Preferred Plan

SLPC 25440 7/16 (exp. 7/18)

Sun Life’s Preferred Plan of accident insurance offers our widest range of covered benefits. Employers can choose among pre-set low, mid, and high benefits schedules or customize a schedule to best meet the needs of employees.

"Fractures accounted for 10.1% of all injuries sustained by US high school athletes . . . . and can impose substantial medical costs on the injured athletes' families." 1

How does it work?

We pay a cash benefit to employees injured as part of a covered accident. The amount paid depends on the type of injury and related care, based on our benefits schedule.

Benefits for injuries are payable once for each covered accident (unless stated otherwise in the certificate). Benefits for hospital stays and related care are payable up to a specific number of days or visits for each covered accident.

Employees can use the money for any purpose, including:

  • Medical co-pays
  • Meeting high deductibles
  • Replacing a portion of wages due to time away from work

What's covered?

Sun Life's Preferred Plan pays a benefit, based on the schedule, for:

  • Injuries – including fractures, dislocations, concussions, and more
  • Related care – including emergency room visits, X-rays, surgery, and physical therapy
  • Loss – with Accidental Death and Dismemberment (AD&D) benefits up to $250,000

Looking for basic coverage? See our Accident, Essential Plan.

Key benefits for . . .

Employees

  • Guaranteed Issue, always
  • No reductions for other coverage
  • Coverage for families, including high school and college athletes
  • HSA-compatible
  • Portable (subject to state availability)
  • Optional Accident Disability Insurance Benefit for the employee and spouse

Employers

  • Customized offering, including:
    • Pre-set low/mid/high benefits schedules
    • Ability to increase or decrease benefit amounts, or remove benefits
  • Robust benefits schedule
  • Competitive group pricing
  • 24-hour or off-job
  • Value-added services services that may be requested by employer:

1. Epidemiology of US high school sports-related fractures, 2005-2009. National Center for Biotechnology Information, U.S. National Library of Medicine.

* The Disability Insurance Benefit is not available for spouses in New York.

If permitted by the Employer's employee benefit plan and not prohibited by state law, the term "spouse" in this benefit includes any individual who is either recognized as a spouse, a registered domestic partner, or a partner in a civil union, or otherwise accorded the same rights as a spouse.

Accident Insurance is a limited benefit policy. It provides accident coverage only and does not provide basic hospital, basic medical, or major medical insurance. This coverage does not constitute comprehensive health insurance (often referred to as "major medical coverage") and does not satisfy the requirement for Minimum Essential Coverage under the Affordable Care Act. Failing to maintain Minimum Essential Coverage may result in a tax penalty.

The certificate and its riders have exclusions and limitations that may affect any benefits payable. Benefits payable are subject to all terms and conditions of the certificate. The policy, certificate, and any rider, if applicable, may not be available in all states.

For policies issued in New York: The expected benefit ratio for this policy is 65%. This ratio is the portion of future premiums which the Company expects to return as benefits, when averaged over all people with the policy.

Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 93P-LH, 98P-ADD, 07-SL REV 7-12, 07P-LH-PT/07C-LH-PT, 01P-ADD-PT/01C-ADD-PT, GP-A, GC-A, 12-GP-01, 12-DI-C-01, 13-SD-C-01, 12-AC-C-01,13-ADD-C-01, 12-GPPort-P-01, 13-ADDPort-C-01, 12-STDPort-C-01, 12-ACPort-C-01, 13-SDPort-C-01, TDBPOLICY-2006, and TDI-POLICY. In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 13-GP-LF-01, 13-LF-C-01, 13-GP-LH-01, 13-ADD-C-01, 13-LTD-C-01, 13-STD-C-01, 06P-NY-DBL, 07-NYSL REV 7-12, GP-A, GC-A, 12-GP-SD-01, 13-SD-C-01, 12-GP-01, 12-AC-C-01, 12-GPPort-01, 13-LFPort-C-01, 13-ADDPort-C-01, 12-STDPort-C-01, 12-ACPort-C-01 and 13-SDPort-C-01. Product offerings may not be available in all states and may vary depending on state laws and regulations.

© 2015 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.