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What are Safety Belt User
Benefits?
If you, your
surviving spouse or an eligible dependent dies as a result of an automobile
accident while wearing a qualified passenger restraint, a $15,000 benefit may be
paid.
If you, your
surviving spouse or eligible dependents have Company-paid benefits under the
Health Care Plan, you are covered participants in the Safety Belt User Benefit
Program.
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Benefit Amount
If you or another
covered participant dies as a result of bodily injury caused solely by an
automobile accident that occurs while the participant is properly using a
qualified passenger restraint, the Program pays $15,000. The accident must occur
in the United States or Canada and death must occur within 365 days of the
accident's date.
The Program pays
only one $15,000 benefit for each eligible person who dies as a result of a
covered automobile accident.
A passenger
restraint qualifies for purposes of the Program as long as it is:
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An
unaltered seat belt or lap and shoulder restraint installed by the
automobile manufacturer or provided by the manufacturer - and installed by
an authorized dealer of that manufacturer |
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If
the covered participant is a child, a restraint that has been approved by
the National Highway Traffic Safety Administration and is:
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Properly secured |
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Used as recommended for children of like age and weight |
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For purposes of
the Program, an automobile is a conventional, private passenger land motor
vehicle. Automobiles include: |
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Vans
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Four-wheel-drive
vehicles |
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Self-propelled motor homes |
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Trucks with a factory-rated load capacity of 2,000 pounds or less
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Automobiles do
not include: |
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Custom-made
specialty vehicles |
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Vehicles
such as: |
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Motorcycles |
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Dune buggies |
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Snowmobiles and |
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Vehicles used for: |
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Farming |
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Commercial business |
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Military business |
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Racing |
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Any type of competitive speed event |
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Some deaths aren't covered
The Program won't
pay benefits for deaths of a covered participant caused by:
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An
act of war |
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Self-destruction or intentionally
self-inflicted injury while sane or insane |
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Disease
or bodily or mental infirmity, or medical or surgical treatment of that
condition |
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Any
infection (except infection caused by an injury sustained in a covered
automobile accident) or |
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An
act of aggression or participation in a felonious enterprise by the covered
participant. |
Beneficiary
You are the
beneficiary if you are living. If you die before the covered participant, the
benefit will be paid, in this order, to:
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Your surviving wife or husband |
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Your surviving children (divided equally among them) |
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Your surviving mother or father (or to both equally)
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If there are no
such survivors, the benefits will be paid to the estate of the deceased covered
participant.
When coverage ends
Coverage will end
when eligibility for Company-paid Health Care Plan coverage ends.
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To file a claim for Safety Belt
User Benefits |
