24/7 Medical Consultations via Telephone or E-mail
24/7 Medical Consultations via Telephone or E-mail
24/7 Medical Consultations via Telephone or E-mail
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SHIELD Plus<br />
Supplemental Benefits Plan<br />
Because Accidents Happen<br />
Up to $10,000 of Supplemental Accident Coverage<br />
Up to $500 per week of Injury DI Benefits<br />
Up to $250,000 of AD&D Coverage<br />
Pays When You Are Injured<br />
n No Netw<strong>or</strong>ks - Any Doct<strong>or</strong> - Any Hospital<br />
n Inpatient & Outpatient MD charges<br />
n Medications In & Out of Hospital<br />
n Ambulance Expense<br />
n Hospital Inpatient & ER<br />
n Inpatient & Outpatient surgery<br />
n Local Clinics & Urgi-Care Centers<br />
n Inpatient <strong>or</strong> Outpatient MRI - CT - X-ray<br />
PLUS<br />
w/optional unlimited free access<br />
WBA’s Aff<strong>or</strong>dable AccidentSHIELD Benefits Plan Package… Tail<strong>or</strong>ed f<strong>or</strong>:<br />
n Individuals n Families n High Deductible Plans n Uninsured n Uninsurable<br />
Guaranteed Acceptance
Basic Service Included<br />
<strong>24</strong>/7 <strong>Medical</strong> <strong>Consultations</strong><br />
<strong>via</strong> <strong>Telephone</strong> <strong>or</strong> E-<strong>mail</strong><br />
On Call Tele-Consult:..................................................$35<br />
Talk to a doct<strong>or</strong> immediately. Receive medical advice.<br />
Pri<strong>or</strong>ity Tele-Consult:..................................................$35<br />
Talk to a doct<strong>or</strong> usually within 1 hour. Get a comprehensive<br />
consultation, request prescription medication.<br />
E-Consult:......................................................................$0<br />
E-<strong>mail</strong> a doct<strong>or</strong> about sensitive medical issues. Receive<br />
medical advice. Get a response within <strong>24</strong> hours.<br />
Secure, discreet, HIPAA-compliant.<br />
$25 Fee per registrant pri<strong>or</strong> to initial consultation<br />
(add $12 if live operat<strong>or</strong> assistance is used).<br />
When to Use Consult A Doct<strong>or</strong><br />
n F<strong>or</strong> non-emergency, common conditions and issues.<br />
n When you want immediate access to<br />
quality healthcare.<br />
n When you can’t miss w<strong>or</strong>k <strong>or</strong> school.<br />
n After hours <strong>or</strong> on weekends when your physician<br />
is not available.<br />
n When you are traveling <strong>or</strong> away from home.<br />
n When you need a prescription <strong>or</strong> refill.<br />
Conditions Most Commonly Treated<br />
Our physicians are trained to provide quality medical<br />
care f<strong>or</strong> a variety of conditions and diseases. Such as:<br />
n Cold and Flu<br />
n Allergies<br />
n Bronchitis<br />
n Urinary Tract Infection<br />
n Muscle <strong>or</strong> Joint Pain<br />
n Sinus Conditions<br />
n Back Problems<br />
(acute and chronic)<br />
2 Great Options – Your Choice!<br />
n Upset Stomach<br />
n Arthritis Pain<br />
n Soar Throat<br />
n Travel <strong>Consultations</strong><br />
n Immunization Planning<br />
n ... And many other<br />
non-emergency<br />
illnesses.<br />
Optional Premium Service<br />
On Call Tele-Consult: . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
Talk to a doct<strong>or</strong> immediately. Receive medical advice.<br />
Pri<strong>or</strong>ity Tele-Consult: . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
Talk to a doct<strong>or</strong> usually within 1 hour. Get a comprehensive<br />
consultation, request prescription medication.<br />
E-Consult: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
E-<strong>mail</strong> a doct<strong>or</strong> about sensitive medical issues.<br />
Receive medical advice. Get a response within <strong>24</strong><br />
hours. Secure, discreet, HIPAA-compliant.<br />
Standard medical rec<strong>or</strong>ds registration is free if<br />
completed online. $12 per registrant charge if live<br />
operat<strong>or</strong> assistance is used.<br />
Consult A Doct<strong>or</strong> Benefits<br />
n <strong>24</strong>/7 access to licensed physicians who diagnose<br />
medical conditions.<br />
n Save time.<br />
n Save money.<br />
n Powerful, easy to use, online personal health manager.<br />
n No waiting rooms, no insurance f<strong>or</strong>ms, no one is denied.<br />
n No limitations on usage.<br />
n Cover your entire family.<br />
3 Easy Ways to Consult<br />
Our physicians are trained to provide quality medical<br />
care f<strong>or</strong> a variety of conditions and diseases. Such as:<br />
On Call Tele-Consult:<br />
Talk to a doct<strong>or</strong> immediately. Receive medical advice.<br />
Pri<strong>or</strong>ity Tele-Consult:<br />
Talk to a doct<strong>or</strong> usually within 1 hour. Get a comprehensive<br />
consultation, request prescription medication.<br />
E-Consult:<br />
E-<strong>mail</strong> a doct<strong>or</strong> about sensitive medical issues.<br />
Receive medical advice. Get a response within <strong>24</strong><br />
hours. Secure, discreet, HIPAA-compliant.<br />
There is no guarantee that you will be prescribed medication. Consult A Doct<strong>or</strong> do not prescribe controlled medications.<br />
During the” By Appointment” and “Pri<strong>or</strong>ity Consultation” you will be speaking with a physician licensed in your state.<br />
F<strong>or</strong> members whot consult frequently, there is no guarantee that you will consult with the same physician every time.
Covered Charges<br />
You can never plan f<strong>or</strong> an accident, but<br />
you can plan to have protection in case of one.<br />
AccidentSHIELD will be there f<strong>or</strong> you…<br />
You never know when an accident will happen, but when it does you should be prepared. Ensure<br />
your financial peace of mind f<strong>or</strong> a fraction of the cost a single accident will demand. F<strong>or</strong> those<br />
without coverage <strong>or</strong> with a high deductible plan, WBA is an aff<strong>or</strong>dable necessity you shouldn’t be<br />
without. The potential savings it offers m<strong>or</strong>e than justifies the cost.<br />
n Treatment, services <strong>or</strong> supplies incurred f<strong>or</strong> but not<br />
limited to: Hospital room and board, and general<br />
nursing care, up to the semi- private room rate<br />
Accident <strong>Medical</strong> Expense Benefits<br />
Members choose $5,000, $7,500 <strong>or</strong> even $10,000 of coverage<br />
Starr Indemnity & Liability Company (SILC) will pay Accident Only <strong>Medical</strong> Expense<br />
Benefits f<strong>or</strong> Covered Expenses that result directly, and from no other cause, from a Covered<br />
Accident. These benefits are subject to the Deductibles, Coinsurance Rates, Benefit Periods,<br />
Benefit Maximums and other terms <strong>or</strong> limits shown in the Schedule of Benefits.<br />
<strong>Medical</strong> Expense Benefits are only payable: 1. f<strong>or</strong> Usual and Customary Charges<br />
incurred after the Deductible has been met; 2. f<strong>or</strong> those <strong>Medical</strong>ly Necessary Covered<br />
<strong>Medical</strong> Expenses that the Covered Person receives; and 3. when the first charges are<br />
incurred within 90 days after the date of the Covered Accident.<br />
No benefits will be paid f<strong>or</strong> any expenses incurred that, in SILC’s judgment, are in<br />
excess of Usual and Customary Charges.<br />
Full Excess Benefits; SILC pays Covered Expenses:<br />
1. after the Covered Person satisfies a Deductible of $100; and<br />
2. SILC pays benefits in Co<strong>or</strong>dination with any other Health Care Plan.<br />
n Hospital miscellaneous expense during Hospital<br />
Confinement, <strong>or</strong> f<strong>or</strong> outpatient surgery under general<br />
anesthetic, such as the cost of the operating room,<br />
lab<strong>or</strong>at<strong>or</strong>y tests, x-ray examinations, anesthesia, drugs<br />
<strong>or</strong> medicines, therapeutic services and supplies<br />
n Inpatient <strong>or</strong> Outpatient MRI–CT–X-ray..<br />
n Doct<strong>or</strong>'s fees f<strong>or</strong> surgery<br />
n Anesthesia services<br />
n Doct<strong>or</strong>s visits, inpatient and outpatient<br />
n Hospital Emergency care<br />
n Ambulance expense<br />
n Prescription Drugs<br />
n Dental treatment f<strong>or</strong> Injury to Sound Natural Teeth<br />
n Registered Nurse expense.<br />
Optional Accidental Death and Dismemberment Upgrade<br />
Have you maxed out your life insurance? Do you have a medical condition that drives up life insurance costs? If you<br />
die in an accident, your family could be left penniless. Increase your Primary AD&D benefit by $100,000 <strong>or</strong> $250,000.<br />
This optional benefit allows you to add a substantial level of protection f<strong>or</strong> you and your family. The family benefit<br />
includes 60% of the Primary Sum f<strong>or</strong> your spouse and 10% of the primary Sum f<strong>or</strong> your dependent children. Don't<br />
leave your family in jeopardy if the w<strong>or</strong>st happens.
Many health insurance plans do not pay f<strong>or</strong> the costs of<br />
emergency room visits <strong>or</strong> accidents until their deductible is satisfied .<br />
Exclusions<br />
This plan does not provide benefits f<strong>or</strong>:<br />
n Sickness <strong>or</strong> treatment of a sickness, as described in the<br />
definition of Injury<br />
n Intentionally self-inflicted Injury<br />
n Suicide <strong>or</strong> attempted suicide, whether sane <strong>or</strong> insane<br />
n War <strong>or</strong> act of war, whether declared <strong>or</strong> not<br />
n Injury sustained while on active duty as a member of the<br />
armed f<strong>or</strong>ces (land, water, air) of any country <strong>or</strong> international<br />
auth<strong>or</strong>ity except Reserve National Guard Service<br />
n Injury sustained while on any aircraft except a Civil<br />
<strong>or</strong> Public Aircraft, <strong>or</strong> Military Transp<strong>or</strong>t Aircraft<br />
n Injury sustained while on any aircraft: a) as a pilot,<br />
crewmember <strong>or</strong> student pilot; b) as a flight instruct<strong>or</strong> <strong>or</strong><br />
examiner; c) if it is owned, operated <strong>or</strong> leased by <strong>or</strong> on<br />
behalf of the Policyholder; d) being used f<strong>or</strong> tests, experimental<br />
purposes, stunt flying, racing <strong>or</strong> endurance tests<br />
n Injury sustained while taking drugs, including but not<br />
limited to sedatives, narcotics, barbiturates, amphetamines,<br />
<strong>or</strong> hallucinogens, unless as prescribed by <strong>or</strong><br />
administered by a Physician<br />
n Injury sustained while riding <strong>or</strong> driving in a scheduled<br />
race <strong>or</strong> testing any Mot<strong>or</strong> Vehicle on tracks, speedways<br />
<strong>or</strong> proving grounds<br />
n Injury sustained while participating in <strong>or</strong> practicing f<strong>or</strong><br />
any professional, semi-professional <strong>or</strong> intercollegiate<br />
sp<strong>or</strong>ts activity<br />
n Injury sustained by insured <strong>or</strong> dependent over age<br />
18 while participating in <strong>or</strong> practicing f<strong>or</strong> any martial<br />
art, mixed martial art <strong>or</strong> similar <strong>or</strong>ganized fight sp<strong>or</strong>ts<br />
activity including but not limited to boxing, wrestling,<br />
karate, judo, "ultimate" fighting, kick boxing <strong>or</strong><br />
similar disciplines<br />
n Injury sustained while driving <strong>or</strong> riding on mot<strong>or</strong>ized<br />
wheeled vehicles during off-road use including but not<br />
limited to all-terrain vehicles (ATV’s)<br />
n Injury sustained where a Covered Person is the operat<strong>or</strong><br />
and does not possess a current and valid mot<strong>or</strong> vehicle<br />
operat<strong>or</strong>’s license, except in a Driver’s Education Program<br />
n Injury sustained flying in an experimental aircraft, ultra<br />
light, hang gliding, parachuting <strong>or</strong> bungee-c<strong>or</strong>d jumping<br />
n Injury sustained handling, st<strong>or</strong>ing <strong>or</strong> transp<strong>or</strong>ting<br />
explosives <strong>or</strong> firew<strong>or</strong>ks<br />
n Injury sustained scaling up cliffs <strong>or</strong> mountain walls<br />
<strong>or</strong> icebergs<br />
n Injury sustained while spelunking (expl<strong>or</strong>ing caves)<br />
n Injury sustained while participating in <strong>or</strong> practicing<br />
f<strong>or</strong> any rodeo event<br />
n Injuries incurred from repetitive motion injuries, bursitis,<br />
strains and tendinitis not related to a specific Injury<br />
n Injury sustained while committing <strong>or</strong> attempting<br />
to commit a felony<br />
n Injury sustained while Intoxicated<br />
n Injury sustained while driving while Intoxicated<br />
n Intoxicated means: 1) the blood alcohol content;<br />
2) the results of other means of testing blood alcohol<br />
level; <strong>or</strong> 3) the results of other means of testing other<br />
substances that meet <strong>or</strong> exceed the legal presumption of<br />
intoxication, <strong>or</strong> under the influence, under the law of the<br />
state where the accident occurred<br />
n Expenses payable by any automobile insurance policy<br />
without regard to fault. (This exclusion does not apply<br />
in any state where prohibited)<br />
n Covered medical expenses f<strong>or</strong> which the Covered Person<br />
would not be responsible f<strong>or</strong> in the absence of the Policy<br />
Accidental Death and Dismemberment, Loss of Sight, Speech and Hearing Benefit<br />
The Principal Sum is Your Choice at Enrollment of $5000, $7500 <strong>or</strong> $10,000<br />
Loss of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Principal Sum<br />
Loss of Both Hands <strong>or</strong> Both Feet <strong>or</strong> Sight of Both Eyes . . . . . . . . . . . . . . . . . . . . .The Principal Sum<br />
Loss of One Hand and One Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Principal Sum<br />
Loss of Speech and Hearing in Both Ears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Principal Sum<br />
Loss of One Hand <strong>or</strong> One Foot and Sight of One Eye . . . . . . . . . . . . . . . . . . . . . . .The Principal Sum<br />
Loss of One Hand <strong>or</strong> One Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .One-Half The Principal Sum<br />
Loss of Sight of One Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .One-Half The Principal Sum<br />
Loss of Speech <strong>or</strong> Hearing in Both Ears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .One-Half The Principal Sum<br />
Thumb and Index Finger of Either Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .One-Quarter The Principal Sum
Optional Disability Income Benefit – Injury Only<br />
n Elimination period: 7 days. n Benefit period: Up to 52 weeks. n Occupation: True own occupation<br />
n Benefit amount: Up to $500 per week. n Benefit Calculation: Pri<strong>or</strong> 6 months average.<br />
In the event of a serious injury, paying the medical bills may be the least of your w<strong>or</strong>ries. If you can’t w<strong>or</strong>k, how<br />
will you pay the rest of your bills? You still need to put food on the table, pay rent <strong>or</strong> m<strong>or</strong>tgage, auto loans and all<br />
the rest. W<strong>or</strong>se yet, what will you do if both you and your spouse are disabled and unable to w<strong>or</strong>k? Who is going to<br />
pay the bills?<br />
The answer is simple. Include the optional AccidentSHIELD Accident DI benefit in your WBA membership. This is<br />
a true “Own Occupation” plan thats pays when a disabling injury prevents you from w<strong>or</strong>king in your job. Not any<br />
job you are “suited to perf<strong>or</strong>m”. Your Job.<br />
If a covered injury results in disability lasting m<strong>or</strong>e than 7 days, AccidentSHIELD Accident DI will pay 65% of your<br />
weekly income, up to $500 f<strong>or</strong> a full 52 weeks. Your actual benefit will be based on your average rep<strong>or</strong>ted income<br />
during the previous 6 months. Choose the Primary & Spouse option and this protection will cover your w<strong>or</strong>king<br />
spouse if he <strong>or</strong> she is injured.<br />
SILC will pay a Disability Income Benefit when you are Disabled due to a covered injury. Benefit is limited to<br />
the Primary WBA member unless Spouse benefit is chosen. Other dependents are NOT eligible f<strong>or</strong> this benefit.<br />
Member (and spouse if covered) must be employed at time of application to qualify f<strong>or</strong> the DI benefit.<br />
Wholesale Benefits Association - Sales Administration by Comprehensive Insurance Agency, LLC – Rolling Meadows, IL<br />
Starr Indemnity & Liability Company (SILC) provides the Accident <strong>Medical</strong> coverage, Accidental Death and Dismemberment<br />
coverage and Accident Disability coverage. SILC does not provide n<strong>or</strong> is affiliated with the discount programs provided as a<br />
part of membership in Wholesale Benefits Association. F<strong>or</strong> a complete explanation of actual benefits, limitations, exclusions<br />
and other provisions, please refer to the member benefits booklet and the insurance certificate. Benefits subject to change.<br />
Health, Fitness and <strong>Medical</strong><br />
Your out-of-pocket expenses f<strong>or</strong> an<br />
accident could be $1000, $2000, $5000 <strong>or</strong> m<strong>or</strong>e!<br />
<strong>Medical</strong> Service Negotiations: Save 20%-50% on imaging and lab tests at m<strong>or</strong>e than 5400 participating providers.<br />
Diabetic Savings: Savings up to 60% on diabetic supplies and equipment.<br />
<strong>Medical</strong> Supply: Discounts up to 50% off retail f<strong>or</strong> thousands of medical supply and equipment needs.<br />
Rx: Deep discounts on generic and brand name drugs <strong>via</strong> <strong>mail</strong> <strong>or</strong>der and at m<strong>or</strong>e than 65,000 pharmacies.<br />
Lasik: Up to-50% off Lasik surgery at over 750 locations. Flexible financing plans as low as $53 per month.<br />
Fitness Clubs: 1500 fitness centers, savings up to 60% on monthly dues, lowest price guarantee.<br />
Vitamins: Buy direct from the manufacture f<strong>or</strong> savings up to 75% Low price guarantee.<br />
Retail Shopping f<strong>or</strong> Almost Everything<br />
Mega Mall: Online savings from Wal-Mart, Half.com, Target Overstock, Buy.com and 300 other names you trust.<br />
GreenBack Street: Cash back in your account from m<strong>or</strong>e than 1100 of the most popular online retailers.<br />
Coupons and Discounts: Get coupons and promotional discounts f<strong>or</strong> over 50,000 st<strong>or</strong>es and services.<br />
Magazines: Guaranteed lowest subscription price on over 700 magazines. Save up to 85% off the newsstand price.<br />
Flowers: Save 15% at a trusted national consumer direct fl<strong>or</strong>ist.<br />
Carpet: Go fact<strong>or</strong>y direct and save up to 70% on residential and commercial carpet.
Travel and Entertainment<br />
Dining: Purchase deeply discounted certificates f<strong>or</strong> many of your fav<strong>or</strong>ite local restaurants.<br />
Movies: All tickets are $6.50. Savings up to 40% at 7 well known national theatre chains<br />
Theme Parks: Discounts, coupons and package savings at Sea W<strong>or</strong>ld, Busch Gardens and other theme parks.<br />
Cruises, Packages and Tours: Deep discounts, free upgrades and special credits on travel throughout the w<strong>or</strong>ld.<br />
Hotels and Airfare: Up to 30% savings off standard <strong>or</strong> published rates.<br />
Real Estate and Moving<br />
Realt<strong>or</strong>s: Cash rewards f<strong>or</strong> members up to $1000 <strong>or</strong> m<strong>or</strong>e with expert Realt<strong>or</strong>s.<br />
M<strong>or</strong>tgage: Competitive rates, reduced fees and a $300 member cash reward.<br />
Moving: Discounts with N<strong>or</strong>th American and Allied, up to 50% off f<strong>or</strong> interstate moving.<br />
St<strong>or</strong>age: Discounts, extra st<strong>or</strong>age time and no “peak season” increase related to interstate moving.<br />
Vehicle Savings<br />
Auto Lube: $5 off every oil change at Jiffy Lube.<br />
Auto Repair: 5% to 10% off at participating Meineke Car Centers.<br />
Auto Purchase: Professional negotiation f<strong>or</strong> the best price on your next new <strong>or</strong> certified used vehicle.<br />
Auto Rental: Up to 25% off at Hertz, Budget, Avis and many other regional and national chains.<br />
Truck Rental: Save 15% at Budget Truck Rental.<br />
RV Rental: Save 10% on time and mileage on mot<strong>or</strong> homes, campers, Blazers and mot<strong>or</strong>cycles.<br />
Special Family Services<br />
Parent Coaching: 50% off Mike Robert’s parent coaching membership.<br />
Funeral Concierge: A consumer advocate f<strong>or</strong> your family when you need it most.<br />
Pet Health<br />
Pet Health Insurance: Members get 5% off regular rates f<strong>or</strong> Veterinarian preferred pet health insurance plans.<br />
Pet Rx: At last, a discount plan f<strong>or</strong> your furry family member’s prescriptions.<br />
The Wholesale Benefit Association (WBA) is a membership <strong>or</strong>ganization dedicated to bringing deeply discounted<br />
services to families and small businesses all across America. Through the buying-power of the WBA, members<br />
enjoy substantial savings f<strong>or</strong> a variety of essential health related services. These services are assembled from the<br />
finest providers throughout the country and combined into a single plan.<br />
Association members receive a benefits package containing detailed plan descriptions, instructions, toll-free numbers,<br />
and website addresses. The WBA supplies benefits to our members at the lowest possible prices, and continuously<br />
seeks additional high-quality service plans to further enhance the overall value each membership provides.<br />
Wholesale Benefits Association<br />
Marketed Nationally By:<br />
Comprehensive Insurance Agency, LLC<br />
3601 Algonquin Road – Suite 605<br />
Rolling Meadows, Illinois 60008<br />
Voice: 847-483-9484 Fax: 847-483-9485<br />
Your Local Representative: