The proposed insurance must include, at a minimum, the following coverage and benefits: • Accidental Medical Expense Maximum: $90,000 • Air or Ground Ambulance: 100% U&C (Usual and Customary) • Accidental Death and Dismemberment: $10,000 • Orthopedic Appliance (Maximum): 100% U&C • Air Travel Only Aggregate: $1,000,000 • Physical Therapy (Maximum): 100% U&C • Policy Type: Excess • Dental Benefit: Included in Max • Deductible (Aggregate/Reducing): Zero Deductible • Off-Season Conditioning: Included • Heart/Circulatory Death Benefit: Included • Incurring Period for First Expense: 90 Days • Expanded Medical Benefit: Included • Coordination with HMO/PPO: Included • Proposed Effective Date: July 1, 2025 • Re-Injury Benefit: Included
