must occur within one year after the date of accident. Only the larger of the sums will be paid for the insured employee if more than one loss results from an accident.

Payment amount by loss
For Loss of: Payment
Life The Principal Sum
Both Hands or Both Feet or Sight of Both eyes The Principal Sum
One Hand and One foot The Principal Sum
One Hand or Foot and Sight of One Eye The Principal Sum
Speech and Hearing The Principal Sum
Either Hand or Foot One-Half the Principal Sum
Speech or Hearing One-Half the Principal Sum
Sight of One Eye One-Half the Principal Sum
Thumb and Index Finger One-Quarter the Principal Sum

Updated November 5, 2008 at 1:51 PM.